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PERMITTEE NAME/ADDRESS (Tncrrtde Fgnliry Nane/focanon fDif(eenr) <br />NAME <br />ADDRESSBLUF_ MOUNTAIN ENERGY. INC. <br />DE5ERAD0 MINE <br />3b0? %OUNTY ROAD b5 <br />FACIUTYP.ANGLY CO 81648 <br />LOCATION <br />NATOIJAL PglUTANf DISCHAfiGE ELIMINATION SYSTEM (NPDES) FDrm AppfOVed. <br />DISCHMGE MONITORING REPORT (DMA) OMB No. 2040-0004 <br />MINOR <br />t'~PI=~' NCI ER DIStC GEDUMBER (SUBR NW) <br />F - FINAL RBLAN <br />MONITORING PERIOD RA-1 [_OADQUT TO RED WASH <br />YEAR MO DAY YEAR MO DAY <br />FROM „, TO ,~ .,, , At T~ <br />_ _ ... _ . _ _ # #I~OTE~'R6ad IKSYrir[!tfonsr'~a}ornFomoletina this torm. <br />' ~ ~~ ~ _ <br />PARAMETER QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. <br />EX FREOUEN <br />OF SAMPLE <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~~~~ <br />OLIFORM. FECAL SAMPLE ###.x~~ n..p.#au-~ a~it#iE# ( 1;:3) <br /> MEASUREMENT <br />L:ENEkAL <br />:4055 1 G O #~r# ~.. 4:xy *9:. <br /> y <br />uIL AND GREASE SAMPLE #tttt~## ~ ( 94)' - ##~t#~t# #+faEir## ##aa## <br /> MEASUREMENT <br />V I ,UAL _ <br /> _,,; <br /> <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />SAMPLE <br />MEASUREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER it:erury under penelryalaw tl~Nb daamant end atlenacnmeme were TELEPHONE DATE <br />preparetl under my direplgn or auperNSlon in eaortlance wah a system tleelgnetl <br />r ~ ~ LL T ~~ to assure tltel quelifletl personnel properly greher end valuate the inlonnatlon ~ ~~' <br />.~ G ~/ r7 ~ wOmeted. Bssed on my Inquiry of the person a persons who manage Ne system, <br />_ or those persons tllnxtly respon9ide br geNedng the M,lortretlon, tha Inbmetlm <br />submiXatl b , to the basl of my Mnowletlge end Oellel, tn,e, eccurete, entl mmplete. <br />h I em aware V~ thae era sl rafcarR SIGNATURE OF PRINCIPAL EXECUTIVE •-'J7, ~c'u ~ ~ <br />TYPED OR PRINTED g penalties for eWmittlng false Inbm,eaon, OFFICER OR AUTHORQED AGENT <br />eKYUding the~ooasIEIIIN OI Hne end lmpilsonmem for lawwinq NOlaeans. rnn~ NUMBER .YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all eltechments here) <br />O].L •:< GREASE REPORTING-SEE I. B 1 F, PG VII. OR~iRLY SAMPLING INSTRUCTIUN:~-I C. B F'G ;,? <br />;, <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. THIS IS A 4PART FORM ~ PAGE OF <br />00094/000222-15th 2 <br />