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PERMITTEE NAME/ADDRESS tinrludr f"jhi.r ;m, !•. u:-.::.r ltaferretl <br />NAME <br />ADDRESS J('iFL EX <br />BOX X70 <br />?s N CO 91639 <br />FACILITY CA MINE COMPLEX <br />LOCATION -,9N CO 91634 <br />KARn. RFCI AMAT I ON MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />J <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR O DAY <br />?In <br />Form Approved <br />OMB No. j040-0db4,) <br />AL R E) U17 <br />MF Tri TR T R / F T FH %P-`1rK <br />Tc- Dw..e/ Inwf... wfinnw f...r...n ww..w..lnlinn fhie f- <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 />' <br /> MEASUREMENT D l <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE I f ) r <br /> <br />MEASUREMENT <br />- I , <br />) <br /> PERMIT ' <br /> REQUIREMENT <br /> SAMPLE <br /> <br />MEASUREMENT 1 <br />1 - <br />i v <br />tj <br /> PERMIT <br /> REQUIREMENT 'r . 1 r <br /> SAMPLE t <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE r <br /> <br />{'{ter.. _.{•.. MEASUREMENT J--? <br />1 <br />ti. <br /> PERMIT R <br /> REQUIREMENT <br /> SAMPLE <br />l <br />v <br /> MEASUREMENT ?- I ?7 <br /> PERMIT <br /> REQUIREMENT i t <br /> SAMPLE r ' <br /> MEASUREMENT <br /> PERMIT R, <br /> REQUIREMENT <br />NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER I .rrtif% under pr"11% of la- that this document and all attachments -err <br />re <br />red und <br />r m) dirrrti.m or su <br />ers hion in accord <br />nce with a s <br />Mt <br />d <br />xi <br />ed TELEPHONE DATE <br /> p <br />pa <br />e <br />p <br />a <br />) <br />m <br />e <br />gn <br /> it, amsurr that qualified prnonnei prnperli ttather and csalunte the infomation <br /> submitted. Rased on ms inquiry of the persao or pe",ms -ho manage the -term. :. <br /> or thine penom dimth mpmsiMe for gathering the information. the inforniatinm 'i <br /> submitted ts. if, the be%l of nq Amt-ledge and belief. true. accurate, and amtpirle. <br /> <br /> <br />1 um a-ar <br />that Ihrrt are si <br />nifc <br />nl <br />enalties for submittin <br />false inform <br />tion <br /> <br />$IG <br />N URE OF PRINCIPAL EXECUTIVE <br />- <br />- <br /> <br />TYPED OR PRINTED g <br />p <br />g <br />e <br />a <br />a <br />. <br />imludinx the rxnsibility nr One and imprhonment for Anuminx siulatl ms. O ICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />GUMMtIV I S ANU tAYLANA I lUr4 Ur AfV T <br />frrererence an arracnmenrs nere) <br />If <br />ENT SUBJECT TO BURDEN OF PROOF IN I . A. 3. 03 <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. O C 346 Thi-J iiv a 4-part" 6mi.