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PERMITTEE NAME/ADDRESS(/m"FrYtlyNo olLa atim(/D( Wsw) <br />NAME <br />ADDRESS <br />3?D, Llux J70 <br />: PER UT E;':521 <br />FACILITY ;,`'l"IGER CANYON MINE <br />LOCATION,rIA CO <br />"+NBID B. MILLER, BUSINESS -10R <br />NATIONAL POLLUTANT 04SCHMOE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER Fl Alof NUMSM <br />MONITORING PERIOD <br />YEAR MO: DA MO DAY <br />FROM TO YEAR <br />Form Approved. <br />OMB No. 2040.0004 <br />V: 1; N,_! <br />(SUBP <br />F - F1NAL irFLD <br />CHRONIC WET TESTING FOR 002A <br />NOTE: Read kIstRlcdom before complet" We form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, MEOUENCY <br />OF SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT • <br />:0MMENTS B' REQUIREMENT SINGL. <br /> <br />, . SAMPLE <br />i. % - ER I ODAPHN r MEASUREMENT <br />T S O cT <br /> <br />r--• .,r., _s .., I t?.; PERMIT <br /> <br />REQUIREMENT <br />.. <br />MIN 'VAL UE <br /> - <br />` SAMPLE <br />"EPHAL `: MEASUREMENT <br />0C P O ;. <br /> RMIT <br />P <br />COMMENTS L' E <br />REQUIREMENT ;INGSAMP <br /> 4111, 4 <br /> SAMPLE <br />P I MEPHALES MEASUREMENT <br />O O <br /> <br />`;-NF_NTS PL- L.0.W PERMIT <br />REQUIREMENT <br />MN VA'..I.-li- <br />4V <br />I <br />- SAMPLE <br />:DAPHNIA CH ?: <br />:.. MEASUREMENT <br />42 <br />6 P O <br />. L <br />1MENTS PERMIT <br />REQUIREMENT <br />` ISA"+F' <br />r <br /> SAMPLE <br />''HN I A MEASUREMENT <br />0 <br />_3 <br />,. CC' 7 PERMIT <br />REQUIREMENT <br />SING` <br /> <br />"!Iq{-IPJ <br />1-40 1 SAMPLE <br /> MEASUREMENT <br />?.= :. <br />PERMIT <br />REQUIREMENT `; It iGSANF' <br />- <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I r'^''y under pen' ty ° Ier that NN document and as a"achmwnls were <br />TELEPHONE <br />DATE <br />prepared under my direction or tuper.heom In accordann rl•h • system designed <br />to mute that qualttkd personnel props. y ether and trduate the Information <br />}r• . '? r•_ s <br />b <br />itt <br />d <br />e <br />d <br />In <br />ir <br />of th <br />u <br />m <br />e <br />. <br />n <br />on my <br />qu <br />y <br />e person or persons who manage the system,, <br />or thaw persons directly mpondlMr for gatherin <br />the Inrornatlom <br />the inf <br />rm <br />tio <br />g <br />• <br />o <br />a <br />n <br />lubmtltted I; to the best of my ?nowWr and belle!. Irw. accurate, and complete. <br />• ' <br /> <br />.. <br />-' I am aware that then an slgnifkaM penaMles for submitting flee lnremnallon <br />E NATURE OF PRINCWAL EXECUTIVE - -r C. : <br />TYPED OR PRINTED . <br />Including the posalbitlly of floe and Imprisonment for knowing .idatlorn. OFFICER OR AUTHORIZE( AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION yr nnY VIVLA-LIONS (ReJfnnc* a/1attachments fteFtp/ SIJLT5 OF LETHALITY DERIVATIONS AS "% EFFECT", GROWTH AND <br />L T rJHICH ST,'-T T; DIF <br />.. L i WC 100%. <br />EPA Form 3320-1 (Rev. 31991 Previous editions may be used. `-f- is iS'a 4-oafrt'fonn. PAGE OF