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PERMITTEE NAME/ADDRESS (Include Facility h'ame/Looanon i(D~erenU <br />NAME CYPRUS EMPIRE CORPORATION <br />ADDRESSEAGLE MINE COMPLEX <br />P. o. Dox ~s <br />CRAIG CO Fi1626 <br />FACILITY <br />LOCATION <br />Ai'TN: AGECIRGE E. VAJDA, V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (DMRJ <br />0:00034142 024 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR ~MO DAY YEAR MO DAY <br />FROM vv TO +~ a c ti a <br />Form Approved. <br />MINOR oM6 No. 2Dao-ooaa <br />(SUDR NW) <br />F - 'IPIAL MOFAT <br />DEWA~FER MINE 5 TO WLLM5 FORK R <br />~~u~ ND UI6CHARGE I _ I +r~+a <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENO SAMPLE <br /> EX OF TYPE <br />PARAMETER ANacyS)s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />LJ ANU GKtAS SAMPLE A~tkFF~r /~ <br />l <br />J l Y / iFFF '''~ * F AF ,. F4<}-~n <br />/~) <br />. <br />~ / <br />I'I`L« <br />VISUAL MEASUREMENT . X <br />E14066 1 O U PERMIT t kA E5= 1 sk"A~' ~ t <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX ND=O _ <br />? ~ ~~'#~' <br /> : a <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ax„,~t "- <br />^ <br />~` " <br /> REQUIREMENT si, <br />+' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />" "`` ` <br />`~~Y <br /> REQUIREMENT "' .itf',- ~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "' " '~'~'' <br />. <br /> REQUIREMENT '~ ",~?" 5 ,` <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ <br /> REQUIREMENT ',-a - I <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Cedity under penalty of law That this tlocumem and all enachments were ~ TELEPHONE DATE <br /> prepared under rtry direction or supemsion in accortlance wnh a system designed <br />to azsura that qualitietl personnel properl tither and evaluate the inlormahon ~ - <br /> <br />~ <br />~~ <br />~ <br />Q'7 A Il .'1 ~ '7 <br />~ 7 i <br />' . I "' I r -+ Y' i ''` 11 I S submined Basetl on my ingmry of the person or persons who manage the system, <br />the inlormahon <br />athenn <br />the in(ortnanon <br />r th <br />er <br />n <br />IXl <br />res <br />on <br />ibl <br />br <br />tl ~ <br />~/ i; ~~ <br />.~i~ <br />~ ' <br />y(' <br />r <br />' <br />I <br />^ r <br />"Y <br />' <br />1 " <br />r <br />• g <br />, <br />y <br />p <br />g <br />o <br />ose p <br />so <br />s <br />rte <br />s <br />e ~ <br />r1 <br />, <br />~ <br />. <br />: <br />gt ; t <br />r, . <br />V 11 <br />~ subminetl is , to the best of my knowledge and betiel. vue. accurate, and complete SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED I am aware that (here are signRicant penalties for submining false mbrmap°"' <br />i OFFICER OR AUTHORIZED AGENT AR NUMBER YEAR MO DAY <br /> olations <br />includin the ossibili of fine and im risonment for knowin v DE <br />COMMENTS AND EXPLANATION Uh ANY VIOLH I IUNS (Hererence all artacnmenrs nereJ <br />FLOW LIMIT APPLIES TD CCIMD7NED FLOW FROM 003, 02'x' Q< 024. DII_ R~ GREASE GRAD SAMPLE ANALYSIS REQUIRED IF <br />VISIDLE SHEEN IS ODSERVED. (iRTRLY SAMPLING INSTRUCTIONS-I.C.B. PG x. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. 00228/0004cT~IIS IS„fn!}{1PART FORM PAGE 1 OF <br />