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PERMITTEE NAME/ADDRESS Ilnrludr Farifitr:Cumr/fircu0nn i/UiJfirentl <br />NAME i-! L: <br />ADDRESS <br />wlr~~+ riF;ihl STr~Eir~f <br />_IvIDHI~ CO 81Cp <br />FACILITY '=~EPdC: 1 •T'O CANYON MINE <br />LOCATION '~'("t~i~! G i1 » 1 OS <br />^~I~ ~aLJIiVVYl7N, MIftiE MAItiAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />rl <br />cs <br />Form Approved. <br />OMB No. 2040-0004 <br />k <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> gNALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />~ <br />- <br /> PERMIT - _. <br />- ..:_ , _, <br />. , <br /> REQUIREMENT I`I I('1. i••'~ : , .:' ~~.~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~~ _ <br />` ~'~"~' ~' ``~ • <br /> REQUIREMENT ` <br /> SAMPLE <br />~ <br /> MEASUREMENT ~~: ' ~ <br />~'- <br /> PERMIT .. 1 , -. _ <br /> REQUIREMENT ,,~ ~ ' <br /> SAMPLE ~ ~ <br /> MEASUREMENT r .~ <br /> PERMIT - Q .: - ~ ~ ~ ._ _ , .. _ <br /> REQUIREMENT ; i~~i~` <br /> SAMPLE ~ <br /> MEASUREMENT <br /> PERMIT .. . _ ., ... ... -• •. , , •_. ~ ~ ~ , , <br /> REQUIREMENT i,;', ; , I•;;_ ii•S Z i-i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - - : .. ~ .. <br />• <br /> REQUIREMENT '~ l_ ~ <br />~ <br /> SAMPLE ^ <br /> MEASUREMENT <br />• _ ... <br /> PERMIT r ...... .. .. .._ ~. . <br /> REQUIREMENT - - - ,-- ;>,`/"::• `%.: ~ 1. <br />NAMElTITLE PRINCIPAL EXEC TIVE OFFICER 1 crr,i(~ under Iwnahr of IuN Ihai this dncumeN and all atlachmrn(a Nerr <br />i <br />d <br />iW <br />l <br />d <br />i <br />d % <br />/ !l 1 ~ / ~~ TELEPHONE DATE <br />t <br />6'=~ <br />at~ <br />(J it ~' r ~! ~ <br />/ <br />-C-~ - s xcar <br />unce N <br />am <br />es <br />gne <br />prepnred amirr m) dirrcti,m or auprrridon <br />n ya <br />n, <br />rrl <br />Rather xnd e. nluarr the information <br />to J.aurr ,ha, <br />ualified <br />er~mnd / // ~~~ <br />f., <br />._ <br />` <br />r <br />- <br />' <br />1 _.~.- q <br />p <br />p <br />p <br />l <br />submlr,rd. 13aaed on nq inyuin of ,hr person or Persona Nho managa• the a.+tcm. <br />ur lhn.e prrWms direath mpw+aiblc fur RalhrrinR the inforn,a,inn, ,he infarmalhm h <br />/ •~• t.~/'~ i•. /~ 1r ~ ~ ` ~~~%~~,/ '«- --- <br />-(~ ~ `~ _ /// l _ <br />,~~r ~'~- 1./V !~ <br />i ~~ ) <br />~ l C <br />~i' <br /> l of <br />owi <br />A <br />uml In•IKd <br />trua• <br />wruralr <br />and com <br />lete <br />ilt <br />d i <br />I <br />the Me <br />k <br />h ~ ~ <br />' ~ ~ ~ <br />~ ~ ~ Re <br />, <br />. <br />, <br />p <br />. <br />w <br />m <br />a. <br />n <br />a <br />m~ <br />n <br />e <br />r SIGNATURE OF PRINCIPAL EXECUTIVE <br />~ <br />TYPED OR PRINTED I am aNarr ,hm there are aiRnifnvnt pa•naltica for aubmiuinR falu informa,Hw, <br />Ineladin the ,hUih of tint and im n nment for L,r,oNin i laliom. <br />R P,na P "' R "' OFFICER OR AUTHORIZED AGENT ARE E NUMBER YEAR MO DAY <br />I COMMENTS AND EXPL.ArvAllvrv ter AIVY vI~L.AIlvlva Irfererence an affacnmenrs Here/ <br />:.1 <br />I EF;, F. 32,,. .._ , _ <br />AGE OF <br />