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PERMITTEE NAME/ADDRESS (Includr Faeilin~ Name/Gocanon ijD~ereaq <br />NAME CYPRUS EMPIRE CORPORATION <br />ADDRESSEAGLE MINE COMPLEX <br />P. O. DOX 68 <br />CRAIG- CO 81626 <br />FACILITY <br />LOCATION <br />ATTN: AGEORGE E VA.IDF+. V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (OMRJ <br />COOOII4142 022 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAH MO DAY <br />FROM v a v v a TO v c ~ a <br />Form Approvetl. <br />MINOR OMB No. 2040-0004 <br />(SVDR NW) <br />F - FINAL MDFAl <br />SPOILS SP WTR&5EEP/WILLIAMS FK <br />+r## ND D_TSCHARGE I__I 'kF?t~ <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING ~ QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM UNITS: ~ ~ NIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />U L A V SAMPLE +`^*##x ) # iFiFAR iFRiro F Rit'A R:} <br />~ <br />,~ ~ <br />V~SIN: <br />VISUAL MEASUREMENT O - <br />84066 1 O O PERMIT ~~' it Fc-) # w ##+r N <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX Ni3°=0 "'-~ ###o- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~'~ <br />~`~~' <br /> REQUIREMENT _ <br />- fi~'; <br /> SAMPLE <br /> MEASUREMENT <br /> . PERMIT '"+ ~ -- - _-- °- <br />~ <br /> REOUIREMENT - _- - - ~'~~`ns' <br />~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~''~,. <br /> REQUIREMENT `r'.~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ <br />~ - <br /> REQUIREMENT '-, <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Cerory under penalry of law that this document and all anacnmenss were _ ~ <br />~ TELEPHONE DATE <br /> prepared under my tliredion or supervision in accordance wnh a system designed ~ <br />~ <br />f (1C.1:1 YCI ~'i I ~ ~ $ to assure mat qualified personnel property gamer and evaluate the inlormasion <br />n <br />m <br />i <br />f <br />h <br />h <br />m <br />t / ' ~ <br />/ /~ <br />' <br />~~ <br />~ <br />S ~ (% ~ ~ t) _ Z 7I 2 <br />-' <br />.r 31i?C1t' <br />Y <br />r1YIY0'S PIS^I1 tJ . <br />ngwry o <br />t <br />e person or persons w <br />o ma <br />age <br />e sys <br />e <br />submmatl Bazetl on my <br />the information <br />or those persons directly respons~bse for gatnenng the information Q <br />(~ ~ <br />, <br />~~ ~ 7~ <br />. <br />r <br />7 . <br />submmed is, to the best of my knowledge antl belies, we, eccurase, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED I am aware roar there are signdmant penalties for submiHing false inlarmaUO"' OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br /> indutlm the ssi0~li pl Lne and im nsonment ror knowin noLtlions DE <br />UUMMEN I SS ANU EXHLANA I IUN Ur ANY VIULA I IUNS (HerelenCe all aRaC/ImenlS nereJ <br />f-LOW LIMIT APPLIES' TD CDMDINED FLOW FROM 003r U22 & 024 OIL },- GREA5F. C-RAP SAMPLE ANALYSIS RF(IUIRED lF <br />L'ISIDi_.E SHEEN IS ODSERVED. QRTRLY SAMPLING INS~IRUCTIIINS--I C 8. PG X <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 00200 f 0004~TNI$.~9.~iPART FORM PAGE 1 OF <br />