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PERMITTEE NAME/ADDRESS (Include F"&Y .Vanle/locapan if llifferen) <br />NAME _ ` <br />ADDRESS _ <br />628 <br />CO 8142.4 <br />FACILITY ZON MINE <br />LOCATION A CO 61424 <br />t nt.IrC I.IAnV: NI7fi1C MAMA^t=w <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />I <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH ) <br />F - FINAL <br />?;wa,MTi+1F 11PNr_ TrI T(ITTI F <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX Y <br />I TYPE <br /> S <br />ANAL <br />S <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . T ..V., i r. s <br /> REQUIREMENT MON i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT FEF113R` <br /> REQUIREMENT DA I L r.l <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT s i s <br /> REQUIREMENT = <br />\?`? <br />- i?; • <br /> . <br />. - <br /> <br /> SAMPLE <br />-NI MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I errors under pentdp of law that thi+dtaunent and all attachments were TELEPHONE DATE <br />prepared under my direction or wpcrsision in accordance with a .)arm designed <br />I--, that qualified prrsontiel Properly gather and r. aluate the information - - <br />- submitted. Bused on my inquiry of the ler+on or persons who manage the, ),tern. , <br />or 2.h~ pr-n% dim ds. responsible for gathering the information, the mrarmation <br />d belief <br />nd com <br />lete <br />wl <br />d <br />a <br />t <br />a <br />te <br />d i <br />h <br />b <br />t <br />f <br />k <br />p <br />. <br />s, to t <br />es <br />m) <br />no <br />ge <br />n <br />. <br />rue. <br />ccura <br />, a <br />submitte <br />e <br />o <br />e SIGNATURE OF PRINCIPAL EXECUTIVE '- <br />I am aware that there arr signifcam Penalties rot submitting false information. <br />i OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR MO <br />DAY <br />ons' <br />TYPED OR PRINTED including the V't++ibilih of fine and imprisonment for knowing siulat CODE <br />I COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />This is.'a4-part form. PAGE OF