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PARAMETER
<br />I certify under pens
<br />supetvtvon in accondmca with a system designed to a a su that qualified personnel properly gather and
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<br />evaluate the information m submitted Based on my inquiry of the person or persons who manage the
<br />system, or those persons directly responsible for gathering the in the information submitted is,
<br />to nalties for submitting fa wtormatin, including the pos of fine and imprisonment for knowing
<br />QUANTITY OR LOADING
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<br />VISU
<br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
<br />I certify under pens
<br />supetvtvon in accondmca with a system designed to a a su that qualified personnel properly gather and
<br />f t lttyy flaw that this document and all attachments were prepared under my direction s
<br />evaluate the information m submitted Based on my inquiry of the person or persons who manage the
<br />system, or those persons directly responsible for gathering the in the information submitted is,
<br />to nalties for submitting fa wtormatin, including the pos of fine and imprisonment for knowing
<br />Y /
<br />TELEPHONE
<br />DATE
<br />�, �+ 3a
<br />It 4J*
<br />e il e
<br />� /
<br />�� /� / �
<br />SIGN
<br />UR
<br />PR
<br />PRINCIPAL INCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code
<br />NUMBER
<br />MMIDD/YYYY
<br />TYPED OD
<br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different)
<br />NAME: CAM Mining LLC
<br />ADDRESS: PO Box 98-
<br />Loma, CO 81524
<br />MUNGER CANYON MINE
<br />3148 HWY 139
<br />LOMA, CO 81524
<br />FACILITY:
<br />LOCATION:
<br />ATTN: Richard Boone, Sr VP
<br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />FROM
<br />COG850061
<br />PERMIT NUMBER
<br />001 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY
<br />04/01/2011
<br />MM /DD/YYYY
<br />06/30/2011
<br />TO
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />Settleable solids limit waived for 10 -yr, 24 hr precip event subject to burden of proof requirements in Part 1.8.6. Any additional data shall be supplied to the division within 48 hours.
<br />DMR Mailing ZIP CODE: 81524
<br />MINOR
<br />Discharge to Munger Creek
<br />External Outfall
<br />Form Approved
<br />OMB No. 2040 -0004
<br />No Discharge Qv'
<br />05/18/2011 Page 1
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