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PERMITTEE NAME/ADDRESS (Include Facilip• NamelLocanoa if Different) <br />NAME <br />L'LUE MOUNTAIN ENERGY. INC. <br />ADDRESS <br />JE5ERADO MINE <br />;607 COUNTY ROAD 67 <br />FACILITYRANGLY CO L91648 <br />LOCATION <br />nr'rnl r=rr nllan~ar <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDES) Form ApprOVed. <br />DISCHARGE MONITORING REPORT (OMRJ OMB N0. 2040-0004 <br />MINOR <br />PERMIT NUMBER DISCHARGE NUMBER F - f"iNAL_ ~ RBLAN <br />MONITORING PERIOD RA-1 LOAllOVI T(' RED WA5H <br />YEAR MO DAY YEAR MO DAY ~+ <br />FROM !, 9 ~ TO r c` '{ ### NL) PISC 4AF ~E I l I ### <br />NOTE: Read Instructions befor mpleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />Of„ ~-*iA% SAMPLE ###### #####a ###### 19) <br />( ~:O DEG. C > MEASUREMENT <br />?0..10 1 0 G` PERMIT. ifdf#~MM itlt`#t1FIHi it #A #iFMiHF# O 3 ;- <br />:F~ LtJF!`.IT Gh'OSS VALUE flEt]UjREMENT ~ ##.u 7 / ~ ' ~#~r~ <br />'H SAMPLE #####~a ###### ##tt### 12) <br /> MEASUREMENT <br />v4.}0 1 ti ). : - RERMIi - ~'f~'~ - ~ <br />- ## ~ r,:": '~~. <br />- " <br />`- _'O ~- <br />'•° - ° ~ • - 4J <br />"~Fl-UFP.lT GI~OSS VALUE fiE0U1REMENT ;,~ <br />~;.';~~ ### r <br />i` k <br />iOt t Da, 'TU-f AL SAMPLE ###### ###### ##;r### 19) <br />iVLirE;VDED MEASUREMENT <br />)U`;30 1 O O °PEFIMI~':~ .'':~F#~i-iF#hla ".?'!~ ~ -(~: ~ *'* ;•'SAi•k>fFiFilM a .- <br />i <br />;rl ~-t)>=r;r GROS V .UE REt~fJIREMENT •-. - +' ### s <br /> <br />~,IIL +. GREASE SAMPLE #####{I- ##-to-### #.##~~# ###### 19) <br /> MEASUREMENT <br />)<<iSn 1 C' O ;.: P~RM{T' AMYr1Y~F~- >#~!#`1F~'~4~ *~~ ~ # <br />t~ .: .tr`_.. :,11-iMF%i# ~ O ~. ~. - , •, <br /> <br />FFI_UEIJT' GRASS VALU <br />AEOUTAEMEN? <br />~ - <br />#~~, , <br />~ ' , <br />-- <br />'RGN, TOTAL_ SAMPLE ###### u####~n {j. {F#### ly) i ;~ - <br />! AS FE) MEASUREMENT ' <br />~. i :~~4~ 1 0 O - PpRMIt • . :dFiF~7FdFdk'#Ik #F~6;#~FlFif, ii ## wii#i6Mit 3 <br />O <br />~ <br />` 'r LUENT GR7 S VALU REQUIREMENT ~ ~ - .##-,p- ~ ~ ~'' ~ <br />~OW• 1N CLiNDUIT OR SAMPLE 03) ###### ###### #{F{t~-## ' <br />I^l I TR"t AT(iENT PLANT MEASUREMENT ~ - <br />( ( <br />~5L J C O °°-`F~ERR~I~' .fQJ~ <br />~ •'' -"a j <br />° rf ~ -~y iFlF p# ~ id EKL <br />. <br />I_,EhJT "R '' VA <br />f•SECJUIREMENT , <br />- <br />- a <br />s <br />r.. r" _ <br />•~`a?"'` <br />### , <br />:~t~RINt: TOTAL <br />~ SAMPLE ###### ###### ~##### ##-#### 19) , <br />! . <br />1 'v l DUAL. MEASUREMENT <br />70.4D 1. O O -~?ERMI`I" :+~'iF41«' 1F'M'~FikiFift~~F #*- - iriPil~•7Fik' iFINPMii9f r <br />i• <br />- <br />e FL~_IENT R 5 AEF.IUIFlERh~N ### I <br />~ - <br />+ <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I Cartdy untlar penalty of law That Ihls tlocumant antl all attachments were ~ TELEPHONE DATE <br /> <br />~~ preparetl untlar my tlirection or aupernslon in accordance with a system designed <br />' <br />%' <br />j~~ yy eLE f. <br />" S <br />~ b assure that quelGetl personnel properly gather antl evaluate the Inloima6on / ; <br />~ <br />' <br />s <br />' aubmlrted. Basetl on my ingwry of Ne person or persons who marege the system, <br />- <br /> the lnronnallon <br />orthose persona directly responsible ror gathering the inlormauon - <br />C't N. (' 1C' , , <br />subminetl is, to me best of my knowletlge and bevel, We, aaurete, and complete. SIGNATURE OF PRINCIPAL E%ECUTIVE 9 Z : 7%' ~_?~.T. ~C~ ~U <br /> <br />TYPE OR PRINTED lam aware that there are vgnrlirant penalties ror submiNnp false adormahon, <br />includin the ssibili of fine and im risonmeM ror knowin violations. OFFICER OR AUTHORIZED AGENT <br />p <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />P1L $~ GREASE REPOP.TINIG-=FF_ 1 B ) F, ^[=~ VII. 3RTRL-\' SAt9Pl_Itvi; N~iTRiJ!:f iflhJ:-;--I. C. Ci• NS i <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />6v109i OGCr2~2 i 3: t, <br />