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PERMITTEE NAME/ADDRESS (include FaciGt_r V'amdlncation if l)i Jeremy <br />NAME <br />ADDRESS t_ ?( <br />: 0X 670 <br />DirN CO 81639 <br />FACILITY ECA MINE COMPLEX <br />LOCATION r1 -IV CO 61 635 <br />V KrARn. RFrI AMATI N MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />Form AppqWed. <br />` <br />OMB No 2040-0004 <br />MINOR <br />(SUBR <br />F - F] <br />D5CHG <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 - - I? <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT l <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE i <br /> MEASUREMENT ` ? i - <br /> PERMIT <br /> REQUIREMENT L+ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT `,- <br /> PERMIT f?,. .. <br /> REQUIREMENT -'f`• <br />F <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1- rtil% under penalq of law that this daument and ill rttachments were <br />• <br />ti <br />i <br />d <br />d <br />di <br />i <br />i <br />d <br />h <br />d TELEPHONE DATE <br /> prrpara <br />un <br />r m, <br />rec <br />mn or wprn <br />s <br />un <br />n accor <br />t <br />ance wit <br />a sv stem designe <br /> to assorr that qualified persommel properh gather and rvaluate the informatio <br />submitted. Rased rat rat inquiry of the prrsmn or persons who manage the rystem, n <br />t <br /> or Ih, - prmuns direvtls resimmsible for gathering the information, the information ` -- <br />. -7 <br /> suhmitted is. to the best rd m% knuwladge and belief. trier, a-mr.te, and compkte. <br />I am aware that there are significant penalties for whmhting Paler information t <br />SIGNATURE PRINCIPAL EXECUTIVE ` <br />J <br />TYPED OR PRINTED , <br />including the possibilih of fine and impriwnment for knowing *k"Ilorm OFFICER Op AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />GVMMtIV1J Atvu cnrL.rtt?rtllvn yr rvt?r vw?f+I I-- Ineterentre an diwitwimerub rtere/ <br />IT APLIED FOi <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used. 004133 % `'This k a 4-pafvf'orrn.