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PERMITTEE NAME/ADDRESS (include Facility lvame/Location iil DtQerenti <br />NAME <br />ADDRESS 4ECA MINE COMPLEX <br />I. BOX 670 <br />"DEPT CU 81634 <br />FACILITY 'E'CA MINE CDFIPL.EX <br />LOCATION DEN CO 81639 <br />,Y KAPO, 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 DA <br />FROM TO <br />Form Ap oved. <br />OMB No40-0004 <br /> <br />NOTE: Read Instructions before completing this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0. FREQUENCY SAMPLE <br /> <br />EX OF <br />PE <br /> ANALYSIS TY <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE 1 ) j <br /> MEASUREMENT I 1 <br /> PERMIT <br /> REQUIREMENT <br /> <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 -rnfq unde penalt> ,.f law that this document and all attachments were <br /> <br />prepared under my direction or wpervision In accordance with a svstem designed <br />TELEPHONE <br />DATE <br /> to assure that qualified personnel properly gather and evaluate the information <br /> submitted. Based on mt inquiry of the perstm ur persons, who mange the s?Ntem. <br />or those persoms direcd% responsible for gathering the information, the Informnllon <br />' <br />I <br />7 <br /> <br />vubmitted K. to the best ur m. knowledge and belkf, true, accurate. and c rnpkte. <br />t J <br /> 1 am aware that there are significant penalties for submitting false information SIGNATUF E OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED . <br />including the p4"hilih (.r fins and imprisonment rur knowing siolatluns. <br />OFFICER <br />OR AUTHORIZED AGENT <br />1"' AREA <br /> <br />NUMBER <br />CODE <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />COMMENTS AND EXPLANATION OF ANY <br />(Reference all attachments here) <br />a >: <br />EPA Form 3320.1 (Rev. 3/99) Previous editions may be used. 00030 / This is a d-panlbirm.