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PERMITTEE NAME/ADDRESS'Include FaciGtr A'amdlncadan ifDipereali <br />NAME <br />ADDRESS <br />. EJX S7t7 <br />DEN CO 6163 <br />FACILITY c-CA MINE COMFLEX <br />LOCATION DEN : O E3163 <br />Y KARO, RECLAMATION MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 4040-0004 <br />,,"1 i tti C) R <br />( 3U13 F: <br />F - FINAL. RUU <br />DI5CHARGE TO TRIO/DRY CREEK <br />i <br />NOTE: Read Instructions before comoletina this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0. FREOUENCY SAMPLE <br /> OF <br />T <br /> EX ANALYSIS YPE <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 t . r <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certip under penaln of luw that this document aml all rthichmrms were <br /> <br />d <br />/ <br /> <br />TELEPHONE <br /> <br />DATE <br /> yrelran <br />under m? direction or wprnislcm in accordance with a s-tem designed <br /> to assure that qualired per,,onnel pr perl? gather and evaluate the inrurmation <br /> .submitted. Based on m} inquire or the person nr penuro who manage the -arm. <br />. <br /> <br />or those promos diredl) respwmsihic for gathering the infurmatlon, the mrormation ? <br />l <br /> <br />submitted is. Io the hest (,(m% knowledge and belief. true. accurate, and complete- i <br />-- <br /> I rem aware that there are si <br />nifka <br />t <br />enalti <br />f <br />ti <br />h <br />t <br />f <br />l <br />i <br />f <br />tl $IGNA <br />E OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED g <br />n <br />p <br />es <br />or su <br />m <br />i <br />rtg <br />a <br />se <br />n <br />orma <br />on. <br />Including the ju-ibilih of fine atd impris mmenl for knowing violations. tER <br />OFF OR AUTHORIZED AGENT <br />I <br />AREA NUMBER <br />CODE <br />YEAR <br />MO <br />DAY <br /> <br />EVENT SUBACT TO BURDEN OF PROOF <br />EPA Form 3320-1 (Rev 393, Previous ed l ons may be used. -'r y ?? - nk' IS' H 4-pa&f6mi.