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PERMITTEE NAME/ADDRESS rlncl rde Facility NanrLocmron ijDiferenr: NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME JAL CUMPAt, ,; DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS C410 CANYON M I t' '!-- <br />WEST MAIN STR E ` PERMIT NUMBER DISCHARGE NUMBER <br />N I DAD MONITORING PERIOD <br />FACILITY .NC I TO CANYON MINE <br />YEAR MO DAY YEAR MO DAY <br />LOCATION ? TON C O SIC), FROM TO <br />.t: nnnTnta^T1111l. MTA1F7 MAAIAf`GR <br />Form Approved" <br />OMB No. 2040-0004 <br />MI NOR <br />(S <br />F <br />T)7 UBR DK) <br />- FINAL <br />SCHARGE TO JEFF C <br />LAMAS <br />ANYON <br />NOTE: Read Instructions before cco pleting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE x f ti k # i ' ) <br /> MEASUREMENT <br />_ PERMIT ii #sri? t 1> it# ## r t . 5 3F 1 ?s ?t"tF 9. Q W EEKLY INSITIL <br /> REQUIREMENT ## # !`l I N I f'P ;1 MAX I MUM -•`J <br />IL i SAMPLE t. 1 9 s <br />SUSFEI:I; MEASUREMENT <br />70530 '. ID !"i PERMIT #####iE ## fF? ## k# If ### R ## _ 70 O NCE/ <br />I?AL? <br />EFFLUENT GRUSS V/-,I REQUIREMENT .-A AVG DAILY MX t` MONTH <br />c-'OLIDS, SETTL SAMPLE <br /> MEASUREMENT <br /> PERMIT #k#### #? #ti•IFif #a: s iFii ## PORT 0. 5 <br />- T <br /> REQUIREMENT z 91 It 30DA AVC D:: I LY MX P1 : i <br />r1 <br /> SAMPLE f 1 9) <br />(AS F : ` MEASUREMENT <br />:,, :, PERMIT *##### #3ci( ## #tF##tf# 3. 5 NCE' R; ' <br /> REQUIREMENT 7 / 30LIA AV:7 i IX <br />TH <br /> SAMPLE rJ ; <br /> MEASUREMENT <br /> PERMIT ;`* n Sf lcirY ir ifF#### O <br />' <br /> REQUIREMENT , <br />DA AVG <br />DAI: Y MX <br />rs-:' <br />hiOtvl <br />H <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />####t? <br />#t=.r?x ?; <br />c tt-r. <br />if##### <br />,t s:### <br />1 ?) <br />:(„ ! <br />A <br />1 JI;L'.i: REQUIREMENT (4ST MAX I <br />clR SAMPLE ., ; r ?, - ## # # <br />Jl MEASUREMENT <br /> PERMIT REPORT REPORT I E_.KLY • S r <br /> II <br /> REQUIREMENT ' ODA AVG DAILY MX ! --:.' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this dmunient and all attachment.. were <br />on in accordance with a system <br />d <br />tion <br />r <br />d <br />d <br />di <br />e / <br />/ TELEPHONE DATE <br /> non <br />er my ied <br />l p kVcr <br />prepare <br />un <br />r <br />c <br />o <br />to assure that qualified personnel properlly gather and es•aluate the information <br />? <br />/? <br /> <br /> <br />submitted. Based on my inquiry of the person or persons who manage the system, <br />the information <br />or chase pcrsoms directly responsible for gathering the information <br />G <br />? <br />?V <br /> <br />n <br /> <br /> <br />l <br /> <br /> <br /> <br />/ <br />r , <br />d <br />l <br />l <br />d <br />d b ? <br />, U 7 <br />l L?5 ( r , elief, tax, accurate, an <br />comp <br />ete. <br />submitted ts, to the best of my know <br />e <br />ge an SIGNATURE OF PRINCIPA ECUTIVE r r <br /> I am ascare that there are significant petwltics for subrtutmng false information" OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED including the possibility of fine and imprisonment for knowing .iolati,ms. CODE <br />COMMENTS ANU t AF'IANAI IUN UI- ANY VIULAI JUNa (t'tererence an anacnments nere/ <br />TTLEABLE SOLIDS LIMIT APPLIED FOR <=10YR,24HR PRECIP <br />'ED FOR >10YR,24HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF <br />T i$. a -p LfQrnl. <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. 00OB!?