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PERMITTEE NAME/ADDRESS (Include Faeilip•Name/Location JD~erenQ <br />NAME CYPRUS EMPIRE CORPORATION <br />ADDRESSEAGLE MINE COMPLEX <br />P. O. DOX 66 <br />CRAIG CO 81626 <br />FACILITY <br />LOCATION <br />ATTN: AGEORGE E. VAJDA, V P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDES) <br />DISCHARGE MONITORING REPORT IDMRJ <br />COD034142 003 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PE p <br />YEAR MO DAY YEAR MO DA_Y <br />FROM ~+ ~ ~+ 7O vev v v <br />Form Approved. <br />MINOR OMB No. 2oao-oooa <br />(BURR NW) <br />F - FINAL MOFAT <br />NO S MINE TO WIl_LIAMS FORK RV <br />~## NO DISCfIARGE I ! +t-~# <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADI QUANTITY OR CONCENTRATION NO. EREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM UNITS ANAL r5l5 <br />SUL U`.i. U I L. <br />DISSOLVED SAMPLE ~ ~~~~ ~R a",• .. rtrx xxw <br />q~j /j ,, /1 <br />'13 <br />' `r ! <br />U <br />/j";t, <br />~iRAB <br /> MEASUREMENT 1 <br />70245 1 0 0 PERMIT # # I,."# ir~a , :" ~ ~ . <br />EFFLUENT GROSS VALUI REQUIREMENT `t! #### r <br />, <br />:~' t~t7R AV6 QRTR MA% MG/L <br /> , <br />t <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT '~-" ~ rl +~ ~? , <br /> REQUIREMENT _ £ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ '~ <br />""~I <br />~ <br />`~ <br />- <br /> -REQUIREMENT ~ <br />* <br />- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~'~ " <br /> REQUIREMENT - -+ .!'. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <; , y; g <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ <br />- <br />~~ <br /> REQUIREMENT <br />. I`~ <br />~ <br />~°.~:.. ~=° <br />~ <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I Certity under penalty of law IM1dI phis tlocumenl antl all anachments were <br />-- <br />~ ~ TELEPHQNE DATE <br /> <br /> <br />+ <br />~ preparptl untler my dnecuon or supervision .n accortlance witn a system desgnetl <br />io assure that quabfed personnel properly gamer and evaluate the mlonnation = <br />~ <br />i <br />//y/~ <br />~ <br />~ <br />ti <br />1 <br />(~ ~ (! _ $~ Q _2 <br />f <br />f i i r_! ; ~ rr <br />I) (9 submitted. Basetl on my inquiry of the person or persons who manage me system, ~ <br />~~ <br />Gl--/2%' ~/ e <br /> Neintormatron <br />responaiblefprgatherin <br />themlormauon <br />or those <br />esonstliredl ~ <br />Envirol:me^t'! • 711-:('f`1_ y <br />g <br />, <br />p <br />tl <br />l ~~~ /; ~ <br />- comp <br />ete. <br />submmetl is , to the best o! my Mnowletl9e and be0e1. true. accurate, an SIGNATURE OF PRINCIPAL E%ECUTIVE <br />TYPED OR PRINTED I am aware that there are significant penalties for submining lalse inlormahon' OFFICER OR AUTHORIZED AGENT A ~ NUMBER YEAR MQ DAY <br /> mcludin the sibili of lme antl im nsonmenl for krWwin violations DE <br />COMMENTS AND EXPLANATION Uh ANY VIULA I IUNS (HelerenCe all aRacnments Nere) <br />FLOW LIMIT APPLIES TO COMBINED FLOW FROM 003. 022 £ U24. OIL. R. GREASE GRAII SAMPLE ANALYSIS REQUIRED iF <br />VISIBLE SHEEN IS OBSERVED. ~RTRLY SAMPLING INSTRUCTION5-I. C. 8, PG X. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 00012/0004r2TtiIS~~14~41PART FORM PAGE 1 OF <br />