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PERMITTEE NAME/ADDRESS per FodhryNo arLerrrt n (/Dlo6 wa) <br />NAME ! L <br />ADDRESS <br />J. BOX V8 <br />CO 81524 <br />FACILITY !''-LANE CANYON MINE <br />LOCATION IA CO 81 '14 <br />:11 T LS 1.{{-! T TI 1=i1 (+C . M T nl}^ Mr?A <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION 9Y97EM /INPOES) <br />DISCHARGE MONITORING REPORT fDMR) <br />PERMIT NUMBER DISCHARGE NLIMEER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR DW) <br />F - FINAL GRFL <br />SEDI POND DSCHRG TO E SALT CR. <br />NOTE: Reed InetFUctlorm before completlnp thle form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE .< , <br /> MEASUREMENT <br /> PERMIT #3tiF.# = s s' tt?? 9.0 <br />dI=EKL <br />=? :f t l <br /> REQUIREMENT MAX I MUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT x#x I;f# ?t### _ ?O .1R <br /> REQUIREMENT 3 k DA A %'a ter <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #•I#*4** # ### *##;' ## ?? REPORT ir,iCE/ GIB <br /> REQUIREMENT DAILY MX MONTF <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #### 1> IE ### IF# 3500 700C' INC:F <br /> REQUIREMENT 30DA AVIC DAILY MX <br />' ; L?rJT <br /> SAMPLE <br /> MEASUREMENT <br />z G O PERMIT - 1 O : rrJ i I f '._ :: a C. <br />,.-NT GROtiE-s '. REQUIREMENT TNST MAX <br />I (J CGiyD! 1 `. ' SAMPLE <br />F c E A TMENI MEASUREMENT <br /> PERMIT ]k T <; ? ii .? 3! st <br />N REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT p {.. f? <br />REQUIREMENT ` i MA X <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I "rely under prna ty o law that tbtt document and .9 ¦Ibchments were TELEPHONE DATE <br />Prepared under my direction or supervision In accordance with a syslrnl ddgned <br />to assrre that quahnrd Prrsennel Properly gather and evatuale the Information <br />subraltrd. Band on my Inquiry of the person or persoro who manage the systrm. Z JA <br />or lhoae penors directly mpordble for gathering the Information, the Information <br />l <br />d <br />1 <br />61 <br />y <br />? su bmllled b. to the bet of my know <br />e <br />ge and bew. true, am fair. and complete. <br />EIONATURE OF PRINCIPAL EXECUTIVE ( <br /> I am aware that there are flgNncant prnalnrs for mbmrtting ralse Information. RE <br /> <br />TYPED OR PRINTED <br />Including the porbnlly or nor and Imprisonment for knowing violation <br />OFFICER OR AVrHORIZED AGENT J <br />CODE NUMISER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA Irons IReferenco M errsrnmenrs nere/ <br />SO!. IDS <br />LIMITS tAPPL TED FOP 7=10YR, 24HR <br />RFC TP <br />EVENT; <br /> REC 1 F r . <br /> <br />EPA Form 3320-1 (Rev. 3(99) Previous editions may be used. TLus is a 4-pan form. PAGE OF