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PERMITTEE NAME/ADDRESS (Include Facility NamrlLocanna ij Orjferenq <br />NAME CYPRUS EMPIRE CORPORATIOP~ <br />ADDRESSEAGLE MINE COMPLEX <br />P. D. DOX 68 <br />CRAIG CO 81626 <br />FACILITY <br />LOCATION <br />ATTN: AGEORGE E. VAJUA, V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (OMRJ <br />000034142 003 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR M DAY YEA MO. Df~Y <br />FROM " yr va ~",.TO <br />-r <br />Form Approved. <br />MI!VOR OMB No. 2040-0004 <br />(SUDR NW/ <br />F - FINAL MOFAT <br />NO 6 MINE TO WILLIAMS FORK RV <br />s#x NO DISCHARGE I _I ~nR <br />NOTE: Read Instructions before comoletinD this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />U1L ANU f~t+t S SAMPLE R~*~aR .4/ RRRiF RRRxRR x11'. R? <br />VISUAL MEASUREMENT O (J I/? /lSUAI <br /> <br />64066 1 O O PERMIT ES=7. "i <br />r; <br />" <br />" ~ atatp <br />EFFLUENT GROSS VALUI .REQUIREMENT IN9T MAk N0=0 " <br />." <br />" <br />,_ ~#~'~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,~•~,,,... <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~` " '``' <br />ti w <br />' <br /> FIEQUIREMENT l+, - <br />, <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REQUIREMENT vu,~=,"'"~ <br />a " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .y": " <br /> REQUIREMENT _ ,'; t~,`:," <br />x. i " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - " <br /> REQUIREMENT ~ ~" '~'-" `: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ ~'~ <br />' <br /> REQUIREMENT _ ~ <br />-. " <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Ceniry under penalty of law that thrs tlocumenl and all altachmems were i~ TELEPHONE DATE <br /> prepared untler my dvenion or supervision in acwrtlance witn a system designed <br />r <br />tn <br />t <br />t <br />lifi <br />d <br />l <br />n <br />l <br />d <br />h <br />l ~ <br />~ <br />" <br />/ <br />• <br />9~~-8~~-I7I 1 <br />~ <br />I:IChil I'CI • •~ 1 ~ I5 o assu <br />e <br />a <br />qua <br />e <br />personne <br />proper <br />er an <br />e in <br />y gar <br />evaluate t <br />armation ~ <br />~~ <br />~ <br />~ <br />L - <br /> submined. Based on my mgmry of the person or persons who manage Ine system, C <br />/ <br />/ <br />:' 1 V 11'O'1I17P I t'`~ -SIG 71:7 q,• f or those persons tlneply responsible br gathering the iMOnnation <br />the inlormahon ' ~ <br />/ <br />. , <br />b <br />m <br />tl i <br />f <br />b <br />k <br />l <br />d <br />li <br />l ' <br />(f~ ~(/ J <br /> su <br />m <br />e <br />now <br />s. to me <br />est o <br />my <br />edge an <br />be <br />e <br />, hue, accurate. antl complete. SIGNATURE OF PRINCIPAL EXECUTIVE ' <br />TYPED OR PRINTED I am aware that [Here are signihcanl penalties for submining lalse inbrmation, <br />n <br />l <br />th <br />di <br />ti <br />lf <br />l <br />b <br />tl <br />i <br />f <br />k <br />i <br />i OFFICER Ofl AUTHORIZED AGENT <br />ARp <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> i <br />c <br />u <br />n <br />e oss~ <br />ne an <br />im r <br />or <br />i <br />o <br />sonment <br />now <br />n v <br />o <br />ations. E <br />wmmorv 1 a Hrvu cnru{rvt,llvrv yr r{rvr vwv~ 1 t~rv~ (nererence au arracnmenrs Here/ <br />FLOW LIMIT APPLIES TO COMDINED FLOW FROM 003, U22 & 024 OIL 8< GREASE GRAD SAMPLE ANALYSIS RE~UIRE- IF <br />VI5IDLE SHEEN IS OBSERVED. ~RTRLY SAMPLING INSTRUCTIONS-I. C. B, PG X. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. OOD 1 3 / 00042T~IIS 15j~4~ART FORM PAGE 1 OF <br />