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PERMITTEE NAMEiADDRESS lincludeFacility Namc'LoeariontfDtfjcrrnr) <br />NAME -• 1? 01_014ADJJ, LLC <br />ADDRESS !-4_);,- MINE <br />BO?f 621 E <br />_A CO 81424 <br />FACILITY HOf?.1 ZUN MINE <br />LOCATION A CC] 51424 <br />• i f.r.il`L• LiAn= rArhlC Mnnrn!'}?q <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. 20404)004 <br />MINOR <br />(SUER MH) <br />F - FINAL NNTR5 <br />ACUTE WET TESTING FOR 0097A <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> TYPE <br /> SIS <br />ANALY <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />r; MEASUREMENT <br /> PERMIT '?3E1? it4 0003 t tr r?iiii ####si# EP- mmi F, A13 -3 <br /> REQUIREMENT NN YAL.LU* CF_NT ANNUA <br /> SAMPLE c > i Y. t. r <br /> MEASUREMENT <br /> PERMIT <br />' A <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />t <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I ccnif) under pcnelty of law that this document and all anachments werc TELEPHONE DATE <br /> prepared under my direction or supcn•tsion in accordance with a system designed <br />f <br /> to assurc that qualified pemormcl properly gather and esaluatc the information <br />h <br />t <br />f <br />h <br />h i <br />_ <br />_ <br />_ o manage t <br />e sys <br />em, <br />t <br />e person or persons w <br />submitted. Based on my inquiry o <br />rsons directly responsible for gathering the Information. the information <br />thos <br /> e pe <br />Or <br />t <br />d <br />om <br />lete <br />h <br />l <br />d <br />d b <br />li <br />f <br />t <br />k 1 I <br />j ? p <br />. <br />em of my <br />now <br />ee an <br />e <br />e <br />, <br />rue. accura <br />e, an <br />c <br />submitted is, to the <br />e <br />i SIGNATURE OF PRINCIPAL EXECUTIVE <br />t r <br /> nformation, <br />1 am aware that there are significant penalties for submitting false <br />i <br />i <br />f <br />k <br />l OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER YEAR MO DAY <br />TYPED OR PRINTS nowing v <br />ons. <br />or <br />o <br />at <br />including the liossibility, of fine mid imprisonment CODE <br />COMMENTS ANLI EAFLANA1 IVN VI- ANT VIVLAI IvNZi Irtertirrnce an auawnncrna ncrc/ <br />-POP.T I_OWES' <br />-CITY TEST F <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. <br />:ON (% EFFLUEN <br />'ORM TO DMR, <br />This is a •4-)tart hill