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PERMITTEE NAME/ADDRESS ancfuda Farinty.vamelLocation if Diffenntl <br />NAME L <br />ADDRESS <br />0 X 6?#3 <br />CO e'_ <br />FACILITY t {t; 1 ON M 1 NE <br />LOCATION `.'LA G{I 81 <br />LANCE WADE MINE MANA9ER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOES) <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 Approved. <br />OMB No. 2040-0004 <br />M I NOR <br />(SUBR MH ) <br />F - FINAL KIN' R5 <br />SRLMIINF DRINIG TO TUTTLE DRAW <br />NOTE: Read Instructions before comoletina this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> >< OF <br />TYPE <br /> EX ANALYSIS <br /> AVERAGE <br />, MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT] <br /> PERMIT REPO ; i <br /> REQUIREMENT DAILY M'r,: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _Pt R7 REFOR <br />- <br /> REQUIREMENT U DA 1 l_Y M X <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />T <br />7-7 7- 7. <br />-l <br />. <br /> REQUIREMENT L,: C'iA <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT r _. <br /> REQUIREMENT A'JG DAILY MX <br />' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . ;. , <br />T <br />REPORT- <br /> REQUIREMENT -;ODA fd`JG l',1 C L.Y MX <br /> SAMPLE <br />_ i L.i'a ; MEASUREMENT <br /> PERMIT <br />t _. <br /> REQUIREMENT -,ODA aVs DAILY <br /> SAMPLE <br />1 <br /> MEASUREMENT <br /> <br />PERMIT LtlUN <br />H. <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certifc under petulty of law that this document and all atWChtnents were <br />d <br />d <br />d <br />TELEPHONE <br />DATE <br /> prepare <br />un <br />er m% <br />irmtkta or %uwrs i,ion in accordance with a . )stem dctigned <br /> to assure that yualtrted per,onnel properly gather And rs altw,r the information <br />b <br />itted <br />R <br />i <br />f <br />d <br />i <br />h <br />- <br />" su <br />m <br />. <br />on m.s <br />re o <br />ase <br />nqu <br />t <br />e ltervw or pemons who manage the.,I'M. <br /> or those per ores dire th mptmsible for gathering the information. the information - <br /> sohmilttd I% to the best of m% knowledge and belirL true. accurate, and complete <br /> <br />I <br />am aware that there am significant <br />enalties for submittin <br />ls <br />f <br />i <br />fo <br />tion SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED p <br />g <br />a <br />e <br />n <br />rma <br />, <br />n.ln ing the passihilils of fine and imprisonment tar knowing eiolatiom. <br />OFFICER OR AUTHORIZED AGENT <br />AREA NUMBER <br />YEAR <br />MO <br />DAY <br /> I CODE <br />EPA Form 3320-1 (Rev. 399) Previous editions may be used. 0 0 2- 33/Cf iili 4-pim form.