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PERMITTEE NAME, ADDRESS Ipi,lude Fu-din A'ama Locwwn r_JDiiferenrl <br />NAME <br />LLC <br />ADDRESS J CANYON MINE <br />WEST MAIN STREET <br />NIDAD CO 8 <br />FACILITY Fi-Xl i-{1 CANYON MINE <br />LOCATION ,..`ON <br />NAl 5 r; Ti•• nm.P! fill. A(.FtJT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 20a0 0004 <br />PERMIT NUMBER DISCHARGE NUMBER _ F I N141 ,,?• <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 <br />VriL V ` REQUIREMENT <br /> SAMPLE <br /> !MEASUREMENT <br /> PERMIT 5 <br />- JI_ r :. ?L11r REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 1'i <br />F ? -:J1 NT GRUIS-, REQUIREMENT <br />.i_ •i i U it SAMPLE I <br />i <br />GTENT I ALLY ` . MEASUREMENT <br /> PERMIT T?EFOF.`t <br />=F t--I l1EN T 13 13C REQUIREMENT ;rA AV <br /> SAMPLE r s <br /> MEASUREMENT <br /> PERMIT t?NrTIN _ `t= <br />GROSS VAL i REQUIREMENT T <br />Lri-)W, IN CONDUIT i SAMPLE <br />HRU TREATMENT PLAN. MEASUREMENT <br />;00F,1:I 1 Q Q PERMIT - rl.- :,N'T s. .: z,•:. " + iv t'.. , <br />EFFLUENT GROSS VA I- REQUIREMENT <br />i;-!E?'I??= AMPLE -;) - <br />17' I; Ul_ MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I--nit's under penaln of lase that this dminnent and all :utachmcnts were <br />d <br />d <br />d TELEPHONE DATE <br />/ prepuc <br />un <br />er my <br />urecuon or supen tston in accordance wnh a .ysrern designed <br />tU -iurc that qualtiei penormcl properly gather and csaluate the mformatiun i <br />i submitted. Based on m} inquiry of the person or persons who manage the system <br /> <br />-- " , <br />or thus- persons dil-WIN responsible for eathenng the mforrnouon, the mfixmnnon <br />'' <br />-- <br />- <br /> <br />umd is <br />in th <br />h <br />t of <br />knowled <br />d h <br />t. t <br />t <br />b <br />li <br />t <br />d <br />l / <br />. <br />i <br />L e <br />ea <br />my <br />ge an <br />e <br />rue, accura <br />e an <br />su <br />ri <br />. <br />e <br />comp <br />e <br />e. <br />w <br />re that they <br />re si <br />nificant <br />I <br />m <br />en <br />lu <br />s F>r s <br />bmarine f <br />lse inf <br />rm <br />tion <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED a <br />a <br />a <br />a <br />g <br />p <br />a <br />c <br />u <br />a <br />o <br />a <br />. <br />including the possibiht' of tine and imprisonment for knowing wnlauom OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br /> <br />I,vmmr-`a iJ mfvu CAr L--Av4mi iwrv Vr FUYT VI VtJAI IV FYJ frTClererlue UII d9lEG111rle1lr51ICIej <br />-CIP EVFPIT F'.'. 1=,--T iC? L't)P(:FN (^F PR(:)OF f?F')1J.1 r <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used This is a 4-pail form. PAGE OF