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PERMITTEE NAME/ADDRESSawrrtr.F«we?N?rt«rton?o?.nr? <br />NAME <br />OWYO MINE <br />ADDRESS <br />' E R <br />FACILITY JLSYL7 1- <br />i?ER <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMSER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />NOTE: Read imtructfons before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREO <br />UENCY SAMPLE <br /> O <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE _ <br /> MEASUREMENT <br /> <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 /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br /> <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER I -say " pens ry .w that thh document and .11 .11achments wese <br />TELEPHONE <br />DATE <br />prepared ender my dlrer/lon or supe,t In seeord.n with . system dedgmd <br />to .sure that qu.NMd prrnnel proprrty pltMr and rraluale the Inform.tlert ' <br />j <br />submitted. Dowd on my Inq"Iry of the penes or perm ho man.te the system <br />_ <br />. <br />M (hose perm dlr.elly responsiblr for g.thertnj the Inform.tlon, the Inform.tlon <br />submitted it, to the best of my YnewMdK.nd bebef. Ime..crorate..nd complete. <br />1 am aware that then am slgdn-f pendrle for.ubmilting false Inform.llon <br />SIGNATURE OF PRINCNAL EXECUTIVE . <br />TYPED OR PRINTED . <br />W-a,dlnrthe pew,iblMyof nmand impraonmentf.rw-Inr.+d.llet? OFFICER OR AUTHORIZED AGENT CAREA ODE NVMNR YEAR MO J DAY <br />COMMENTS AND EXPLANA I IUN Ur ANT VIVLA I IUN5 i/fereronCe an erracnmenra sin/ <br />EPA Form 3320-1 (Rev 3199) Previous edibons may be used This i5 a 4-part form. PAGE OF