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PERMITTEE NAME/ADDRESS (lndude Facilirv Namel[ocanon ,~D~ereaq <br />NAME CYPRUS EMPIRE CORPORATION <br />ADDRESSEAGLE MINE COMPLEX <br />P. D. DOX 68 <br />CRAIG CO 81626 <br />FACILITY <br />LOCATION <br />ATTN: AGEORGE E. VAJDA, V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000034142 022 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR_ M DAY <br />FROM ~+ ~// + Tp v v .~ <br />>. <br />Form Approved. <br />M I NOk OMB No. 2040-0004 <br />fSUBR NW) <br />F - FINAL MOFAT <br />SPOILS SP WTR&SEEP/WILLIAMS FK <br />##!~ NO DISCHARGE I _I ### <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING <br />~ QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> ~' EX of TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />ULL N UFi ASt SAMPLE *~ RR4 FA <br />3 f <br />`~ <br />~/15UAI. <br />VISUAL. MEASUREMENT <br />84066 1 O 0 PERMIT ES=1 <br />. <br />~ a <br />~ <br />~ ### <br />EFFLUENT GROSS VALUE .AEQUIREMENT INST MAX NO=U ':~~-- <br />~ =~~`~ ###'s* . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r ''"~ <br />~ <br /> REQUIREMENT ~" _ <br />~•" " <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT `~ '? ~, <br /> REQUIREMENT evi=,=c <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ,~cx ..., <br />~ <br />~ <br />` " <br /> REQUIREMENT : ~ ! <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT =!r ~ <br />' <br /> <br />REQUIREMENT <br />, <br />- - <br />I , <br />_ <br />, <br />~ '• <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ''s,'• { ~ " <br /> REQUIREMENT ,r <br />- C " "' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT `' <br /> REQUIREMENT" <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CedAy untler penalty of law that mis tlocument and all attachments were TELEPHONE DATE <br /> prepared untler my tliraaion or supervision in accortlance with a system tlesignetl / <br />1 <br />~ <br />90_8 D- <br />~ <br />Richard P41115 to assure that qualified personnel prppetly gather antl evaluate the ~ntormation ~ <br />~ <br />//fir <br />/~ <br />/ <br /><~ <br /> <br />f~nvironmental ~Canar~er submitted. aasatl on my inquiry of the person or parsons who manage the system. <br />tneinlonnahon <br />theinformauon <br />ersonsdnecN <br />ons~blelor <br />athonn <br />or those <br />ms L/ <br />C <br />' <br />/ i!~[!N/ <br />~^ <br />? <br />~ <br /> , <br />y <br />g <br />g <br />p <br />p /U , <br />a <br /> submirtetl is . to the Oast of my Nnawletlge and belief, true, accurate, and complete. SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TYPED OR PRINTED I am aware teal mere are signifram penalties for subminmg false information, <br />mdudin the ossibie of fine and im risonmam far Nnowm violations. OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />tl_OW LIMIT APPLIES TO COMDINkD FLOW FROM 003, 022 °. 024 OIL ~. GREASE GRAB SAMPLt ANALYSIS REQUIRED 1F <br />VISIDLE SHEEN IS ODSERVED. QRTRLY SAMPLING INSTRUCTIONS-I. C. B, PG X <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 00197/0004cT}~iIS 1SYY~4IPART FORM PAGE 1 OF <br />