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PERMITTEE NAME/ADDRESS (include Facilirr :VantelLocalion ?fl)iferenfl <br />NAME <br />ADDRESS <br />BOX 670 <br />DEN ';O 61635 <br />FACILITY ECA p; j;1E COMPLEX <br />LOCATION oEN CO 81639 <br />Y IKAROi 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..JO40.0004P <br />MINOR <br />(SUER _:. ' <br />F - FINAL RUU <br />DISCHARGE TO GRASSY CREEK <br />X, <br />NOTE: Read Instructions beforecompleting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, <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 fi <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 1f i I ?_l <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ` i <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I ,erui % under penalty of law that this d?wument and all uttuchment were <br />e <br />red <br />cti <br />with <br />%m <br />i <br />d <br />di <br />W <br />i <br />d <br />d <br />d TELEPHONE DATE <br /> pr <br />pa <br />un <br />er mi <br />re <br />on or upen <br />on <br />n accor <br />uncc <br />a _s <br />em <br />gne <br />e <br /> to sure that qualified per.onnel properl% Rather and esuluute the information <br /> submitted. Haled on ms inquire of the per on or persons who manage the %' arm. <br /> or th- 1 n?ms direcd? responsilde for gathering tla• information, the information `? <br />r <br /> submiuid is. h. thr 1x•.1 ..f m. know ledge and belie[, true, acrurale, and roml>letr. u <br /> I - <br />..ar <br />th:o Un <br />a n <br />fi m <br />r <br />- <br />lti <br />fo <br />b <br />itti <br />f <br />l <br />f <br />tio <br />i SIGN TO <br />RE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED r <br />t <br />a <br />rr . <br />r <br />i <br />a <br />r> <br />r w <br />m <br />ng <br />l( <br />n <br />orma <br />n. <br />a <br />odo,..m t ror . od un trisonmrnt for knnwin violuti. . <br />d g OF ICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />T91i <br />??' - s?t6'?F-dart=fdrm. <br />EPA Form 3320-1 (Rev. 3(99) Previous editions may be used.