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PERMITTEE NAME/ADDRESS (Include Facilim NamelLacation ifDiJjerenrJ <br />NAME CYPRUS EMPIRE CORPORATION <br />ADDRESSEAGLE MINE COMPLEX <br />P. 0. DOX 68 <br />CRAIG CO 81626 <br />FACILITY <br />LOCATION <br />ATTN' AGEORGE E. VAJDAr V.P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (DMRJ <br />000034142 024 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR M_O DAY YEAR MO DAY <br />FROM ~ '* ~a TO v v vv <br />Form Approved. <br />MINOR OMB No. 2040-0004 <br />(SUDR NW) <br />F - FINAL MOFA7 <br />DEWATER MINE 9 TD WLLMS FORK R <br />aaa NO DI5CHA~7(;E 1_I axa <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADI QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~ ANALVS/S <br />U1L IV I~R tit SAMPLE oataaao O ( Ye 1 Ditch war air aaa uirQa ~ ' <br />/ ~S~ <br />r <br /> <br />VISUAL <br />MEASUREMENT <br />/ n <br />Y <br />1 <br />64066 1 O 0 <br />PERMIT ~raar~t E5=1 ,t, <br />I ~ <br />s a#+~ >. u <br />EFFLUENT CROSS VALU REQUIREMENT TNST MAX N0=0 ~~ <br />, <br />'-- #+~~# <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />` !~ - I <br /> REQUIREMENT _ <br />fii ~ <br /> _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ "~`'~~~ - <br />1 <br /> REQUIREMENT „,'t'e~~`"k'~" <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT O' r <br /> REQUIREMENT ~ <br />I <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />-` ' <br /> REQUIREMENT - ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT : _y~. - ~~ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />REQUIREMENT _ <br />- <br />} <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I Cenity untler penalty of law tnat mss tlocumant and all anachmems were ~~ <br />' TELEPHONE DATE <br /> prepared untlar my tlrtenion or supervision in acromance with a system tlasgnetl <br />t0 assure Inet qualifetl personnel properly gather antl evaluate the inloimaLOn ~ ~ i ~ /'~ // <br />DICtI:]r(i ~'~1ff5 submiltetl. Basetl on my inquiry oltne person or persons who manage the system, <br />or (hose persons tlrteply responsible for gathering the information <br />the mlormanon I`~ l.//„A U70-a]~-z]~ <br />~" <br />'f <br />~' <br />F7VIYOrI n'P fltBl ''O f18OP, l" , <br />submmea is.lo me best of my knowledge antl belies,tine, accurate, and complete SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TVPED OR PRINTED I am aware that mere ere sigmhcam penalties for submming false inlormaUOn' OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> indudin the osmbili of line antl im risonmenl for knowin violations. Op <br />OUMMrN I S ANU EXPLANA I ION Uh ANY VIOLATIONS (HelerenCe a// attachmenf5 here) <br />FLOW LIMIT APPf_IES TO COI9DINED FLOW FROM 003, 022 ?x 024. OIL ~ GREASE GRAB SAMPLE ANALYSIS REGUIRED IF <br />VISIDLE SHEEN I5 OBSERVED. QRTRLY SAMPLING INSTRUCTIONS-I.C.B, FG X. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 00222/00042Tl~IS 1S, fy4iPART FORM PAGE 1 OF <br />