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PERMITTEE NAMEiADDRESS dw1ude FoOMY Kafue. ocatian r Diff®rnu <br />NAME R C F <br />!-t_'.. <br />ADDRESS . EAST °y WEST MINES <br />BOX ?E3 <br />id I A CO 8142E <br />FACILITY I E I F 't? ? 4:I: ST M I NE5 <br />LOCATION. 11,4 10 ' CO 9142E <br />ADLEV ;_:. HANSEN, VP : GM <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. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />Ct7AL. STORAGE TO UNNAMED DITCH <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> ? TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />t SAMPLE r > # 4t a : • r # ?.' ? <br /> MEASUREMENT <br /> PERMIT rXa# 't N tdA-ii #itr# b• j fi##'a :r# ?. O E`' `i_Y INSIT <br />F-L.1A7N_r 0-059 VAL_i.': REQUIREMENT r;srtF I"1I1\1 Imt.';N. n4xIMk.M <br />1 '... SAMPLE x i1 1 # tt :t # ! ?(^ . r ( 1 " ' <br />:;. ; :r rJ MEASUREMENT <br /> PERMIT #>i#it9tlt 9f?>f3t3t# #ililk #it#+t# i _' 70 (`IC:E/ 1Rr <br />VF!a ; VAL.k.; REQUIREMENT DA ; . ? DA I L_Y f'iX MON r- I <br /> SAMPLE ' st z # si :.. rt <br /> MEASUREMENT <br /> PERMIT lFit!!?f 113 iF ?s rut #xtt #it#lt9F t iT O 5 11,1C1-i sRA3 <br />UEN ' • G .OSS V AL'.. ' REQUIREMENT t c :^ AVG LEA, I L Y ^'! X ^ I . MONT i <br />K; T AL_ SAMPLE <br />l ( 1 `? ) <br />r ??S ?? MEASUREMENT <br />C' ? PERMIT IF#?t#*? #?ttdl#dt #Its ####sl J _. 7. 0 !NCE., C•RA9 <br />d: Fi1755 V ALL! REQUIREMENT ## 3C'L'rr^ AVG _ r MX f+ MONTH <br /> SAMPLE a > ( 1 <br />(:; j ;! ) MEASUREMENT <br />1:)cr PERMIT iFfF#tFafi# t ##ri3ti?'i c 0 q• 0 !NC F. r <br />GR(J l' REQUIREMENT iDA A V G :1All_y 1°i X. !.I(,; I 1f\I?r' <br /> SAMPLE +,t ;..,. F y +t<, tt I `' ) <br /> MEASUREMENT <br /> PERMIT i xs? 2•# # tt# tPit i?## It tt?x # ?t # ll'x sf tt : O CON t It <br /> REQUIREMENT 7AX GFr'!T <br />T SAMPLE ( ii irx .st ?• rt x it r #i) k # r! <br /> MEASUREMENT <br /> PERMIT -PORT Rlji %!RT J iCi•Y i'°,.J71M <br /> REQUIREMENT '.A AVq L)A ;!_''! N X <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certifi under penalty of law that this document and all aitacirncaLS wert / TELEPHONE DATE <br />y prepared under my direction or supcn ision in accordance with a system &s igncd <br />to assure that guaiified pcrsoMet properl)' Bather and cvalwtte the mforinatt <br />'in <br />•' /? <br /> submitted. 13wwd on my inqum of the person or pecwns who manage the system. <br /> or those persons directly rc.pcrosible for gathering the tnfomwtion, the inimmanon - <br /> submitted is, to the best of my knowledge and belief. true. accurate. and complete. <br />b <br />i <br />i <br />f <br />h <br />i <br />al NATURE OF PRINCIPAL EXECUTIVE O <br /> cant pota <br />niat <br />ng t <br />w m <br />trtnan°n' <br />tics <br />or su <br />!n` m aware duct there Arc ;tgnif <br />f <br />k <br />i <br />l <br />i OFFICER OR AUTHORIZED AGENT AREA. <br />NUMBER <br />YEAR <br />MO <br />DAY <br />PED OR PRINTED nowing v <br />or <br />o <br />at <br />ons <br />cludin¢ the possibility of fine and imprisonment CODE <br />GUMMLN I S ANU t-Al'LANAI IUN Ur ANi VIULfiI IUNa (Mererence an nnncnrnnntai nCrc/ <br />"'-Yr'_ <br />EPA Form 3320-1 (Rt 3 99, P,e%ous editors <br />N OF PROOF REOUIREMEI <br />PA. __SL OF ---