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PERMITTEE NAME/ADDRESS (Include Fucdirv Name/Gocation ijDiQereml <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. VAJDA, V.P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDESJ <br />DISCHARGE MONITORING REPORT (DMA) <br />000034142 022 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DA_Y YEAR MO DAY <br />FROM ~ + TO v ~ vv <br />Form Approved. <br />MINOR OMB No. 2040-0004 <br />SSUDR NW> <br />F -- FINAL MOFAT <br />SPOILS 5P WTRd<SEEP/WILLIAMS FY. <br />##~ NU DISCHARGE 1 ##~ <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER E% of TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />SUL :i, U AL- ###### # ## ,~ w~iHF# ~ <br />~ <br />DISSOLVED MEASUREMENT !O <br />HC I d D <br />~ <br />~ <br />92 <br />GRAPE <br /> <br />~o29s 1 0 0 ~#~* *~,~,.~ ~.#~ • <br />EFFLUENT GROSS VALUE REQUIREMENT #### <br />.~~{~~t. <br />~1'TR PSAX <br />MG/L <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ',~"~ et <br /> REQUIREMENT { ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT- ~ - "~- -=- <br /> REQUIREMENT ~~ ~'` ~ "'i <br />,.~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~`+- <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT f', r: , -~ <br /> REQUIREMENT - ..: <br /> ~^ <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER I Ceniry under penalty of law that Ihis document antl all attachments were ~ TELEPHONE DATE <br /> <br />r I <br />F, is ttP r'r i to I ~, 5 prepared under my tluecl~on or supervision in accordance wdh a system tlesignetl <br />to azsure That qualified personnel properly gather antl evaluate the inlortnalipn <br />submmetl. Based on my ingmry of the person or persons who manage the system, I <br />~~ /!A~ ' ~j^ // <br />' <br />i i~ `, <br />te <br />`JLGI ///L•l/f/_/// <br />9~ Q _8'I ~-'l7 ~ Z <br />c?I <br />V1YOC mB~ <br />%1 T7 e'( <br />I' <br />t'~ <br />r or those persons tlirectry responsible for gathering the mlormatipn <br />the inlormaUOn ~' <br />-C <br />r <br />~ M ~-7 <br />I <br />I <br />• <br />: <br />. <br />- , <br />bmitt <br />d i <br />th <br />f <br />kn <br />l <br />t <br />b <br />t <br />d <br />d b <br />l <br />l <br />v <br />l <br />d ~ ~~ <br /> su <br />e <br />s . <br />o <br />e <br />es <br />o <br />my <br />ow <br />e <br />ge an <br />e <br />ie <br />, <br />ue, accurate, an <br />comp <br />ete. SIGNATURE OF PRINCIPAL EXECUTIVE (/ <br />TYPED OR PRINTED I am aware that there are s~gniACam penalties for submitting false inbrmation, <br />includin the ossibili of fine and im risonmern for knowin isolations. OFFICER OR AUTHORIZED AGENT <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />~vmrvtr=n t a ,vrvv tnrL,vrvn t Irv ~r nnr vl~u I wrv~ (rrererence au artacnmenrs nere/ <br />FLOW LIMIT APPLIES TO COMDINED FLOW FROM OU3, 022 & U~4 OIL R< GREASE GRAD SAMPLE ANALYSIS REQUIRED IF <br />VISIDLE SHEEN IS ODSERVED. aRTRLY SAMPLING INSTRUCTIONS-I. C. B, PG %. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. 00196/0004~TMIS IS-fcytlPART FORM PAGE 1 OF <br />