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PERMITTEE NAME/ADDRESS pweYJrieWryN.w/Lora,ar UDtAw•n4 <br />NAME OXT~OW I~IININf7, LLG <br />ADDRESS SANL3DRC+I GR14 °~< ELt4 GP,i~i MINES <br />P. t?. T3DX .535 <br /> <br />FACILITY-~~4NIiL1RN GRK °t ELI. {:EZI~, MINES <br />LOCATION ~s`(~ME~r~"'+~~~ GCS $:t ~:.~ti- <br />ATTt~I_ .},41M1iE=, "P' t"f'IfIPEI{, T'XEC twJ. P. <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE EUMINATON SYSTEM fNPDES/ OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT (DMRI M I NDR <br />~ - ~: { SUBR }~N } <br />PERMIT NUMBER DISCHARGE NUMBER F -" F I ~~IAL s~Ufwl S <br />SUF.F RUNC3FF TO N Ff~ sUY1i~iI~t~N R <br />MONITORING PERIOD <br />Y S D YE D Y ,~"k.~. NCl ~} 15.1-#AR GE ) ~.1 ic#t~'~ <br />FROM '- TO •`~-• <br />NOTE: Raad IrntructiorM baiwa compbtiny this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCV <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE '~' ~' •~ `"' <br /> MEASUREMENT <br />C5C)4U0s. () G PERMIT ##~• . <br />EFFLUENI° GRDOD VALU itEdlllFiEMENY <br />' -~-•~## MINf MUM MAXIMUM SU MON7 <br />t :a, t L_ SAMPLE •st`•srx•sr •rr orir~ •sr ~ at <br />5USPET~•lDFD MEASUREMENT <br />{?053D 1 Q 4 PERMIT' ##`~ <br />EFFLUENT GRCISS VALU IiEnl11REMENT <br />:..... •~-~•~•~ 3{7DA AVG DAILY MX MGi L MONT <br />...., SAMPLE v. ;-:c :ri `~it-`>;ar`x ~ <br /> MEASUREMENT <br />E~4545 !. ~J p PERMIT #~-`'s~- -~ <br />EFFLUENT GRdsS VlgLUI .REQUiREMENT> •~"~'•~"~' 30DA AVG i~AILY P1X M~...~L MDN <br />t v, I e9 SAMPLE "' i' ~ s< ~ sr~t~- ###•>;•## <br />{ ~~ FI^ ~ MEASUREMENT <br />Q1G45 1 0 ~1 PERMIT ' #~# <br />EFFLU£1VT GRQSS VALU REOUIREMENT ~••~••~••~• 3C)DA AVG DAILY MX UG,'L M{3N <br /> SAMPLE ~~ ~ :~ -h = :~ ~~f-it•ar ~ #x: +: s~; ##~ #•t:.,. . <br /> MEASUREMENT <br />{13582 1 C~ G PERMIT `#~## <br />EFFLUENT S~ROSS VALU . <br />A~t1UIftEM~NT _ •~#•~•~• INST {^•tAX MGIL G~N~'~; <br />r , i C. IV 1 SAMPLE ~ . tr-u r tr ~ - tra : ~ r c.-•~ r. i .R. <br />THRU TREATMENT PLAN 'MEASUREMENT <br />5q+~raA ~. {? 0 <br /> <br />EFFLUENT CRDSS VALU PERMIT ' <br /> <br />p~C1uIREMENT ~. <br /> <br />,J4{Q~A ;+~, <br />A/ <br />.i??~IG,Y 3~~ <br /> <br />MGD <br /> <br />~a. 'r• <br /> <br />.; 538## <br /> <br />at-##~ <br />t ; <br />M© <br />, SAMPLE ~ <br />j~I~~•'~~• []lr"DIED MEASUREMENT <br />- - <br />_ <br />- -- _ <br />"C7~y~S t C} D PERMIT ` ### <br />EFF~._UENT C'RC7S5 VALU AEC-uIR~MENT •~~•#a~ C~Ft?'R AVG DAILY MX MGfL_ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' «rt~~y u er pens ly o lew Ihar mh document.nd dl Htschmenb wen <br />errMon In ac <br />dance with . s <br />stem derl <br />ned <br />n <br />r <br />u <br />o <br />d <br />d <br />di TELEPHONE DATE <br />~ ~ ^ - ~, <br />~^t' ` <br />!n t'K $ T ` (.O~Di y <br />` <br />on o <br />p <br />r <br />prep.re <br />un <br />er my <br />rec <br />s <br />c <br />to assure Ihd quaMlled personnel properly plher and eraluale the Informalh,n <br />ui <br />of the <br />erson or <br />enom who m.m <br />e the a <br />slem <br />tined on m <br />In <br />aiibmlued <br />^ <br />U <br />~ ry <br />p <br />s <br />, <br />r <br />q <br />p <br />y <br />. <br />or those persoro directly roporolhk for plher,rrE the Infomr.Uon, the In(ornugon J~ ~ ~._ <br />(,(/f'1 <br />~j'~~ ya 9 ~iZ~ <br />v 8 <br />~ g <br />~~ <br />G <br />~x ~C <br />~S I whmiUed is. b the hot o(my knowkd~e and beBef, Inc, aecunlq and compkte. <br />RINCIPAL EXECUTIVE - <br />' I .m .w.n Thu Then are s1En10cant pendNo for wbmllNnE 6Lx in(ormatlon, EIONATURE OF P A A <br />TYpEp OR PRINTED Indudint the possihllity or ene and Imprbanment for knowln~ rldaUo~ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY vIVLA I IvNS (RStsiancs sn arracnm~nrs nara~ . <br />TS5 ~:' TOTAL IRON L I M I T5 WILL ]3E WAIVED, AND SETT LEAI3LE SOL I D5 LMT APPLIED FOR <~ ==14YR, D`4HR PREC I P FVEhtTi <br />SE~'TLEA'~LE SDLIDS LIMIT MAY SSE WAIVED FOR :'~•1C3YF{: ~4HR EVEI`~#T-SEE I. A. 1, ~'P 4-5, AND I, A. 2, P. 5 FDR R©MN7S. <br />_ GD~•bl Pfl~,~~J~P~$~• PAGE lOF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used, <br />