Laserfiche WebLink
PERMITTEE NAME/ADDRESS Nndade Pacific0'ame/l ocation if Different) <br />NAME <br />ADDRESS ;I: ;JI Ir <br />BUX 670 <br />EN CO 5163 <br />FACILITY -_CA MINE COMPLEX <br />LOCATION EN C0 81631 <br />KARD, 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 App*ved. w <br />OMB No- 2040-0004 <br />MIN <br />(SL <br />F - <br />C HR <br />NOTE: Read Instructions before comoletina this form, <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT - II <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 /> REQUIREMENT <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 />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I ,,rt l under penal!? of law that this document and all attachments were <br />e <br />ar <br />.w <br />d <br />d <br />di <br />i TELEPHONE DATE <br /> Pr <br />p <br />e <br />un <br />er m% <br />rection or wprr <br />on <br />n accordance with a svstrm dc-signed ! <br /> to assure that qualified prru nnrl property gather and esaluate the information <br /> submitted. Based on m? inquire of the perwn or persons who manacle the svslem. ! <br /> <br />or threw peon dirrvU.% responsible for gathering the information, the informatkm 1 <br /> whmilled is, I. the best of m, knowledge and belkf, true, amurate, and eompirte. <br /> <br />i am aswrc that there are significant <br />enallies for s <br />b <br />itti <br />f <br />l <br />ti <br />i <br />f SIG TURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED P <br />u <br />m <br />ng <br />a <br />se <br />orma <br />on, <br />n <br />rnludu,¢ the possibitils of fine and imprivmment for knowing siulations. <br />OFFICER OR AUTHORIZED AGENT <br />AREA NUMBER <br />CODE <br />YEAR <br />MO <br />DAY <br /> <br />__ <br />.L I <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ?" ' W, is if 4-pail form.