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PERMITTEE NAME)ADDRESS nnrV/r FwrWryN~^/Loealaw I/D(Dirsnr) <br />NAME, <br />ADDRESS <br />.:ter ~1Jn .v%il } <br />=' EFt l-T ~~gab <br />FAC-Lr1Y `'DER CANYflN MINE ; <br />LocATNxr ' A C O <br />"LAID B. MiILLER, IIUSINB55 ~tAR <br />wAT10NAL POLLUTANT aSCHAAOE FLIMiNATON Sr3TEM /NPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />PERMIT NUMBER ascHAaoE wUMeEn <br />MONITORING PERICD <br />Y AR O DAY YEAH O DAY <br />FROM TO <br />P1 I NOR <br />iSUBR <br />DW <br />) <br />F - F <br />MINE INAL <br />W'TR <br />USCHG <br />Tt7 <br />MUN6E <br />Foy^, Approved <br />OMS No 2040-0004 <br />t,~ <br />NOTE: R~~d ItwttuctloM b~iw~ compicth-p thb 1wm. <br />PARAMETER pUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, fREOVENCY SAMPLE <br /> <br />E of <br />Y <br /> X ANAirsts T <br />PE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />~ -~ SAMPLE <br /> MEASUREMENT <br /> <br /> PERM <br />T <br />' ~ I <br />REQUIREMENT ~ ' 63T MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFlCER ' "^"` " ` pe"•'r ° I.w Ih^t u+h do[vmenl ^nd .p .Ilsrnnenls ...~ TELEPHONE DATE <br /> prepsned under m~ dlrerlbn or wp.f.Mon In ^crord^nte ~Ilh . ^Jelem desl~nd <br /> la aeore IAN qu^Mlled perwnnel P~D•H7 t^Iher •nd <•^!V^le the Inlornutlon <br />~ <br />~ ~ <br />. /~°6c ~ <br />.-. ^tllnlilted. bred op m~ Inquiry o<tM Ptnon or pendle who mens~e Ibe ^tttern, ~ ~ <br />- <br />' <br />- <br />. <br />-~ <br />or (hose ptrsero dlrecih rnpeblk for ~elherln~ tl+e Infornutlon, the fnfOlfn^t{on <br />~~+ 6-~,:-` <br />= = -~~^ ~ <br /> <br />- submltled h4 to the less of m~ lnewYd~e snd lxlhf, true, ^eevnte, ^nd eompkle. <br />I .m ..^re th^t Inett sre dprncant pensltks rer fulmlmn <br />hts Inron,,.non ' ' <br />aI4NATVRE Of MIINCf-Al EXECIlT1VE ~. Z' ~, ~ ~ ~ <br />` ` `~ ~J r~ ~~ <br />TYPED OR PRMITED ~ <br />, <br />~M+,+e+.~ the posslMYry of fine ^M tmpA^ontnenl rur tno~in~ .+nl^tlom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO OAY <br />COMMENTS AND EXPLANA-IVn yr AtVT vw~A 1lvns ~na~r~nc~ ~/I ~rrsrnrn~nrs n~r~) ,,tjERP,GE I$ <br />.ftEASE - S <br />HEST MDN7Hl_Y AVG. DURINU PERIOD RrPORTEL <br />L Li <br />EpA Form 3320-7 (Rev. 3/991 Previous rdit~ons may be used TtIfS'1S 3 4-D8rt'tOrTTI. PAGE OF <br />