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PERMITTEE NAME/ADDRESS ilndude FatiGh'.~umt/1w~rannrt iJr'NJfrrcrtl) <br />NAME L <br />ADDRESS - •' " " '- <br />~ WEST MAIN STREET <br />rJ i ra ran c c <br />i FACaITY ~t is i~{L' !:'TO CANYt7N MINE <br />LOCATION 3 { O~ C{ <br />~? I !~. AUD I Nt5 Tart, MINE •MAP <br />Form Approved. <br />OMB No. 2040-4004 <br />MINL;f=' <br />t 5UB(i ~ih, ) <br />1= - FINAL LAt <br />U I SCNAR6f TO •.i:= F-F' CANYON <br />k -- <br />NOTE: Read Instructions before completing this form. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESJ <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 />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />. <br />- - <br /> PERMIT ... .. ~ _ ,_ ,... _ _~ .~ <br /> REQUIREMENT ~~:: ; ~I. ~.,..'•; , . - , . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .. ,.: , <br /> REQUIREMENT ' <br /> SAMPLE ' C. <br /> MEASUREMENT ~ <br /> PERMIT - <br /> REQUIREMENT ~"~ ~ i•` • . <br /> SAMPLE l ~ <br /> MEASUREMENT (~ <br />- <br /> PERMIT ...... ,. .. ~ <br /> REQUIREMENT .. - r,, ; t.;i.)i., ; _, <br /> SAMPLE <br /> MEASUREMENT <br />- <br />' <br />PERMIT . <br />- - <br /> REQUIREMENT ~ i-i'x, ; ~! <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - ~ ,. . „ ~ :. <br />- <br />' REQUIREMENT ? ;,IGT '~ .. {; ~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .. ..., ._ ... . <br /> REQUIREMENT - ~ '~ ' <br />NAMElfITLE PRINCIPAL EXEC TI E OFFICER I crrti(~ under prnuliy ur Inw ihal IhH d.KUnxnl mul ull niluchment. wrre <br />~rrd under m~~ dirtr•tinn nr w <br />rcvi~inn in xcurdrnce with a s»Irm dni~d <br />rr ,? <br />'! <br />~'- TELEPHONE DATE <br />_ <br />L /f+-~.~ ~ ~ _ . ~ ~ . ~ ! I ~ <br />• - p <br />p <br />p <br />lu u~furr Ihul yuuhfiavl prrwmnrl pruprrl~ Gulhcr anA rruluuir Ow inrurmrti:w ,.~ ~ <br />/ <br />~ ~ ~~ <br />/ <br />~ <br />~ <br />~~l . ~ - whmiurd. ftu..ed un m. myuin n/ the pennn nr Prrw:nc ahn nwnaRe the srtitrm. <br />or th:wr Iwra:n+dirr,Uy reSpM~it:le d:r Ka:hrrinK the in(urnwu:.n, the infornution (~/j / <br />~ <br />`~ ~~ ~' ~ ^ A ~ -- <br />• - ~ U <br />~ ~ r{ ~j _, -l1 C~ ~ ~ <br />r <br />~ <br />~) <br />/ / <br />f <br />(l <br />-"% <br />~ <br />J.' ~ubmmnl n. u. the brH of my knowhdue and IMIk(, trur, xcurum. and cwnplrte. I / <br />l / y~ <br />~ <br />~ I ~_ <br />' •~ I um aware :hul :here arc si <br />niri <br />ennllir} Gx mbmillin <br />rare in(ormalion <br />am SIGNATURE OF PRINCIPAL EXECUTIVE ~` ` ' r <br />TYPED OR PRINTED ~ <br />R <br />, <br />c <br />p <br />in:ludm¢thepn.ihiGry o(finra,wl:mpri.:,nmrm(orkm:winl;.iolations. OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />GOMMENIS ANU tXF'LHrvHllvrv ~r HrvT VIVLHIIVrvJ Inererence a„ ar(acnmenrs nere~ <br />'~LE.4DLE S(3L I DS l <br />EPA Fyr';27-I ~A•a: .. r <br />OF <br />