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PERMITTEE NAMEIADDRESS (Include Faril7t? .Yanee/lorrrtian V I)iffrfeat) <br />NAME <br />ADDRESS J.', iVc <br />i' _1;? F2t3 <br />;LA CO 131 <br />FACILITY i HORIZON MINE <br />LOCATION LA C O S 1 <br />LANCE WADE, MINE MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR M DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL. IMNTR5 <br />SRSrt'IINE DRNG TRC IB TO CAL (AN I TY <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT; <br /> PERMIT RE- TT T- F, .h T .• <br /> REQUIREMENT "A A4'G DM I L. Y M, M ON T ` <br /> SAMPLE <br /> MEASUREMENTI <br /> PERMIT EP .. R T FE i_t. , , <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ._ t <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT -'DA A`1`U ' j <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT : # c : ?t ?• t .. <br /> REQUIREMENT ?'..r ri` v L _ Y MX t_1 : I`iOI+IT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPI <br /> REQUIREMENT .;vD= <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT MONT <br />NAMEfnTLE PRINCIPAL EXECUTIVE OFFICER I rcrtdfs under penult of IAw that this dmi-ni and all attachment, werr TELEPHONE DATE <br /> prepared under m) dimctbm or.uper,i.ion in acvordance with a s):Nem doigned <br /> to -1u,'hut qualified personnel pruperll gather and ccaluate the information <br /> submi'tcd. Nand oo m% inquiry or the person or prrcons who manage the yaem. <br /> or those persons dimtl* resprm,lblr roc gathering the information. the information - <br /> .ubmitted I%. to the best of m% knowledge and belief. true. accurate. and cumpfrlc. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTEb I am ..are that their are .ignirwanl p nalUes for %ubmitting lulu information. <br />including the pnsihilit? of fine and Impriwmncnt for knowing siolatioas OFFICER OR AUTHORIZED AGENT AREA <br />DE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IuNS (Hererence an arracnmenrs nere/ <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. I:)0O471CThIi'kRi--'V4=pat-t form.