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PERMITTEE NAME/ADDRESSp rl.rrFaNkyN.+?L«ula.(/D(fW.wr) <br />NAME <br />ADDRESS _ "-i, i i• <br />LOX 483 <br />I A t.0 81428 <br />FACILITY E y0. 2 MINE <br />LOCATION 1A co 31428 <br />- ? ? rw 1vT n t9 ,rY h•T Rlir MC'f7 <br />NATIONAL POLLUTANT OISCHARGE ELIMINATION SY3TEIN /NPOEM <br />DISCHARGE MONITORING REPORT ID R) <br />PERMIT NUMBER DISCHARGE Nl1MDEit <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />t SUBR M" <br />F - FINI <br />3R; DEEP <br />NOTE: Reed Insttvctlom bsfors completing this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUfNCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ?• h _ ..: .. : I s <br /> REQUIREMENT <br />IF ; _ <br /> SAMPLE <br /> MEASUREMENT <br /> <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 /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />E PRINCIPAL EXECUTIVE OFFICER I "ruty under pen. ty o (law that this document and all .uacnlnents were TELEPHONE <br />T DATE <br />NAME/ <br />i7l <br />prepared under my direction or sup- on, In accordan" with a system designed <br />to ass." that qualified personnel property gslher and ts.hrale the Infornution <br />submitted. Dowd on my Inquiry of the person or pers cts who manage the system. <br />or those persons directly "sponsibk for gathering the Informollon, the Inform.llon <br />submtt(ed Is, to the best of my knowledge and bdW, true. accvrale, and completr. <br />SIGNATURE OF PRINCWAL EXECUTIVE <br /> I am aware that there." significant penaltlea for nrbrrelleng false Informatbn. <br />ARIA <br />NUMEIER Y <br />TYPED OR PRINTED Im- oding the possibility of fine and Insprisoetment for knowing clolaUwn OFFICER OR AUTHORIZED AGENT ODE <br />C EAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference sM strachments here) <br /> <br /> <br /> <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used This IS a 4-Pall form. PAGE OF