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PERMITTEE NAME/ADDRESS (Include Facility NamelLocation if Different) <br />NAME `v?tiz IiE !".::73J\.IRtc,.E"S' LLC <br />ADDRESS 900.1 Z E .?I?. I MINES <br />P A0"At 7, A GO 81428 <br />FACILITY <br />NO. I MINES <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) Form OMB No. Approved. <br />roved. 004 <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER .- FINAL MONITORING PERIOD f :05•,:11-1 TO E. RE};.TCAP <br />YEAR MO DAY YEAR MO DAY -?- <br />1 '3 .d `f** lcirr5cI31t{a l: 4 i?at <br />FROM Cjt kC1 'j TO 41"3r IT-1 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE t4 : S? fi s'r?'r it ""' ? sf « t i P r ) <br /> MEASUREMENT <br />30:. t0 ? J u PERMIT :, xst ?> 3 ?. t?rvY ?. 3t{I :, ?; 3.^Sp :. s ' _d fisi <br />"B k°w"."t z-; 1,"iEti it l I IT REQUIREMENT k Pry I`'€7,N1:' iJ?4 r'=' x F. VP _ HIE'" H <br />t 4 r SAMPLE <br />cdt <br /> <br />5U 0 P Z_ K11; 0 :F',? <br />MEASUREMENT A/ <br />C0530 ] ? PERMIT ICr J r"?IS+;: <br />Y•'S t ='t11. 3r? 41 ft g l> REQUIREMENT : ? ii tr 3"?, t <br /> <br />w?. Lt rJ <br />Sf\n3 I'.il <br /> <br />t5f <br /> <br />1-J' <br />AA,L <br />E <br />2T v_i <br />L : SAMPLE <br />. <br />_M, <br />?r _. <br />- MEASUREMENT - <br /> <br />a <br />4 <br />PERMIT <br /> <br /> <br />r?`?.Jia"?'." <br />4. <br /> <br />1; <br />.?; <br />:'?; 'n <br /> <br />.h ^F <br /> <br />rr. <br /> <br />".` .:?•-~ <br /> <br />t <br /> <br />;t. T r <br /> <br />?t=: <br /> <br />s- n a r t r,' <br />71FF,z p <br />.?'? .,'}? REQUIREMENT <br />fis :efi a <br />r ?! t <br />3 a t'" ' <br />r ; <br />+ 4. , <br />UP- AND T i•:.j: SAMPLE :5??fr .w> ? #rTz? $: ?:•F» >? ?- wu. T 149) <br /> MEASUREMENT <br />OS`3 C^3 _ n PERMIT ... ?; 115 r. :t •, w fi'.:.... ¢" 01 1 Y tit :i F.:? <br />v_ rFr .N r <br /> <br />:s d iS'11't \)v4? d, i= REQUIREMENT <br /> <br />ii .,tr <br /> <br />i' a: "1 s <br />i:?G rL <br />+w ,t <br />r <br /> SAMPLE v <br />Q?} {,.,<, y f, I:`.. ii c. :rd ;:?'• <br /> ? <br /> MEASUREMENT <br />t 3 <br />g PERMIT P' <br />v A ; i" <br />t ; f r3 <br />,: $ <br />. " <br />=rt ?`@ic.: a .. k?i :c :wii §? <br />§+i t" <br />? }3`; <br />l? f it <br />-i1i $• <br />*a; , .... . . .. <br />. .. . <br /> REQUIREMENT <br />J...iw'w) <br />AL SAMPLE <br /> MEASUREMENT <br />rye {j a" PERMIT r s @. C4; 1y" t M_2 '.r._'t..t :+ a,4'.,3C• <br />a <br /> REQUIREMENT ;. re. ?, t\tr :fu ay. et l P , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were <br /> <br />re <br />ared under m <br />direction or su <br />ervision in accordance with a s <br />t <br />m de <br />i <br />n <br />d <br />r <br /> <br />TELEPHONE <br /> <br />DATE <br /> <br />_ p <br />p <br />y <br />p <br />ys <br />g <br />e <br />s <br />e <br />to assure that qualified personnel properly gather and evaluate the information <br />g,.Z/ F.th G <br />4 submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons directly responsible for gathering the information, the information <br />_ <br />P. o pe r 1 o m .5 submitted is, to the best of my knowledge and belief <br />true <br />accurate <br />and complete. / <br /> , <br />, <br />, <br />m <br />w <br />r <br />1 <br />th <br />t th <br />i <br />ifi <br />t <br />lti <br />f <br />b <br />itti <br />f <br />l <br />i <br />f <br />ti SIGNA URE OF PRINCIPAL EXECUTIVE <br /> a <br />a <br />a <br />e <br />a <br />ere are s <br />gn <br />can <br />pena <br />es <br />or su <br />m <br />ng <br />a <br />se <br />n <br />orma <br />on, OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED including the possibility of fine and imprisonment for knowing violations. CODE NUMBER Y AR MO DAY <br />COMMENTS AND EXPLANAI WIN UI- ANY VIULAiIUN5 (Heterence all attacnments nere) <br />t.'-y`T'"z } ,...V:=11P ;'., b 1f-: i•. '"?5d' t':i L'!ri :?:.!}ir i.?111 k_'!tii Q ..M1^_?j\t <br />y. <br />IEt. .,Y C.1, fi..T11 4,° ?t•? <br />d' . <br />PAGE OF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ; ,; ;?•:, f *;}TS lg a°L) PaS'yEprm. t