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PERMITTEE NAME/AODRESS (Ine~~rfselMryx~./Lora,aw (JD~iewr,) <br />NAME, <br />ADO~SS <br />' ~ ' >^R UT 8452< <br />FACILrrv =ER CANYON MINE <br />LOCATION r~ ~0 <br />C~I I D B - MILLER, BUS I NE6S M6R <br />NATIONAL POLLUTANT gSCMMOE E1.tMINATION SY3TQ1 ((NPDESI <br />DISCHARGE MONITORING REPORT (OMRI <br />PERMIT NUMBER ascHAnaE NuMeER <br />MONITORING PERIOD <br />Y A MO DAY Y A MO D Y <br />FROM TO <br />MINOF <br />5E17 I'QND DSCFit <br />r'rorm Approved. <br />GME No 20400004 <br />Rgj I <br />' I <br />NOTE: R~~d IrntlveNorw b~1w~ compl~tk-y thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, <br /> <br />EX fREOUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANAlysls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT .. . <br /> REQUIREMENT MINIhiy'i~t ;":AX IMUM <br /> SAMPLE " <br />'. MEASUREMENT <br /> > <br />. PERMIT ~ <br />~' REQUIREMENT 1 `.;'~ -.. - <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />- - REQUIREMENT <br />., ~ SAMPLE ,. <br />'. A~ MEASUREMENT <br /> ~ <br />~=r 5 ~ PERMIT .. .. .. - <br />' <br />1); . L r REQUIREMENT ~ C}t7A iii; T i_ Y =1'r <br />- SAMPLE <br /> MEASUREMENT <br /> <br />~~2 1 O PERMIT - .. ,. <br />~ - <br /> REQUIREMENT r f' <br />' IVS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />! i_~ _ ., REQUIREMENT 'A , •~ I LY MX . . <br />-' SAMPIE <br />- MEASUREMENT <br /> <br /> PERMIT ~_ _, _ <br /> REQUIREMENT • r ~ '~ ~ :.< ~• <br /> <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER 1 rerLl~ u er Ptn• 1~ 0 1.. IhH Ihb doavmtnl snd dl •IlKhm <br />Prepared under mr dlrtrllon or suPer.lfon In Kcordsntt +11h enb wfR <br />. f~slem ddEned <br />TELEPHONE <br />DATE <br />- _ <br />__ - `' ~ <br />„ 10 as,uR IA.1 ~u.Mlkd Personnel Properll L.IAtr .nd tfdu.lt IAt In(Mtn.llen <br />~ ~ <br />•" <br />. - <br />- soemined. aced on ink tnqulry er the Persoa er person who m.nsEr Iht syelern, ~~ <br />, ..~ - <br />. <br />' <br />~ ' . }; <br /> or Ihox prrsen dlrecllT rnpordele roc pleert n~ the Inforenstlow, the InfonnUn~ ~ <br />- -~ ~ <br />~ ~ <br />~ . - <br />/ <br />L <br />~ ~ ~ ~ ~' <br />c <br />_ ~ ~ ) suerrrltled b. b the seal o! m~ Ynew{rd~t end beMer, live, Krv rs,e. and teimPkle. <br /> <br />I ^m ew.rs Usl then srs d <br />NfInM <br />erultle for aemlltln <br />rstw infnrm.tlon / - - <br /> <br />EIONATVRE ~OF -RINCt-Al EXEClJT1VE ~ r /,: ! <br />. , ~ <br />~, ` <br />~ ~ <br />.. <br />•,. t <br />r. <br />1 <br />TYPED ~ PRN~ITEp [ <br />p <br />E <br />. <br />inrt„din~ lee pordblul~ or nne and Imprlsonmenl roc Lnowln~ .~nl.uom. OffICER OR AVTHORIIEO AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA 1 wn yr nrv i vlvLr~ l Ivrva IKererence sn erricnmenra ner~~ <br />LEABLF SOLIDS LMT APPLIED FC1R `=f.OYR, 24HR PRECIP EVENT; <br />r_ ,- - .. , F, - <br />Thos is a 4-pan form. CAGE OF <br />EPA Form 33201 (Rev. 3199) Previous editions may be used. <br />