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PERMITTEE NAME)ADDRESStlm &.&F eibsyNo-WL wi-t(DW&vw) <br />NAME ! TNG, <br />ADORESS <br />J. box '/t3 <br />'11A CO E <br />FACILITY =CLANE CANYON MINE <br />LOCATION MA CO C- <br />,'ALTER WHITLEDGE, MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INPOE$1 <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NWSER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Approved <br />VE 4c 2040-0004 <br />MINOR <br />(SUBR DW) <br />F - FINAL <br />SEDI POND DSCHRG TO E SALT CR <br />GRFLD <br />NOTE: Rood fnstrucdwa fDSfws complel" this fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ,... <br /> MEASUREMENT <br /> PERMIT 0 (L <br /> REQUIREMENT <br />MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?s:: :: ifaF•Ifit ???taf * ?: 7C E:/ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />! PERMIT # 3+# ##si rf## il3t## ## 7 - - REPORT NCE% <br /> REQUIREMENT <br />DAILY MIX <br />MONTH <br />`i7Tr-'.... SAMPLE <br />c MEASUREMENT <br /> PERMIT !t t#1I## ##fF### ## ##tt ',500 7000 )NC., =/ i <br /> REQUIREMENT '.ODA DAILY IvIX „Jf•iT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT' #sI# ?ttf### ;: 1O ,0 14 1"IP <br />_;& REQUIREMENT V-4.1--T MAX ;;F--NT <br />"dbUT l SAMPLE <br />f<LA i'MENT F j__ MEASUREMENT <br />'. 0 0 PERMIT F CJ` r __ <br />RC J. ;. REQUIREMENT A MX <br />! A. SAMPLE <br /> MEASUREMENT <br />PERMIT -r .. . ,. „ <br />OR T REPORT <br />REQUIREMENT -?R TR DAILY MX <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I re"'ly under pen. ty ° ¦w that this """""d'e "`"h"ar"ts "re TELEPHONE DATE <br />prepared under my, dir rilon or pipe on In srcordsnre with • system dedtned <br />to Manure that quelned personnel property rather and erahrste the Information l / <br />{ <br />- <br />- <br />- <br />subrdtted. Based on my Inquiry, of the person or persons who manage the system, <br />/ / <br />( <br />G <br />, <br />or those pet" direcliy responsible for gatheAng the Infen+saUOn, the Infornrtlon v -- -Y / <br />-subrdned <br />W the bell of m <br />knawkd <br />M <br />t and belt! <br />true <br />?/ <br />Isl <br />nd r <br />m <br />/ '/ <br />: <br />kt <br />S <br />• <br /> <br />C <br />I <br />. <br />y <br />, <br />, stsv <br />e. a <br />o <br />p <br />e. <br />. ,? F <br />- <br />.-_ i <br />g <br />/ <br />I .m .ware that there are signincant penalties for sebrdteng raise lnrormatloo <br />SIGNATURE OF PRINCIPAL EXECVTIHE 4; <br />. <br />L' r v <br />TYPED OR PRWTED . <br />Inctueing the possibility or flee and Imprisonnarnt for knowing Or4su? x OFFICER OR AUTHORIZED AGENT A AEA NUMBER <br />COOS YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference sit attachments horel <br />c __f) -TL!S LIMITS r.FPl. I>-n 24HR <br />P'REC IP Z--NTA"f" <br />This 1S a-4-par form. PAGE OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used