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PERMITTEE NAME/ADDRESS (Include Facility NamNLocanon if Diffnent) <br />NAME SLUE h1OUNTAiN ENERGY. IhJC. <br />ADDRESSyESERADO MINE <br />360? COUNTY ROACY 65 <br />FACiuTYRANGL'r' CG 81643 <br />LOCATION <br />A t~T: f~ ,,Fr-c nl iraucRr <br />NATIONAL POLLIfTANi DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMA) <br />r n on^i s <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 00 09 U1 TO )y <br />Form Approved. <br />M I fJ011 OMB No. 2040-0004 <br />(SUDR iJW1 <br />F - } 7NAL RP,i.HN <br />RA-I L_OP.:.CI'J? TO NP=D WASH <br />n#f NU DIUCIiARGF I X I +t++# <br />NOTE: Read Instructions befor plating 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 ~a-ys/s <br />71 L. ANU GREASE ~ SAMPLE ###### ( qy) #####t! aaaa+-# ##!t~ a <br />I ~.l IqL MEASUREMENT <br />i40F S I i~ U PEF3MIT~ ~" '1P'~'1~1F'IjY' ~ <br />~~ S=1 #JF#6i~14#k #1tiF'N^~aF -IkiYarit-tk# # #. ${O,"~ ~(~ <br />"FFL.~IEPJT GROSS VALUE REQUIREMENT y O= ..„~.a ~ , <br /> SAMPLE <br /> MEASUREMENT <br /> ERMI ~~ <br />~~~ ~ ~ t~f s: u. , ~~;'c : <br />~ <br />~ <br /> RE~U,IREMENT ~ `~"t`~ w <br />~' ~ ~ ~ I" <br /> SAMPLE <br /> MEASUREMENT <br /> 'i~EAMIT <br />t <br />~ , <br /> <br />'~ ~f <br /> <br />a" <br /> ~A~~IVIRG,MENT . - <br /> SAMPLE <br /> MEASUREMENT ~! <br /> ,. ~. <br /> REQUIREMENT - .. `" - ~` <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT <br />~ s. <br />.~ <br />- <br /> REQUIREMENT ~ ~ ~ :. - ~ ~.. <br />a <br /> SAMPLE f <br /> MEASUREMENT ~~~ <br /> { . c , <br /> REQUIREMENT ~ . " "k~^5 , '` , '' ~ ~ - ~:' <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REQUIREMENT ~ ~ ~ ~ ~ ' - <br />NAMERITLEPRINCIPALE%ECUTIVE OFFICER ICeniry under penalty of few that Nis document end all enachmeMS were TELEPHONE DATE <br /> preparetl untler my direction or supemsion in accordance with a system tlesignetl <br />_ <br />~~ // /~ <br />~it~r/~Q <br />i? sf tl~ to assure that qual~fetl personnel property gather end evaluate the information <br />m <br />t <br />tl <br />i <br />i <br />f lh <br />h <br />th <br />t <br />b <br />B <br />tl <br />~~ <br />/ <br />- , <br />e <br />. <br />on my <br />nqu <br />ry o <br />a person or persons w <br />o manage <br />e sys <br />e <br />su <br />mrt <br />ase <br />or those persons directly responsible br gathering the inormaton <br />the informaton ~ <br />- -~ <br /> , <br />f k <br />tl b <br />li <br />tl <br />I <br />tl i <br />h <br />b <br />l <br />d <br />l - <br />f <br /> <br />(_,y - ti~ now <br />a an <br />e( true, accurate, an <br />com <br />e. <br />submina <br />s , to t <br />ast o <br />e <br />e <br />s <br />e <br />rnY 9 P <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />~ <br />{. ~ <br />y <br />3 <br />~ <br />/" <br />Y <br />TYPELfOR PRINTED I am aware Nat there are sign~wnt penallles Ior submiWng false information, OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> incWdln the ssib~li olfine antl lm nsonment ror knowi vlolalions. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />7SS P: TOTAL_ IRON LIM1'"FS WILL GE WAIVEC. ANii SET~~iLEASLE SiCIL1US LIi"Ii APPLIED F~OI~ '-11)YR~:-'~71iN Pt?i-~'IP i~.'~'~_tdl-~ <br />4I'E I. A 2. PG V. FOR REQUIREMENTS OIL L< GREASE- REPORTING-SEE I. B. 1 F, PG VII. CfRT,'rL~" =A,"I'~'.;Id; <br />EP orm - 2 - 3 99) P Sious a iti may be used. THIS IS A 4-PART FORM PAGE OF <br />