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PERMITTEE NAME /ADDRESS (Include Facilil),NamelLocation if Different) <br />NAME <br />ENERGY FUELS COAL, INC. <br />ADDRESS ':3OUTHF I ELD MINE <br />F. 0. BOX 459 <br />FLORENCE CO 6122:6 <br />FACILITY r30UTHF" I Ei.._D MINE <br />LOCATION -FLORENCE CO 81226 <br />i= r M T 11JF 11(* r"R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040 -0004 <br />MINOR <br />(SUBR TV) <br />F — FINAL �'RMNT <br />POND 5 RUNOFF TO MAGPIE CREF <br />i<-�il r:.IO 1—',ISC:HARGrE I _ <br />NOTE: Read Instructions befor6 leting this form. <br />PARAMETER <br />>< <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF <br />SAMPLE <br />TYPE TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />I MAXIMUM <br />UNITS <br />H <br />SAMPLE <br />MEASUREMENT <br />040,) I 0 <br />PERMIT <br />5 <br />'!'r !_ kjFNN"F °=FC 717-9 VALU; <br />REQUIREMENT <br />TT-!l <br /><LE <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />C rl Irh) r I ". F`3 VALU <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />552 0 <br />..FFLUENT GRCir_t-' t %c >_; i i� <br />REQUIREMENT <br />'LOW, 1IN CT[15 <br />SAMPLE <br />HRU TREATMENT PLANT <br />MEASUREMENT <br />PERMIT <br />0050 t 7t w <br />- <br />REQUIREMENT <br />SAMPLE <br />I <br />I SUAL <br />MEASUREMENT <br />PERMIT <br />�s 3�?a R s st <br />rvp i:titti+ � <br />?4066 1 0 7 <br />L'LUENT +7R0 SS VAL'tt_ <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />/ <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />O <br />I <br />PERMIT <br />\`II <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were <br />prepared under my direction or supervision in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the information <br />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 />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />�f2% <br />TELEPHONE <br />DATE <br />114 W <br />"� C ' <br />(� <br />T� 7 <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />L;UMMtry I5 ANU tAFLANAI FUN Ur ANY VIULAI IUN1 (Hererence an arracnmentS nere) <br />—C IP EVENT SUBJECT' TO BURDEN OF PROOF REQUIREMEN —S IN PART <br />I. B. �. �? *dY ??�F??TtCtt1A1 '7ATr? 4- !?1__.N_ BE SUPP ?._TE.i} TO THE I)I'w'ISIC!N WITHIN �4E3 HO P� <br />EPA Form 3320 -1 (Rev. 3/99) Previous editiors may be used. This is a 4-part form. PAGE OF <br />i;'C;S 1 •� i <br />