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PERMITTEE NAME/ADDRESS Include Faeifttr.l'ame/l"anon if mffermlo <br />NAME L C <br />ADDRESS <br />box c>28 <br />-+aG <br />FACILITY s'lbH Y ? ON i T i I`.t= }-' <br />LOCATION A CO E314 <br />LANCE WADE, MINE MANAGER <br />NATtONAL FOLI. UT ANT DISCHARGE ELIMINATION SYSTEM NPDES) <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 />Form Approved. <br />I I NOR OMB No. 2040-0004 <br />SUBR MH) <br />FINAL t INTR u <br />iRi4f"l INE DRNG TR I B TO TUTTLE DR <br />NOTE- React Instnintinns hafnrw rmmnltatina this form- <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> OF <br />TYPE <br /> EX ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT is c ~ie t: <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT %3R'r' ,1G <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - .: •cr x <br /> REQUIREMENT ; X <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that Ihb document and all attachment. wen <br />d TELEPHONE DATE <br /> prepare <br />under my direction or wpen icon in accordance with a system designed <br /> to assure but qualifled perwatnel properly gather and evaluate the Information <br />----'- ? wbmitied. Based on my Inquin of the person or prrw ns who manage the svvtem. ) <br /> or those penun% directly responsible for gathering the information, the information <br /> submitted k to the beM of my know <br />Irdgr and belie[. true. aaurala and complete. ? i <br /> I am a-am that th <br />re <br />r <br />si <br />nifi <br />t <br />enalti <br />s f <br />b <br />ti <br />i <br />f <br />l <br />i <br />f <br />h SIGNATURE OF PRINCIPAL EXECUTIVE - <br />TYPED OR PRINTER e <br />a <br />e <br />g <br />can <br />p <br />e <br />or Su <br />m <br />t <br />ng <br />a <br />se <br />n <br />ormat <br />at. <br />including the pmsibillh of fine and imprisonment for knowing violatio nn OFFICER OR AUTHORIZED AGENT <br />I AREDA NUMBER <br />CO YEAR MO DAY <br />DS LIMIT APPL I EI) EnR I OYR / r!4HR PREC I P EVENT - SEE :. A 2. <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. This 4s 'a' = f['flJtlll. PAGE OF