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PERMITTEE NAME'ADDRESS (include Facility Nume/Locarion ilD6fferrn1) <br />NAME IAL COMPANY, LLC <br />ADDRESS Li CANYON MINE <br />WEST MAIN STREET <br />NIDAD CO 81032-2E <br />FACILITY E riC I T O CANYON MINE <br />LOCATION r[7N CO 81011 <br />... n .- 1. Tr liI rIA1w,= MAMA^cm <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />OMB No. 2040.0004 <br />DISCHARGE MONITORING REPORT (DMR) 1.11 NOR <br />_ (SUBR 1)-C <br />[??PERMIT NUMBER DISCHARGE NUMBER F - FINAL LAMAS <br />MONITORING PERIOD .- , --HARGE TO JEFF CwV.:YDN <br />YEAR MO DAY YEAR MO DAY <br />FROM TO ) I . <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX LYSIS TYPE <br /> ANA <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />1'r SAMPLE # l 1 _ <br /> MEASUREMENT <br />C;fj " • PERMIT dFst# # # z @. 5 g. 0 <br />r cEK NE 7 T <br /> REQUIREMENT r'1 I N I I'll 111A X i MC.!M <br />. <br />,:•OLID`? SAMPLE ?: -: <br />( i ) <br />SU9F' ;-P.: MEASUREMENT <br />, <br />PERMIT <br />•tt###31•it <br />#?#-o-#;t <br />##*-It•il•~f 3 <br />5 <br />70 <br />7NC></ <br />3R AB <br />= FF-1 GROSS VA! . 'i REQUIREMENT DA? LY MX tG;'i MONTH <br /> <br />.3 SAMPLE <br />X <br /> MEASUREMENT <br /> PERMIT ##### ##?33i#it a #, a REPORT . 5 - <br />FF REQUIREMENT SODA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />`i] <br />PERMIT ###?!## #k### ,t>-ri ?: 5 O I .INr ^>fRh•' <br />. <br />C f' - REQUIREMENT ?DA AVG r i'IX ' MONThi <br /> <br />IAI.. <br />SAMPLE 1 q <br /> MEASUREMENT <br /> PERMIT :r :t4 '+ ###### ? (; 4.0 ?R <br />VA„ i REQUIREMENT = 30DA AVG DR i i_ Y MX <br /> SAMPLE ' t tt'? ii fit r k 91 <br /> MEASUREMENT <br /> PERMIT # r a <br />i--! l)F i. AL; REQUIREMENT _ ;ST MAX 11 G.'t i_ <br /> SAMPLE <br />... ,4 <br />10! T ; p! MEASUREMENT <br />- PERMIT REPORT REPORT S# ## #' # # #it 1FiF?f# ,' =I .L ,1••.._, r (A N <br /> REQUIREMENT 'GDA AVG DAILY MX <br />/TITLE PRINCIPAL EXECU VE OFFICER <br />NAM -- I cenify under penalty of law that this document and all attachments were /I TELEPHONE DATE <br />- directiun or supervision in accordance w-uh a system designed <br />ared under m <br />re / <br />,A <br />G? J Y! ?(Je fF Ct ! "- - <br />r y <br />p <br />p <br />to assure that qualified personnel propnly gather and evaluate the information <br />ersons who mana <br />e the system <br />f the <br />erxon or <br />d <br />i <br />i <br />y <br />b <br />B <br />^ . <br />p <br />p <br />g <br />ase <br />on my <br />nqu <br />r <br />o <br />su <br />mitted. <br />the information <br />atlicrin <br />the intnnmtion <br />e <br />ns <br />bl <br />for <br />h <br />di <br />tl i <br /> . <br />i <br />e <br />g <br />g <br />or t <br />ose persons <br />rec <br />y r <br />spo <br />?} <br />I 2 <br /> submined is• to the best of my knowledge and belief. true, accurate, and complete. SIGNATURE OF PRINCIPAL XECUTIVE 7I.` <br /> are significant penalties for submitting false information, <br />am <br />awaret <br />I <br />OFFICER OR AUTHORIZED AGENT <br />A <br /> <br />ol <br />ns <br />fo <br />k <br />t <br />li <br />h <br />f fi <br />d ODE NUMBER <br />C YEAR MO DAY <br />TYPED OR PRINTED , <br />imprisonment <br />r <br />nowing vi <br />a <br />io <br />ty <br />g the ssibi <br />ty o <br />ne an <br />ndu <br />din <br />possibi <br />i <br />COMMENTS ANU tAYLAIVAI Ivry yr mriT vtvual lvtw tnetvr e:nev arr <br />r 1. <br />i 1 <br />3320-1 (Rev. 3/99) Previous editions may be used. <br />kPPLIED FOR %'-=10YR, 24 HR P <br />IP EVENT SUBJECT TO BURDEN <br />- i PAGE OF -- <br />i