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PERMITTEE NAME/ADDRESS Raa,&d.F.rwyx..?Leeatwt/D(Qbwu/ <br />NAME <br />ADDRESS <br />13OX 98 <br />A CO 8 <br />FACILITY LANE CANYON MINE <br />LOCATION i A CC) a <br />!_TER WHITLEDGE, MINE MGR <br />NATIONAL POLLUTANT 04SCHAAGE ELIMINATION SYSTEM (NPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO, I DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />R D <br />) <br />( UB <br />W <br />1= - FINAL <br />SEDI POND DSCHRG T GRFLD <br />O E SALT CR. <br />Z-A <br />NOTE: Road IrmtructIone bofwo completing thin 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 # !F## i <br />6 5 <br /> <br />:: #4 <br />_ • i, f'? • REQUIREMENT M I N i MAXIMUM <br /> <br />` 771 L- SAMPLE <br />PE N D F MEASUREMENT <br />- <br />% i <br />PERMIT <br />### <br />i+##### <br />###iF 70 7= <br />Nit. <br />F) ?_!'l ( REQUIREMENT ?i0DA DAILY MX MON fi <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT +i ## #### # <zitit st##il Gi7y'• <br /> REQUIREMENT DAILY MX MONT <br /> SAMPLE <br /> MEASUREMENT <br />C: PERMIT r ?t# #?ti?iE#?? j IJU UC1V '1'?1 <br />v <br />:: - REQUIREMENT 30DA DA I L_ r MX MONTF <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # 1?sr ## ###### : * : ###lI 1 <br /> <br />hI; REQUIREMENT ; N" f •1A.X yEt. ' <br /> SAMPLE <br />r:: A 1 Wii.f: I MEASUREMENT <br />a. C D PERMIT <br />ORT <br />PE-PORT <br /> REQUIREMEN F i I LY MX <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT ?. <br />I "11.1y under penalty law that this document and aB allachn ente were <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />Prepared under my direction or wper./>fon In aecordanm with a cyetern designed <br />to inure that quallfled personnel properly gslher ¦nd evaluate the Infornut0on i / <br />rbmllted. Bred oar my Inquiry of the person or penas who manage the tyterm <br />J <br />t <br />or those persons dlrerlly reaporrdble for getherlrtg the Information, the Infornrliort --' , <br />eubwdIIed Is, to the bell of my knowledge and beMef, trw. arcumle, and cornplele. <br />1 am aware Ilfat thrrr ere etgnltkawl penOttn For submitting feler Information <br />ZI ATURE OF ?RINCfPAI EXECtJTTVE <br />- " <br />[ <br /> , <br />Inei <br />di <br />b <br />i' <br />f AREA <br />TYPED OR PRINTED te <br />ng the posd <br />it <br />v of flne and Impr <br />sonniarnl for knowing rloladorei OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ad attachments hare/ <br />r} TM?TS PPL D Fr,-, =Ir7',. ?_11aF? ? <br />-? I - h+^?r + f e i I+ i .. M <br />EPA Form 3320-1 (Rev 3/99) Previous edfbons may be used. Thwy$-4 }-pan fOETn. PAGE OF