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PERMITTEE NAME/ADDRESS (/ndude Facrhrv Name/locarion i% Or$ereeq <br />NAME CYPRUS EMPIRE CORPORATION <br />ADDRESSEAGLE MINE CDMPLEX <br />P. O. flOX 68 <br />CRAIG CO 61626 <br />FACILITY <br />LOCATION <br />AT'TN: AGEORGE E. VAJDA. V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCNARGE MONITORING REPORT (DMA) <br />000034142 024 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY ~ YEAR MO DAY <br />FROM ~ v' i TO v v .~ <br />Form Approved. <br />M J NOR OMe No. 2oao-0004 <br />(5UDR NW) <br />'r - FINAL MOFAT <br />DEWATER MINE 5 TO WLLMS FORK R <br />### NO DISCHARGE I _I #r# <br />NOTE: Read Instructions before completing ihls form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />S L U A ###### ###### ####a# <br />139 n <br />~38~ <br />~ <br />(q! <br />aRna <br />DISSOLVED MEASUREMENT <br />70295 1 O O PERMIF.' ~ '~: ~ ### ~"` <br />EFFLUENT GROSS VALUE fjEOli(REMENT #### ~RTR'AVe ~3RTR MAX Mh!I_. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ` .'y'-~~, <br /> REQUIREMENT ~. ~ - ~~Y <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . ~ s-'~~ :Y,'. ' , <br /> REQUIREMENT "=`~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ~ '' <br /> <br />REQUIREMENT , <br />- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> AEQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - - ~'"~0.if;;~> - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> pEQUIREMENT - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Caddy under penalty OI law mat mis oocument antl all attachments ware <br />~ TELEPHONE DATE <br /> prepared untler my tleeaion or supervision m accordance witn a system dasignetl l <br />l / ~ <br /> <br />-'rr~ <br />'~III~ <br />P <br />Ir(t to assure that qualified personnel properly garner and evaluate the intprmahon <br />n <br />r m <br />i <br />n <br />wh <br />mana <br />e the s <br />s <br />i <br />t <br />m <br />e <br />( <br />~ <br />~~ ~ <br />{7 <br />37D-1370-2712 <br />• <br />, <br />. <br />" y <br />q ry person w perso <br />g <br />ys <br />submined <br />onm <br />u <br />o <br />e <br />s <br />o <br />e <br />, <br />ase <br />the inlarmation <br />Or those persons tlirectly responsble IOr gathering the inlormation ~ <br />r <br />. <br />~' 1 a <br />7 <br />Fnvirl~n:nen[al ' <br />-:haTl•er , ~G <br />_ submitted is . to the best of my knowtetlge antl ballet. Vua. accurate, antl complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED I am aware Ihat there are sgnibcam penalties for submining lalse mbrmabon' OFFICER OR AUTHORIZED AGENT A ~ NUMBER YEAR MO DAY <br /> ipclutlm the Ossibili of line and im rispnmenl for knowin vi0labons. C <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />F[_OW LIMIT APPLIES TO COMBINED FLOW FRUM 003. 0~'2 R. 024. OIL °r ORENSE GRAD SANPLE ANALYSIS REQUIRED IF <br />VISIDLE SHEEN IS ODSERVED. QRTRLY SAMPLING INSTRUCTIONS-I C. Br PG X. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 00224/00042T~IIS1~.p+PART FORM PAGE 1 OF <br />