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PERMI TTEE NAME/ADDRESS trae?r4 fwrWryNosa Leravlew I/D(OF?1 <br />NAME LL <br />ADDRESS <br />13UX '>S <br />1A CO 815 <br />FACILITY ; , -LANE CANYON MINE <br />LOCATION A CO E31 S <br />',LTER WHITLEDGE., MINE Mc,,R <br />NATIONAL POLLUTANT OfSCHAROE ELIMINATION SYSTEM I(/NPDESI <br />DISCHARGE MONITORING REPORT /DMRI <br />PERMIT NUMBER Ej I OISCHMIOE NVM.m <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />;EDT POND DSCHRG TO E SP <br />t* ; : SCHAF i;E I Al ### <br /> NOTE: Read Inetru ctlone befo re com pleting this form. <br />PARAMETER QU ANTITY OR LOADI NG QUAL ITY OR CONCENT RATION NO. rnEOUENcY <br />of SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALVsts TYPE <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT is ## ?t E# <br /> <br />REQUIREMENT ###x 6. 5 fit #i# ?5 r 9. (7 <br />11~FL ? r,tr ? <br />a, <br /> <br />SAMPLE • MINIMUM k'1A}.' I i''lUri <br /> MEASUREMENT <br /> <br /> PERMIT ?? + k tE ?1' <br /># i? - <br /> <br />REQUIREMENT ; <br />r # ### , 74 NC F= / GRAB <br /> <br />SAMPLE -UA AVG DAI1LY MX "-I::- MON7 <br /> MEASUREMENT <br /> <br /> PERMIT <br /> <br />REQUIREMENT REPORT GRAD <br /> SAMPLE <br />DAILY MX <br />MONT <br /> MEASUREMENT <br /> <br /> PERMIT <br /> <br />REQUIREMENT B <br /> DAILY <br /> SAMPLE M ice!; t r:. <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT ; :n !N.i. I ";3i-:. ,f3 <br />. U I SAMPLE <br />INST MAX <br />: ENT <br />T F MEASUREMENT <br /> <br /> PERMIT f- - <br /> REP <br />-RT --r <br />PORT <br /> <br />REQUIREMENT -9- *' i T 3i lc?k## 1L_`-i?.L 171 i 77 <br /> WL, LY MX <br /> SAMPLE <br />uA? MEASUREMENT <br /> <br /> PERMIT ?k_, r##it tt ' <br /> <br />REQUIREMENT <br />f :-- ###it d <br />r ## aFil ##F < <br />` )F! <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' Cet"y ° er wn' n ° law that this doc"unwnt and Of allachments were <br /> prepared under my dirrrtton or mper"xion In eeeord.n- with a system darned TELEPHONE DATE <br />G to cart the( q.Oned personnel properly gather and evaluate the Info <br />ti <br /> rma <br />on <br />submitted. Dowd on my inquiry or the prr o or perm who manage the system, <br />t <br /> or <br />hose penury directly responsible for gathering the Information, the Information <br />submitted b, to the best army knowledge and better <br />Irue <br />t <br />.. , <br />, accur. <br />e. and complete. <br />I am a..- that then <br />i <br />WIS <br />, <br /> <br />TYPED OR PRINTED an s <br />r <br />ca"t penaitle for submitting false information. <br />Inctudin <br />the <br />°eiblllte <br />f D <br />d I SI MATURE OF PRINCIPAL EXECUTIVE <br />/ <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOL g <br />p <br />o <br />ne an <br />mpMonment for knowing violations. <br />ATIONS /Roterance aN artachmenta hare] OFFICER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAY <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, & SETTLEABLF= SOLIDS LIMITS APPLIED FOR 10YR,24HR FFCIP FVPr'17 <br />1 n t i o, t r- Z1-,, _ c - - <br />r. <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used 'Ej-,$ a4-pan ?laflTl. PAGE OF