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PERMITTEE NAME/ADDRESS iincfude Parilitr A'amelL«arion iif Dii eeenti <br />NAME <br />ADDRESS <br />FACILITY MINE COMPLEX <br />LOCATION DEN Co 61634 <br />Y KARO, RECLAMATION MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) P <br />•l <br />PERMIT NUMBER DISCHARGE NUMBER - <br />"F <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NO <br />Form Ap??((o?ved. <br />OMB NX00140-0004* <br />rl 1- - <br />TE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT J V <br /> PERMIT z : -, - <br /> REQUIREMENT <br /> SAMPLE <br /> <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT - I <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT j <br /> PERMIT t-t it ,. ? e <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT U <br /> PERMIT <br />F F., <br />R E. <br /> REQUIREMENT I tv i- <br /> SAMPLE <br /> MEASUREMENT J'J <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />J. <br /> MEASUREMENT J (, <br /> PERMIT <br /> REQUIREMENT _ '' .. <br />NAME(rITLE PRINCIPAL EXECUTIVE OFFICER I ,ertifk under penulq of law that tht, d-tamrnt and all attarhtnent% were <br />r <br />d <br />rwl <br />di <br />i <br />i <br />ith <br />ti <br />i <br />d <br />t <br />l <br />i <br />d TELEPHONE DATE <br /> p <br />epare <br />er m? <br />rre <br />nn nr wpen <br />c <br />n aeeor <br />nner w <br />u.e. <br />u <br />on <br />rm r <br />rc <br />gtk <br />to u sure that qualirtad perwmnel properly gather and e,aluatr the information <br /> whmitted. Ha d an my inquire or the wrwn or per-n% who manage the •yctrm, <br />' <br /> or threw perv,m directh r-Ps <br /><ihk for gathering the Information, the information <br /> vuhmimed i., to the t-I of my AnowIedgr and Wief. true, wcurale. and complete. <br />I an .i-re that th, re are •igniftcuni penallim rrtr whmitting falx information $IGNA RE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED . <br />includut¢ [it, 1--hility of fine and Imprimmmem for knowing violatFtm. <br />OFFI ER OR AUTHORIZED AGENT <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />GVMMCIV 1. ANN CArtr+tVr nIWII yr MIVr rtv11-rtn nvtM <br />inCICr CI14C d!1 tllldl:lIIIIClt(5 !1ClC/ <br />RIVATI <br />EPA Form 3320.1 (Rev. 3/99) Previous editions may be used. " 1 This is a *-part farm.