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PERMITTEE NAME/ADDRESS (Include FaciUly NamdLoradan if Differenn <br />NAME <br />ADDRESS <br />Liu 6WEf <br />-A CO L;142 <br />FACILITY -HOR 1 "Z ?7:1 ; 1,9 I h.i.= <br />LOCATION _A CO 8142 <br />LANCE WADE, MINE MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOES) <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 />Forth Approved. <br />H I NOR OMB No. 2040.0004 <br />( SUBR 11H) <br />F - FINAL PINTiRS <br />SR&MINE DRNG TRIB TO TUTTLE OR <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 <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT `•t Z f i F'i i <br /> SAMPLE r <br /> MEASUREMENT - <br />- <br /> PERMIT " ' <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 1-1 P. .. u-sr r - <br /> REQUIREMENT <br /> <br />T SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT _ <br /> PERMIT <br /> REQUIREMENT i't; : 1. •7 `' <br />NAMErMLE PRINCIPAL EXECUTIVE OFFICER I c-rrtifs under prnalts or In% that this document and all atinchments were <br />ared under ms dirrclion or su <br />ervision In accordance with a s <br />rr <br />stem designed TELEPHONE DATE <br /> p <br />p <br />p <br />y <br /> to awwre that yualir" personnel propert} gather and es.luatr the information <br />/ - <br /> submi[trd. Based om ms inyuir, of the person or persons who manage the yslem. ? { <br />' or those persons directts re4mmsibk for gathering the InformatMm• the information <br /> <br />- submitted is. to the best or mi lust-ledge and belief. true, accurate, and complete. <br />w <br />I <br />m <br />th <br />t the <br />i <br />ifi <br />a <br />t <br />e <br />lti <br />s fo <br />s <br />b <br />itti <br />r <br />ise i <br />r <br />ati <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />- 1- <br />TYPED OR PRINTEq' a <br />a <br />are <br />a <br />re are s <br />gn <br />c <br />n <br />p <br />na <br />e <br />r <br />u <br />ng <br />a <br />orrn <br />on. <br />m <br />n <br />including the pc»sibilio of fine and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />C(JMMtN I s7 ANU tAYLANA I IUIII Ur' ANT VIOLA I IUNV (reference au aaacnmenfs nere) <br />_)s <br />IED FOR I0YR/24HR PRECIP EVENT - SEE <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. - ;Phis is a 4-paft fotm.