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PERMITTEE NAME/ADDRESS tlnclude FacUky Namell oration if IkIferentt <br />NAME LLC <br />ADDRESS MINE <br />i. ?t7iC 6?f3 <br />LIp _fir CO 81424 <br />FACILITY }jQ{? f %'?fJ I ? I i <br />LOCATION '"L A <br />LANCE WADE. (il'NE MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI <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 />t I NOR OMB No. 2040-0004 <br />SUBR MH ) <br />-- FINAL VINTRS <br />iFt&MINE DRNG TO TUTTLE DRAW <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION No. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ <br /> REQUIREMENT if:-. Y, I MUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT `._. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,rsl r. c _ - OR r <br /> REQUIREMENT r ^, i '_ - 1 c <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ <br />r REQUIREMENT 3t7P?; U • . r` <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ; <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT DAILY MY <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 -rtify under penalty of law that this document and all attachments were <br />Prepared under my dinrtion or w <br />enicion in xvordnnce with a s <br />stcm designed TELEPHONE DATE <br /> p <br />y _ <br /> to assure that qualified personnel properiv gather and rsalunte the information <br /> <br />- submitted. Based on my inquirs of the perum or prmons who manage the system. - <br />Y <br />, <br /> or those pemm, dirwdv rrsgmsible for gathering the infurntution, the information !. <br />' <br /> <br />submitted l%. In the lwa of nn knowledge and belief, true, anvrate, and complete. <br />rts aw <br />that th <br />s for submittin <br />I <br />r <br />i <br />ifi <br />nt <br />n <br />lti <br />f <br />l <br />inform <br />ti <br />n <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE 7 <br />/ <br />TYPED OR PRINTED gn <br />g <br />a <br />a <br />e <br />em are s <br />ca <br />pe <br />a <br />e <br />a <br />se <br />a <br />o <br />, <br />Including the possibility ornne and impris,mment for kwi%ing slolations. OFFICER OR AUTHORIZED AGENT CODA NUMBER YEAR MO DAY <br />LUMMtN15 ANU tAVLANAIIUN Ul- ANT vivLAiiuNa (nererence all arracnmenrs here) <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used <br />IR 10YR/24HR PRECIP f <br />0050:. Tfitisis a4-part form.