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PERMITTEE NAME/ADDRESS anclude Facility A'ame/!,,/ration if thf ff4r d) <br />NAME .. -L-ADO, LLC <br />ADDRESS I t•1 i- I a i_ <br />BOX 628 <br />LA CO 8144 <br />FACILITY HORIZON MINE <br />LOCATION `A CO 81424 <br />LANCE kADE. 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 />MINOR <br />( SUDR MH ) <br />F - FINAL MNTRS <br />SR&MINE DRUG TRIO 10 CALAMITY <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0, FREOUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />f.' MEASUREMENT <br /> PERMIT - - -PUR T REPOR <br /> REQUIREMENT ra AVG DA.1, _Y N X T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :ior -R PCIRT FE -°i <br /> REQUIREMENT - : AV'"' GA I L Y MA <br /> SAMPLE i` <br /> MEASUREMENT <br />?i PERMIT -?T R f' R G F, <br />- <br /> <br /> REQUIREMENT a1V'G DA I L <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 />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certih under penWl% of taw that this document and all attachments were <br />r <br />ared und <br />r m <br />direction or su <br />enisiun i <br />ord <br />ce with u s <br />ste <br />desi <br />n <br />d TELEPHONE DATE <br /> p <br />% <br />p <br />ep <br />e <br />n acc <br />an <br />y <br />m <br />g <br />e <br /> to a%,ure that qualified personnel property gather and es aluale the Information <br /> whmitted. Rased un ms inyuin of the prewar or penorrs whu manage the yslem. „ _ . <br /> or those perwas direrUl respon ,lble far gathering the information. the information <br />_ urhmi ted is. to the best of my knowledge and belief. true. wrurnte, and complete. <br />I um att are that th <br />r <br />si <br />s f <br />ro <br />tio <br />r <br />nif <br />t <br />n <br />lti <br />s <br />b <br />itti <br />f <br />lse i - <br />SIGNATURE OF PRINCIPAL EXECUTIVE - i <br />TYPED OR PRINTED e <br />e a <br />e <br />ican <br />pe <br />a <br />e <br />or <br />u <br />m <br />ng <br />a <br />n <br />rma <br />n. <br />g <br />-luding the INnibillt) of fine and imprisonment for It- ing %iolntions. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />GUMMtNIS ANN) tAI LAIVAIIUN Ur ANT VIULAI11JNJ (riererence an arracnmenrs nere/ <br />EPA Form 3320-1 (Rev. 3/99) Previous edtbes may be used. 00048 T7 f&.=is?ifr4,-pjt' 1fBfIII.