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PERMITTEE NAME/ADDRESS Ilnrludr FarifityN'umel"ation if UiJjnenti <br />NAME <br />ADDRESS <br />BOX 670 <br />DEN CD 81639 <br />FACILITY _CA M1NE COMPLEX <br />LOCATION EN Co 51639 <br />K.AR O, RECLAMATION MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />Form Appowed. s <br />OMB No. 2040.0004 <br />M I NUF <br />( SUBF <br />F - I <br />CHRO; <br />NOTE: Read Instructions before completinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />,;. <br />To - r <br />:-• ,: .:: <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT -' J <br /> PERMIT k- x .-FOR i a r. <br /> REQUIREMENT _; ?iGSAi'!4 <br /> SAMPLE _ i <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE . 74 <br /> MEASUREMENT O <br /> PERMIT ' . <br /> REQUIREMENT 'i <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER 1 ,ert a ""der penult% of law that Ilsk d:alm ent -1 sill attacht rnh were <br />-d <br />d <br />di <br />' <br />- TELEPHONE DATE <br /> prepm <br />un <br />er two <br />rn <br />Uon or supervision in accordame with a -lem designed <br /> its a..ure that qualified personnel properly gather and evaluate the informati,m <br /> •uhmittd. Naad an m} nuluin or the person or persons who manage the swtem. <br /> sir Its- prmnn%dirmtl? rosp.msiMe ror gathering the informatian, the infornmti m r <br /> submilltd Is. in the I" of m% Lnow ledge and belief, true. accurate. and complete. <br />1 am awan• that there are signilkam penaltiev ror submitting fats iMurmation, <br />SIGNATUR OF PRINCIPAL EXECUTIVE <br />. L <br />t <br />t?J <br />TYPED OR PRINTED imiuding the possibility of one and impri-nment fur Anawim! riolatiom. OFFICEA OR AUTHORIZED AGENT AREA NUMBER <br />D YEAR MO DAY <br />I.WMMC IN 1J 01114V GnrL.n?•ntsun yr nor -wi--t tvnzo Intvtt:rencC mr ill,elAOrternar rreref <br />I nPQ T VGT T nmq <br />EPA Form 3320-1 (Rev. 3(99) Previous editions may 4e used. Tlhk 9 d 4-part-form.