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PERMFTTEE NAME)ADDRESStlma-4iaANryN..WLorariew(/Dl wwa) <br />NAME <br />ADDRESS <br />?3. BOX 483 <br />=;)NIA CO <br />FACILITY ' J I E NO. 2 MINE <br />LOCATION ?NIA CO <br />iLLIAM A. BEAR JR, MINE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM I/NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />114 " FROM TO <br />MGR <br />Form Approved. <br />OMB Na. 2040.0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />DSCGH OF SR TO GUNNISON RIVER <br />NOTE: Reed Irtetructlone before complaWo this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ... s 4.1 <br />? <br /> MEASUREMENT <br /> PERMIT , K#3t## itttaE##3r Itilsit?i q G I-EKL4' IT1 <br />i. REQUIREMENT <br />MFG k e <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />#ic <br />rr? <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###it': ####fF'4 #)t## REPORT REPORT <br /> " <br /> REQUIREMENT }j)A A',JG <br />`f DAILY ?^ )l f f JI??H <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ## p 4E tt?F ##iF#'## # IF?f : + 30i) o 6000 NC £ / =>' <br /> REQUIREMENT -0DA DATLY MX. <br />_ SAMPLE <br /> MEASUREMENT <br />0 PERMIT r t >I w y :t 10 'ONT It, j, <br />. REQUIREMENT INST MAX GENT <br />0!4DOI i SAMPLE <br />;''A'NT P MEASUREMENT <br />C' Q PERMIT aCN! iF' .? I:k <br />NT GRO`_: REQUIREMENT <br />>tl1iL) t.?.. SAMPLE <br /> MEASUREMENT <br /> <br />-Z F? <br />PERMIT rhU ,?. <br /> <br />_ <br />REQUIREMENT 1 r•'`=: i MAX <br />NAMElTfTLE PRINCIPAL EXECUTIVE OFFICER t rervty " r penalty o taw that this document and all allachments were TELEPHONE <br />A DATE <br />prepared under my ellmlion or super. <br />m In accordance with a system designed <br />to asure that quafined personnel Property gather and erdusle the Inferwratloe <br />submitted. Based on my inquiry of On person a Persoro who manage the system, <br />/ <br />y <br />or those persons dlmlly mperdble law gathering the Informatloq the Information - • - i <br />submitted K to the best of m <br />hrrowteti <br />e and bdW <br />I <br />j <br />d <br />l i <br />y <br />.. <br />g <br />, <br />rre, a m <br />e. an <br />Boa p <br />e. - <br />I am aware that there are si <br />nificant <br />enalties roe s <br />bmetun <br />raise lnro <br />SIGNATURE OF PRINC#AL EXECUTIVE <br />, <br />tt <br /> g <br />P <br />a <br />g <br />r <br />e. <br />on, AFIEA <br />TYPED OR PRINTED im*ading the possibility of fine and Imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference 0 attachments here! <br />Hp Pr?FC TP EVF:NT ? CLAIMED. TF CLAIM AP'PROV'ED RY I.ICCr. <br />A. 3, PP :I FOR f r ' C. L <br />e e: L f is i? T i irjq-'f i I' ~ ?= <br />EPA Form 3320-1 (Rev, 3799) Previous editions may be used. - r t) r_ OW*F,ES 3 4.-plF I[Orm. PAGE OF