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PERMITTEE NAME/ADDRESS (Include Facility A'ame/hcarion if Different) <br />NAME MINING <br />ADDRESS <br />D19 7 VE. E, -5 TE 207 <br />CO 60112 <br />FACILITY <br />LOCATION :: Q B0467 <br />.VE- I'_Er--iCH, SR ENV ENGINEER <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 />NOTE: Read Instructions before completing this form. <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 - O <br />Z U <br />2 1 ?Iz3,? CAA S <br /> MEASUREMENT . . <br /> PERMIT <br /> REQUIREMENT M t Ar' li':'• <br /> SAMPLE _ <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT _;t.ii.r: r '??> Dr- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .f'i i ?• . 5 <br /> REQUIREMENT Ui • ' ; =?(':i l:_:^:i <br /> SAMPLE <br />- <br />U <br />?4 <br />1 /1 <br />(J ?J? <br /> MEASUREMENT <br /> PERMIT k.;,.:, <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 />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I nrtif> under W"Ily of law that mis documeat and all attachments were <br />ared under m! direction or w <br />tersisitam in atrurdance with a % <br />orm desi <br />ned <br />re <br />- - <br />- TELEPHONE DATE <br /> p <br />y <br />p <br />l <br />g _ :. <br />- <br />? <br />U 'Ce to assure that qualifmd perWmnel pruperl! Rather and csaluate the information -i , <br />- - <br />? ?uhmitted. Raid on my inquiry of the percnn or persons who manage the .Istem• -e-..Y <br />_ <br /> or those persons direct!% respomiMr for gathering the inrurmntiun, the information - ? - <br />j <br />' _ - ohmilled 6. to the Iie t of m) Mtwwledw and helier. tare. acCur-atr, and complete <br />I a <br />awa <br />that th <br />r <br />nificant <br />enalties for whmittin <br />fal.e inform <br />are si <br />tim SIGNATURE OF PRINCIPAL EXECUTIVE _ - II vl ?) !? I U <br />TYPED OR PRINTED p <br />m <br />re <br />e <br />e <br />a <br />g <br />g <br />inahahng the p -ihilit% of fine and imprisonment for 4mtwing siulation,. OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER YEAR MO DAY <br /> C <br />ODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3189) Previous eftons may be used. 0004 / OThls jti a 4-0art f6rm.