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FERMITTEE NAME/ADDRESSpwe"Fw4iryN..?Lo .tim tfDOW%w) <br />NAME <br />ADDRESS 7 r <br />L L.!n 46J <br />i'ADNIA CO 8142 <br />FACILfTY BOWIE NO. 2 MINE <br />LOCATIOFF'AONIA CO 8142 <br />T WILLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SrSTEm /NPDESI <br />DISCHARGE MONITORING REPORT I'D R1 <br />PERMIT NUMBER DOSCHMGE NUMBER <br />MONITORING PERIOD <br />Y R MO DA Y M. DAY <br />FROM TO <br />Form Approved <br />OMS No. 2040-0004 <br />MINOR <br />(5UOR MH) <br />F - FINAL DEi <br />WWTF TO DEER TRAIL DITCH <br />NOTE: Read inebuctlorne before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br /> <br />EX FRECUENCr <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />O PERMIT t] 1 7 -7 --F 77 <br />GROG ''A'. REQUIREMENT ?OPA DAILY <br />`..._ SAMPLE _ <br /> MEASUREMENT <br /> <br />0 0 <br />PERMIT J L <br />GROSS VALU REQUIREMENT INST MAX <br />M, m . t SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br />r F LUFNT <br />REQUIREMENT 30DA AVG MX7DGE0A MONTH <br /> SAMPLE -. 7 <br />i SUAL MEASUREMENT <br />6 PERMIT _ .. _ <br />-UF' REQUIREMENT II`5T MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITTLE PRINCIPAL EXECUTIVE OFFICER Ia.. Ihal this duvmrM end at$ attachments were <br />TELEPHONE <br />DATE <br />pr:pared under my dlreclton or supenlslon In accwdann with • Belem designed <br />to Was" that qualified personnel properly gather and evaluale the Information <br />' <br />sobrdlied. Bred on my Inquiry o (the person or perslme who manage the tystrm, - i <br />- - <br />or those persons directly misorMble for gathering the Informaticak the Information <br />- aab"Iled if, to the belt of my knowledge and belief, Iroe, smrrste. and compk(e. <br />SIGNATURE OF PRIFICWAL EXECUTIVE - <br />th <br />t th <br />i <br />nificant <br />n <br />lti <br />f <br />b <br />i <br />- - 1 <br />ltti <br />r <br />i <br />f <br />t <br />- a <br />ere are s <br />g <br />pe <br />a <br />es <br />n <br />am swan <br />or sa <br />m <br />ng <br />a <br />se <br />orma <br />ion. AREA <br />TYPED OR PRINTED Including The possibility or fine and tmprta°nmrnt for knowing violations OFFICER OR AUTHORIZED AGEFfT I <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference a# attachments here) <br />r a'RI, INSTRUCTIONS - I. C. 10 <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used <br />'G. 10. <br />0032r' T.NrJ$44-pan form.