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PERMI7TEE NAMEIADDRESS anchar Padfiq,vamr1Locmion if Dtfferenf4 <br />NAME <br />ADDRESS A. <br />BOX 670 <br />FACILITY DEN ? CO 81630 <br />ECA MINE COMPLEX <br />LOCATION DEN C O 8163' <br />,Y KARO, RECLAMATION MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No,*0404000* <br />MINI <br />(Su; <br />F - <br />OSC I <br />NOTE: Read Instructions before.Zompleting this form. <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 /> PERMIT <br /> REQUIREMENT <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ 4 R F-4 U <br /> REQUIREMENT - - - 1 <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I certify under penoll? of low that thiv document and all rttachment+were <br />prepared under my direction or su <br />ervision In accordance with a s <br />stem desi <br />ned 1 <br />t TELEPHONE DATE <br /> p <br />y <br />g <br /> to avsure that qualified pemonnrl properl% gather and evaluate the information 1 <br /> submitted. Based on my inquiry of the perssm or prmw who manage the %%%tem. <br /> or those person, directly responsihle ror gathering the Inrormalion, the information <br /> vubmltlvd iv, to the bra of my knowledge and Wier. true, accurate, and complete. <br />w <br />r <br />, th <br />th <br />r <br />•i <br />m <br />l <br />i <br />h <br />i <br />I <br />ir <br />h <br />i <br />f <br />l <br />i <br />f <br />ti SIGNATU OF PRINCIPAL EXECUTIVE - <br /> <br />TYPED OR PRINTED am a <br />t <br />at <br />e are <br />i- <br />pvna <br />- <br />,i u <br />m <br />on. <br />a <br />e <br />gn <br />t <br />tt <br />ng <br />a <br />se <br />n <br />orma <br />m, luding Ihr pov.ihih1% „f ?no and impri.,,nmcm r- km-wing violations OFFIC OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />f <br />'LIED FOR <=IOYR <br />WENT SUBJECT TO <br />EPA Form 3320-1 (Rev. 3499) Previous editions may be used. This is a 4-part' fOClil.