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PERMTTTEE NAME/ADDRESS pn~,fr FwrWryNw^~Leertow lJDlQirrenr) <br />NAME <br />ADDRESS <br />l•',OX 433 <br />"CIA CO 8148 <br />FACarrY . I E NO. 2 MINE <br />LocATION~ ~~ I A C 0 81428 <br />- I_LIAM A. BEAR JR. r MIt~E MGR <br />NATIONAL POLLUTANT dSCNMOE ELIMINATION SVSTEl11 /rNP~E$/ <br />DISCHARGE MONITORING REPORT /OMRI <br />PERMIT NUMBER dscHMOE NUMEEII <br />MONITORING PERIOD <br />Y AR MO D Y Y R O DAY <br />FROM TO <br />Form Appro.ed <br />OMB Nc 2040-000a <br />DSC GH C3F 5R i'C3 GUPdN I SC.s€~ <br />NOTE: Rssd k»truetltx» bsfo~s complstlrtp this fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br />EX FREOOUfNCr SAMPLE <br /> ANAIV~s TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE • <br /> MEASUREMENT <br /> PERMIT ,. -s##iP :: ~ ,_: ##it•9F#:r ~~. , <br />• .... - REQUIREMENT = , > ~ M 1 F•l 1. l~IU,'i t~tAiC IMUt'i <br />~~.~ SAMPLE - - <br />- ~_ PI+}'- ~ MEASUREMENT ~ <br />- PERMIT # ~`#~' ~-x##->u-;s- -. ~ i~ #x:~:; ~ _~ ..._-. T r;:~; <br />~F<' REQUIREMENT -. :1C~GFi r+`•:•t i~/"t I!-.Y frX i-iJi'.i?H <br />_ SAMPLE _ , <br /> MEASUREMENT <br />0 PERMIT #-4 #',: ~ r~ ~• .-#### I !,:: <br />r•. ; URO~ REQUIREMENT 3GDA A° ~:~ Dr1ILY MY. i'i. ~`!ul'•i Trd <br /> <br />,_ SAMPLE <br />• -.=, = • MEASUREMENT <br />• PERMIT ## ### ####•It•# -z, ##ir~x-•~ ~' ~G ..O b I 'L, t :• ~ - - <br />!'.1-i _ ~ REQUIREMENT 3G1]A A'.IG DAIi_Y Mk _ ~•'a=1~:i i :-! <br />. SAMPLE _ ,-r - . <br /> MEASUREMENT <br />;7 1 ~~ PERMIT , >-~##~t• _ ~### . ~ ~t•~•tl•# • -~iE i.t,j t :i[v `n. ;= <br />. `,)- ~,;. REQUIREMENt II~ST t~F1X ~~ ~ ~-i:i'~ <br />'-~~•;, !. ~ SAMPLE - <br />• ,:.; ; T F` ~ MEASUREMENT <br />~? PERMIT ~, r , • : ~ ; z <br />• ..',~- REQUIREMENT ~JDA AUu ~;•;<: ~ (_Y MX ,-. <br />_ - ._ <br />f -.- - . SAMPLE <br /> MEASUREMENT <br /> - <br />. ~ - .. <br />PERMIT . ;r ~• x ~ „ - .t_ _ .; ~ti <br />REQUIREMENT LNBT i"IAX <br /> <br />1 ttrlll) u <r prn^ 1) o ^w lh^t Nh donl mtnl ^td di ^11 ^rhmrnb wire <br />TELEPHONE <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFICER <br />DATE <br />prtp^rad under mT dirrttlon a wprr+yon In occord^ntt wltA ^ r~alem dedtned <br />to mart thr qu^Nnrd pe.wnnel proprA~ t^Iher ^nd er^lu^te the inforwl^tbn <br />wlbmllled. hued on m~ Inquiry r Nle Per^ou a prnnu wM nrmte the fnlrm, <br />or Ihtee per^trlu dlrectl~ ttePenYbk fw t^lher7nt the Inrorm^tlow, the Information _ ~ '- <br />wbmllted ht, to the bet of m7 htww4dte and btMer, trm, ^ttvnte. ^tld complete. <br />I .m ..are u^I tnett ^n>dtnlncuM Pen^Ine ror,ttbmlitln <br />lIONATURE Of Ih11NCIPAI EXECUTIVE <br />r^lar Inror.nat{o.~ ~ :: ~ <br /> t <br />. A A <br />TYPED ~ PRINTED Int111dlnt the Poaibinq of one ^rld Imprlaalnwml ror krgwlnt .Id.tlefn OFFICER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANA I wn yr nn ~ vlv~n 1 Ives Irrsrsrsncs sn srrsrnmsnrs nsrs) <br />~R ~'R~C'IP F'JFNT I~' r'1. €>IMED ?F G1_A7r~l APPROVGi? t3Y Wi?!'!), <br />;~-~ r I~1; r :-~; _. - t <br />EPA Form 3320-1 (Rev. 3x99) Previous editions maybe uxd ,,, j ~ ~2 ; ,, ,'his is a 4-p~r~ ~grnl. PAGE OF <br />