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PERMITTEE NAME/ADDRESS (Include Facdm NamvlLocanon it D~•renrl <br />NAME CYPRUS' EMPIRE CORPORATION <br />ADDRESSEAGLE MINE COMPLEX <br />P. O. DOX 68 <br />CRAIG CO 81626 <br />FACILITY <br />LOCATION <br />ATTN: AGEURGE E. 'vAJi?A, V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COOU34142 003 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOp <br />YEAR MO DAY YEAR MO D Y <br />FROM is - TO ~ +c a <br />-'F1r., <br />Form Approved. <br />M I NUN OMB No. 2040-0004 <br />fSUDR NW) <br />F - FINAL MOFAT <br />NU. 6 MINE TO WILLIAMS FORK RV <br />+t:r-n NO DISCHARGE I _ I ~'It+f <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 MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />5U ti, I IJ AL SAMPLE ** °~ °'~**~a-a RF. 'R ~ _ / <br />DISSOLVEL' MEASUREMENT `/ <br />jyZO ~ 2D %9~ ~R,~ <br /> <br />70295 1 O O PERMIT * '~' ##~` - <br />EFF~LUENT GR055 VALIJF REQUIREMENT ###~ =-~R~R AV6 <br />a=. ORTR N~1% MG/L_ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT rtx '° <br /> REQUIREMENT r~ ~,x'(h, ~. ~'; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "-`~~ .,,~"'_, ~ , <br /> REQUIREMENT ~ , ~;,:; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> AEOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL FJ(ECUTIVE OFFICER I Gerrity under penalty of law that this tlocument and all anacnments were ,-~ - <br />~ ! ~ TELEPHONE DATE <br /> <br />I r ~T%~ Yf~ •' ~ 1) I S prepared untler my tlirection or supervision in accortlance with a system tlesignetl <br />m assure [hat qualified personnel properly gather antl evaluate the information ) <br />~• / <br />~, 't ~ ~ /,/y/ /1 <br />9] Q ~ / 0- = j 1 <br /> submatetl Bazetl on my ingwry of the person or persons who manage [he system, v ~~ ~~~~ /! (~~(,(! ;v! <br />' I f '' . "') " "~"°Y <br />' or those persons directly responsble far gamenng the information <br />the inlorme0on j I J ''~ ~' <br />. , <br />submittetl is . to the hest of my knowletlge end belief. true, accurate. and complete. <br />SIGNATURE OF PRINCIPAL E%ECUTIVE ~ <br />TYPED OR PRINTED I am aware that there era significant penalties br submitling false informaton. <br />inclutlin the ossibili of Lne antl im nsonment for Nnowrn isolations. OFFICER OR AUTHORIZED AGENT ARC' <br />pE NUMBER YEAR MO DAY <br />GUMMEN I S ANO EXPLANAI ION OF ANY VIOLATIONS (Reference a// eftachmenrs heBJ <br />FLOW LIMIT APPLIES TO COIHDINED FLOW FROM 003, 022 ~ 024. OIL €• GREASE GRAD SAMPLE- ANALYSIS REQUIRED IF <br />VISIDLE SHEEN IS OD5ERVED. ORTRLY SAMPLING INSTRUCTIONS--f.C 8. PG X. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 000 1 9/0004~NIS 1S;/~41PART FORM PAGE, OF <br />