Laserfiche WebLink
PERMITTEE NAMEIADDRESS Undid, Facility.\'amellmafion if Ot%Jrrenft <br />NAME <br />ADDRESS .I r... <br />OX 670 <br />,%EN! CO 61639 <br />FACILITY EC;A MINE COMPLEX <br />LOCATION DEN C(7 31635 <br />:.-I FARO, RECLAMATION 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 Appfaved. <br />OMB No 2040-0004 <br />MINE <br />(SUE <br />F - <br />DISC <br />NOTE: Read Instructions before completinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> <br />EX OF <br />E <br /> ANALYSIS TYP <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE r <br /> MEASUREMENT ( ) _ <br /> PERMIT " <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT i _ <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT 4,"_, ; ..• <br /> REQUIREMENT <br /> SAMPLE 1 <br /> <br />MEASUREMENT _ <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE _ <br /> MEASUREMENT <br /> PERMIT -x :.. . <br /> REQUIREMENT <br /> SAMPLE <br />t+ C <br />? <br />' <br /> MEASUREMENT ! ;? (. <br /> PERMIT :i r. - .. <br /> REQUIREMENT T C : r I . ' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER l ,eflin undo penally of law that this d-ument and all uttachmenls were <br /> <br />re <br />a <br />d <br />d <br />di <br />ti <br />d<ion I <br />d <br />i <br />h <br />d <br />i <br />d <br /> <br />^\ <br />TELEPHONE <br />DATE <br /> p <br />p <br />re <br />un <br />er my <br />rec <br />on or super <br />n accor <br />ance w <br />t <br />a system <br />n <br />gae _` <br /> to assurethat qualified peronnel properly Rather and esaluate the, <br />information <br />' <br /> submitted. Based on m} inquire or the perwin or persons who manage the system, <br /> or those prr,ons directly responsible for gathering the information. the information <br /> submitted is, to'hr bea of my knowledge and better. trur. accurate, and complete. <br /> false information <br />1 am aware 'hot them arc significant penallies for submittin SIGNATU E OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED g <br />. <br />including the p-ihilils of fine and imprisonment for knowing siolalioom OFFIC R OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />-- - -- - -.........?.,.., ,,. ........_. .?...... ._ D <br /> <br />FNT <br />EPA Form 3320-1 (Rev. 3149) Previous editions may be used. :. `This is a 4-pan form.