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PERMITTEE NAME)ADDRESSpftalw*FaikeyNamaIL««r°wt/D(#6mns) <br />NAME <br />ADDRESS <br />'3• BOX 98 <br />lA CO 8 <br />FACILITY LANE CANYON MINE <br />LOCATION "1A C.O 8 <br />?L TER WH I TLEDGE, MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (INPDESI <br />DISCHARGE MONITORING REPORT (DMR) <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 />MINOR <br />(SUBR DW) <br />F - FINAL <br />CHRONIC WET TESTING <br />NOTE: Reed 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 ;< a.?, • REPC ## =# <br /> REQUIREMENT I NV C, . <br />i; SAMPLE <br /> MEASUREMENT <br /> PERMIT ; - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #Nxii'?t F)EPORT ?t#### u#yt##3F ;TrY(_'r :;rte:::;:. <br />r REQUIREMENT S I NGSAMF <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .. #•sF'dE # <br /> REQUIREMENT MN VALUE <br /> SAMPLE <br />uiiFlr t'if i i rN GHRC; MEASUREMENT <br />P h Q PERMIT REPORT <br />:?,. <br />s <br />}:_ <br /> REQUIREMENT u i NGSANP <br /> SAMPLE <br /> MEASUREMENT <br />_ PERMIT REPOt`t T ##1s## i-- - <br /> REQUIREMENT MN <br /> SAMPLE <br />- „• ,; MEASUREMENT <br />PERMIT #t "3F -".### FEE l?1` ':•## n;.:_ r ; - <br />REQUIREMENT Y <br />NAMErnnE PRINCIPAL EXECUTIVE OFFICER 1 Ct11y under pens sw that this document and all attachments were TELEPHONE DATE <br />prepared under my direction or supervision In accordance with a system designed <br />' . f to swum that qualined personnel properly gather and eeduste the Information <br />Y l ". s°bmltted. Band on my inquiry of the person or person. who manage the "em, <br />?r <br />or thou persons dlmrlly responsibie for gathering the inforrratlon, the Information <br />submitted is, to the best or my knowledge and better. true. accurate. and complete. `? /v / <br />th <br />t th <br />m ar <br />t <br />rtln <br />e <br />ltk <br />f <br />b <br />itti <br />r <br />n <br />1ONATURE Of MINCIPAL EXECUTIVE <br />I <br />t <br />i <br />f <br />ti <br />?/' ` 7 J •>? (? <br /> e <br />e r <br />g <br />ean <br />na <br />s <br />m <br />s <br />e <br />n <br />orma <br />a <br />p <br />or su <br />ng <br />on, <br />¦m aware A1EA <br /> <br />TYPED OR PRINTED <br />Including the posdbfu!y otnar and Immprisonnwr( for kr -Ing 0olatiomL <br />OFFICER OR AUTHORIZED AGENT j <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lReforenCl a# attachments hors) <br />L r?U`=riT % EF-rl I.;FnrT AT Wf - *C'H S'T-IT I^T 1.-'A1 <br />:F a( _ <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. TWs is a 47pan fOFin. PAGE OF