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PERMITTEE NAME/ADDRESS Inclu& FariGh Nan,1lrraflon ifIXff .rnfl <br />NAME ?LUi?ADOt _ <br />ADDRESS : t 4 i'1 L 1, t <br />Dx f;VF3 <br />814 <br />FACILITY HORIZON M 1 NE, <br />LOCATION :LA CO 814 <br />LANCE WADE, MINE MANAGER <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 />R&MINE TRNG TRIB TO TUTTLE D <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />SAMPLE <br />i MEASUREMENT <br /> PERMIT - , t- fi. • : i <br /> <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _.arJco[ <br /> REQUIREMENT DAILY M Y <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -IEHQRT tt r _ . <br /> REQUIREMENT LA, <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 />NAMENITLE PRINCIPAL EXECUTIVE OFFICER I certify under penally of law that thi, document and all attachment were <br />i <br />d <br />d <br />di <br />tl <br />h <br />i <br />d <br />i <br />h <br />d <br />d TELEPHONE DATE <br /> prepare <br />un <br />er m? <br />rar <br />on or supers <br />n accor <br />ance w <br />s <br />m <br />t <br />a system <br />eigne <br /> to assure that qualified personmd properly gather and rsaluale the information - - <br />_ submitted. Based on my inquire of the person or l-m% who manage the system. <br /> ur those la, a nm dually respmsiW for gathering the information. the Information <br /> suheniucd is, to the IL of m? knowledge and heiief. true. accurate, and complete. <br />I acre ao are that there are signirward <br />enalties for ,uhmittin <br />false information SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED' P <br />g <br />, <br />mJudirg the M»sihility of rmr and impri-ment for knowing si,4af,an. <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA For4 3320-1 (Rev. 3199) Previous edi ions may be used. 000841 G`ITT-Wi a-*-Oatt Ibinn. <br />1