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PERMITTEE NAME,ADDRESS dnclvd, Pkiriliri- Santo !..cation i(Diffiefe•nq <br />NAME <br />.J . ;.. I"PANY. LLC <br />ADDRESS is 1 I v CAN i(LIN M I NZ <br />WE 337' MA I N JTR EE ` <br />N I DAD O 810El;? <br />FACILITY ,_NC I TO CANYON MINE <br />LOCATION .. TON CO 81091 <br />. mAl, T) ,, Z"Eiflhft?Sl?P•i, Af:filvT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />PERMIT NUMBER DISCHARGE NUMBER FINAL A"IA4 <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT s . c ., a i, c <br /> <br />` W I C 'E <br />i <br />Fit :- i t ,. t REQUIREMENT i I t "; r (•jL'(.: i rt <br />'. SAMPLE - r z > <br />c-r -W MEASUREMENT <br />,.;f';-•: PERMIT 4 iii: CF ;f1AL <br /> REQUIREMENT ;;•F. =t', i_ <br />.. iTF, <br />I SAMPLE - ?f <br />( MEASUREMENT <br /> PERMIT <br />I - AV <br /> <br /> <br />r O?.c J:a <br />- <br />:'J 7 <br /> <br />REQUIREMENT <br /> <br />I <br /> <br />?r •; .. <br /> SAMPLE <br />MEASUR <br />MENT <br />r" D i _ "JE E <br />a PERMIT 7 #### * REPORT Fii.,-ORT <br />i.-,SS VALi- REQUIREMENT }ij ; A`1G Fi <br />_ SAMPLE r ,. <br /> MEASUREMENT <br />- PERMIT :T tirs? ..,• A :y fi7rbr'rr?F i7NT I (•.r i? : , <br />L <br />5) t <br />;A L <br /> <br /> <br />EQUIREMENT <br />i NDIJ 1 T OR SAMPLE i <br />THRU TREATMENT PLr,r•_ MEASUREMENT <br />ty:,,c, 1 rj PERMIT P P+?P Y f?F;"iJR' # 3 tit4 w 17h1TI1'! .. :_'r. <br />['Fi 0Y-.NT '.; r% '....i `/AI .. REQUIREMENT rI !10U5 <br />',I'd'i GF"- SAMPLE f <br />hi -; : i; MEASUREMENT <br /> PERMIT - # i:vz <br /> REQUIREMENT X <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I ccmtj under peneln of law that this document and all attachments were <br />d <br />d <br />d TELEPHONE DATE <br /> prepare <br />un <br />er my <br />trcanon or suNr%ision in accordance with a svSlem designed <br />(11 :Lsstrre that qualdied personnel properly gather and evaluate the infomtation / <br />r•' :' r /. (, i' Submitted- Based on my inquiry of the person or pets,ns who manage the system. 1 / ?/ r f ?i'• ./ .-'... <br /> or those pemms dtrn.tly responstblc for gathering the information. the information <br /> <br />- ?uhmitted is. I,, the he -t (if my knr.wledge and hchet. tr c accurate. and Somplete- <br />I am aware that there art <br />miti <br />vn <br />tti <br />, . <br />hat non <br />u- <br />Writ <br />s t <br />f <br />l <br />? <br />n SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED ., <br />, <br />r <br />• <br />a <br />e <br />. <br />e <br />a <br />se <br />, <br />nr a <br />on <br />,lading the rx„ahila t fir, an.' intpnsoniTmo for kn- ritiol.itium <br />OFFICER OR AUTHORIZED AGENT <br />AREA NUMBER <br />CODE <br />YEAR <br />MO <br />DAY <br />k,UrdIMG17 r.7 Mf7u r-AluanMIIUN Ur MfV T VIVLMIIVI`fJ IfTCIClCflGC Ulf OIIOGrrrrr6fr15 n6n:J <br />CiP EVF`'T c31,1P•.JFC'.'- T1_1 r?URIDEN Or' PQQ- f'! c- f'1:7gII[-r.II Y" <br />EPA Form 3320-1 (Rev. 3/59) Previous eddiors may be used. i ' U44 t L ¢Pte , fOrnt PAGE OF <br />? ..) ? ?.'