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PERMITTEE NAME/ADDRESS (Include Facility Name/Larafian if Difjerrru) <br />NAME <br />ADDRESS `. J, :Y':____ { <br />BOX 670 <br />DEN CCD 81639 <br />FACILITY FGA MINE COMPLEX <br />LOCATION DEN `'O 81639 <br />w• <br />r' KARO, RECLAMA'F l oN MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER _I I MONITORING PERIOD <br />YEAR MO DAY YEAR MO DA <br />FROM TO <br />Form Approved. 1? <br />OMB No. 2040-0004 <br />MINE" <br />(SUDf- i , <br />F - FINAL RCIi_ <br />DSCHO TO TRIniGRASSY CREEK <br />NOTE: Read Instructions before completing 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 />MEAS <br />R <br /> U <br />EMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT n ' <br /> REQUIREMENT <br /> <br />;sue; SAMPLE <br />MEASUREMENT <br /> PERMIT r :- F 'z :• s <br /> REQUIREMENT _ <br /> SAMPLE <br /> R r ? 4^? -- -- _, f F T'v J <br /> MEASU <br />EMENT } <br />^J , , ;J <br /> PERMIT 7 `a <br /> REQUIREMENT ' <br /> SAMPLE <br /> <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMErnTLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this d-umenl and all attachment, r,m <br />re <br />di <br />ctiu <br />o <br />red <br />ntler m <br />ki <br />d <br />ith <br />d ` <br />?t TELEPHONE DATE <br />Dennis Tones p <br />pa <br />a <br />y <br />m <br />n <br />r sapen <br />ance w <br />,in in accor <br />a svvtem <br />esigned <br />la aswm that yualirwd personnel properly gather and evaluate the inGNmalion <br /> <br />b <br />i <br />d <br />R <br />1 \ <br />drologlat I <br />H su <br />n <br />lte <br />. <br />- <br />an my inquiry of the perv n Or pentmK who manage the system. <br />o' r ?• <br />y or th- pe art, directly resptatsihle for gathering the infarmatka , the mh <br />lion 1 <br /> <br />70 <br />l/ uhmittea 'n <br />. to the heM of my knowkdgr and helicL true, accurate. and aaiaplete. <br /> <br />1 am aware that there are significant prnaltie+ free +uhmitting falx inform.un.n, <br /> <br /> <br />IGNA RE OF PRINCIPAL EXECUTIVE <br /> <br />JI <br /> <br />t <br />OR PRINTED cl <br />di <br />th <br />ibilit <br />i <br />f r <br />d <br />i <br />i OFF <br />ER OR AUTHORIZED AGENT AREA <br />TYPED n <br />u <br />e pass <br />ng <br />y o <br />inc an <br />impri-nmem r.a know <br />ng v <br />aAall,al, ? NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 00333. -rhis!hl 41 4+ai f6mi.