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PERMITTEE NAME/ADDRESS (include Fpnlin• Name/Locating ifOperenq <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 DISCHggGE ELIMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (DMA) <br />000034342 024 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ~ ~ ~ TO vv .~ <br />I <br />Form Approvetl. <br />MINOR OMB No. 2oao-oooa <br />(5V[3R NW) <br />F - FINAL MOFAT <br />DEf!~TFR MINE 5 TO WLLMS FORK R <br />#rt"n N^ DISCHARGE I_I +t+F+r' <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />MET EX OF TYPE <br />PARA <br />ER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANaLVSls <br />F4'I ###k## ###### <br />35 <br />$ '~ R ~7 <br />'!• 6z 4 !C/ <br />~ <br /> <br />'7 <br /> <br />GRAB <br /> MEASUREMENT , <br />00400 1 O O PERMIT •#i i i ~### ,,, y~l~•*- , <br />EFFLUENT GROSS VALUF REQUIREMENT #u## MINTMUI4°;[ ~` MAXTMUM SU <br />UL SAMPLE ## # <~~r.- # m 2t~ t I (~ ~.30 CRAB <br />SUSPENDED MEASUREMENT <br />00530 1 O O PERMIT ~## "~•~-', <br />~ <br />EFFLUENT GROS5 VAl_UF REQUIREMENT #### "AV6 DAILY MX MG; L MONTH <br />1 SAMPLE ~ <br />NA <br />^'I^ I <br />~~` <br />Na <br /> MEASUREMENT <br />00556 1 0 0 PERMIT ### <br />° <br />EFFLUENT GROSS VALUI :REQUIREMENT ###~ ' '"-' <br />.,. #NST MAX MG/L GENT <br />OV SU ,r 7$~ <br />Q /. i8o ` " U 2 30 GRA6 <br />TOTAL REC <br />ERABLE MEA <br />REMENT , <br />00980 1 O 0 <br />PERMIT #sT*T ~- m <br />EFFLUENT GROSS VAL.U 'REQUIREMENT ##x r~ ` AVQ AILY MX MG/L MONTH <br />L. # # # ,aR <br />O~I~ <br />O <br />O. 0~ 1. 1 <br />C) <br />~ 30 <br />CT~fA6 <br />TOTAL RECOVERABLE MEASUREMENT . <br />. <br />01094 1 0 O PERMIT '~"A# <br />" <br />EFFLUENT GROSS VALUE REQUIREMENT 'p'#a# ~' <br />AVQ DAI~.Y -fX MG/L MQNTH <br />PLAN <br />TME 36~ <br />~ bS2 <br />© v ~ ~~ INST <br />THRV TREA <br />NT MEASUREMENT • . <br />50050 1 O O PERMIT' ##~ <br />` <br />? <br />' <br />EFFLUENT GROSS VALU REQUIREMENT 30pA AW ~.I~IILY MX MGD #~'~'~' ~ <br />,iy r <br />• <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t - p.t~' `~ <br /> REQUIREMENT z ~= (.` ~~,~ :+ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certiry under penally of law Inal Ihis document and all attachments were <br />~ TELEPHONE DATE <br /> preparetl under my deaction or supervision in accordance wnh a system tlesigned <br /> <br />Klehard ~11111s to assure mat qualifad personnel properly gainer antl evNUate the information <br />n <br />ln <br />s <br />i <br />lm <br />l ~ ~~ <br />~ ~ 9 7 0 _.d ~ O_~ ~' <br /> <br />ys <br />omanage <br />e <br />em, <br />submiaed. BasetlOnmymg0 <br />ryo <br />epersonorpersonsw ^Gf.~/ <br /> Iha information <br />or mose ersons dveal res onsible for atherin the imormabon <br />Y P <br />9 <br />~ <br />1 A4RnanPr <br />Environment? . <br />P <br />9 ~ ~LI l <br />~~ submrtetl is , to the best of my knowledge antl belief, Vue, accurate, antl complete. SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> <br />TYPED OR PRINTED I em aware mat Ihere are signdicant penalties mr submining false informahon' <br />inciudin the wsibili of lme and im risonmem br knowin vioianons. OFFICER OR AUTHORIZED AGENT Aq <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />FLDW LIMIT APPLIES TO COMDINED FLDW FROM OU3, 022 YI 024. DIL €s GREASE GRAL's SAIIPLE ANALYSIS REGUIRED IF' <br />VISIBLE SHEEN IS OBSERVED. ORTRLY SAMPLING INSTRUCTIONS-I. C. B, P6 X. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 00223/ 0004c IIIS 1S;/~4~PART FORM PAGE j OF <br />