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PERMITTEE NAWADDRESS0 Far IhrYN-WLorar,w(fD(fe- <br />NAME <br />ADDRESS <br />U. IIC]X 9F3 <br />_)MA CO 81 x)24 <br />FACILITY ?.CLANE CANYON MINE <br />LOCATM ,-,A CO 81524 <br />ALTER WH I TLEDGE, MINE MGR. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTE/N I(NPOESI <br />DISCHARGE MONITORING REPORT /DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MIN <br />% avur" uw <br />F - FINAL GRF <br />SEDT POND DSCHRG TO E SALT CR. <br />?f <br />A <br />NOTE: Read ktatructions before completing this form. <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 " ## PORT7 <br />x####?r <br />< j[ ir? <br />- #il # <br />t <br />v ! ?'.!. <br />_ .i `. REQUIREMENT 7' MAX <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cert,ty a r pen. t. a. that thh document and alI attachments .ere TELEPHONE DATE <br /> prepared under my dirsctlon or super.ldon In accordanee with a system designed <br />?r! C _ to more that quanned Ptnonnel property gather and evaluate the Infornytbn <br />Submitted. Bawd - my Inquiry of the perum - pereorr who manage the system <br />%? rj ? r <br />L? - YlQ / <br /> or those persae dimlly resportdbte roe gathering the Information, the Information ? <br /> <br />r? < <, <br />- submitted It, to the best of my knawledge and beset, Ime, w•n,rste. and complete. <br />1 am aware uat there .re ta <br />dfleam <br />enalsee Ior s <br />hmluin <br />r.lw tnrnrm.tt <br />n <br />GNA E OF PRINCWAL EXECUTIVE ?/ <br /> <br />?2 O Y O <br />. <br />PFDOR PRINTED g <br />p <br />g <br />a <br />o <br />. <br />Induding the pedblllt± of fine and Impr4eonment for kmwing %Wsllorn OFFICER OR AUTHORIZED AGENT <br />ARE <br />ODE NUMBER <br />C <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIVLA I ION5 (Reference elf attachments hers) <br />r ?FLF LIMITS APPLItFD FOP. 10`'F?. '?4HP, RECIP Fk.!EhIT. <br />EPA Form 3320-1 (Rev. 3/99) Previous edibons may be used I1k6 jS & p$fl COr?TI. PAGE OF