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PERMITTEE NAME/ADDRESS (Include FaritiryA'amdLocation if Different) <br />NAME <br />ADDRESS "CA MINE COMPLEX <br />BOX 670 <br />'EN CO @1634 <br />FACILITY !-C:A MINE COMPLEX <br />LOCATION ^EN `,0 61639 <br />r KAROr RECLAMATION MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO Y AR MO DAY <br />Form Approved. <br />MINOR OMB No. VO-0004,E <br />(SUBR JC) <br />F - FINAL FCGU ? <br />DISCHARGE TO SAGE CREEK ti <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />EX OF <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 - I / <br /> MEASUREMENT <br /> <br />PERMIT ft. t <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT NA <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER 1 certify under lwnaU.i of law that this document and all aaarhmenls were <br />prepared under rtt <br />direction or su <br />cnieion in accordance with a <br />stem desi <br />ned t TELEPHONE DATE <br /> y <br />p <br />y <br />g <br />to wmire that qualified peramnel pr perl? gather and evaluate the Information <br /> submitted. Based on m? inquire of the pen,m or perw % who manuge the system. <br />or those pentms diroctis responsihk for gathering the information, the information <br /> -Inniutd is, to the Ix.t or m% Annwledgr and Iw•6rf, true, a curate, and eomldetr. <br /> <br />I aro aware thal there <br />tn• si <br />nificant <br />s bor submitlin <br />info <br />mati <br />enalti <br />f <br />ki <br />n N TU BE OF PRINCIPAL EXECUTIVE <br /> <br />$IG <br />v t <br /> <br />` <br />TYPED OR PRINTED p <br />. <br />g <br />e <br />g <br />a <br />r <br />r <br />o <br />. <br />ouko tng the p-d,dil. ,d fine soul impris,nmcni for knowing sitdutinns. O IC ER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. 00425 This is a 4-parf'fOrnt.