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PERMITTEE NAME/ADDRESS tlnclude Facilur Namell orarittn if lhffereirt) <br />NAME <br />ADDRESS Jr ;I <br />BOX 670 <br />HA Y'DEN CO 81635 <br />FACILITY - 'EC <br />--A MINE COMPLEX <br />LOCATION DEN CO Ef ? 639 <br />?e KARO, RECLAMATION MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <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.J0404)OO y <br />MINOR <br />(SUBR JC) <br />F - FINAL <br />D8CHG TO 'TRIB/SAGE CRE <br />NOTE: Read Instructions before Eompleting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br /> <br />EX FREQUENCY <br /> <br />OF <br />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 . r <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certiR under penahi +d law that this document and all attuchment, were <br />ed <br />de <br />o <br />%Wo <br />with a % <br />d <br />i <br />d <br />e <br />di <br />lio <br />s <br />i <br />n <br />d <br />sle TELEPHONE DATE <br /> % <br />pr <br />par <br />un <br />r m? <br />rvc <br />n <br />r <br />uPer <br />n <br />n acc <br />r <br />ancr <br />m <br />e <br />gne i <br /> to assure that qualified personnel properly gather and esrluate the information <br /> suhmiawd, Ilaw•d on ms inquiry of the 1wr%on or prrwm% who manage the system, r , <br /> or th- prrsons directly resptmsihlr ror gathering the information, the information <br /> submitted n, to the tw-A of my knuwledgo and holier, trur, accurate. and complete. <br />I :uo aw are that th <br />e si <br />nific <br />nt <br />lti <br />Fo ubmillin <br />fnlse inb tti <br />a on <br />n SIGNA RE OF PRINCIPAL EXECUTIVE <br /> <br /> <br />TYPED OR PRINTED <br />. <br />ere ar <br />g <br />a <br />pe <br />a <br />es <br />g <br />. <br />including the f-ihilil, of fine and imprisunnwnt for knowing %inlati-IN. <br /> <br />OFFI ER OR AUTHORIZED AGENT <br />AREA <br />CODs NUMBER _ <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIUN5 (Hererence all anacnmenrs here) <br />ED TO REQUE <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 00 17 1 ' W% i% a 4-PiM"form.