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PERMITTEE NAMEIADDRESSp.&.rf.rwyNeaWLe rle..VDI¢e.wl <br />NAME <br />ADDRESS <br />liUx <br />,4IA CO 81428 <br />FACILITY 'E NO. 2 MINE <br />LOCATION J I A CO 814218 <br />_LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM fNPDESI <br />DISCHARGE MONITORING REPORT M RI <br />PERMIT NUMBER OISCHMIOE NUTASER <br />MONITORING PERIOD <br />D <br />YEAR M DAY I YEAR I MRI AX <br />FROM TO <br />Forth Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR MH ) <br />F - FINAL DELI ^, <br />MINE DRAINAGE TO GUNNISON RIV <br />NOTE: Read kntructlone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />of SAMPLE <br /> <br />TYPE <br /> ANALYENS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ... „ , _ . <br />= REQUIREMENT MINIMUM , A X I MUM <br />-" SAMPLE <br />ENDS- : MEASUREMENT <br /> PERMIT <br />7 <br />t_ JEN REQUIREMENT 30DA AV G 1y MX <br />%r Lsl?}TN <br /> <br />. „ SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 30 1) A AV" DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />tJt1?J 4'' REQUIREMENT INST MAX VENT <br />. SAMPLE <br /> MEASUREMENT <br /> <br />7 PERMIT <br /> REQUIREMENT -,0DA AV--; ;LILY MX <br />" <br />ef SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT .. <br /> REQUIREMENT I :. > MA X r . <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' fen'y under pen. ty o In. th of 'his docr meni and .11 .l tachmertb .ere <br />TELEPHONE <br />DATE <br />Prepared under my direction or fYPeeel>fon In accordance with a "stem designed <br />10 "sure that qualified personnel Properly gather and evaluate the Informellon <br />submitted. Board on my Inquiry o (the Person or Persons who manage the syttem. .. <br />n <br />ibt <br />th <br />tl <br />f <br />therin <br />I <br />r <br />n <br />I <br />f <br />di <br />th <br />th <br />ti <br />rec <br />y mpo <br />s <br />e <br />or ga <br />g <br />e <br />n <br />orma <br />e. <br />e <br />n <br />orma <br />or <br />on <br />an Perms <br />submitted h, tothe best of my knowledge and belkf, 1rwe. seramle. and eomplNe. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />t th <br />r <br />i <br />ifl <br />ltl <br />f <br />bmit <br />r <br />m I <br />I <br />th <br />t <br />i <br />f <br />ti <br />_ <br /> am aware <br />ere a <br />e s <br />gn <br />e"a <br />Pena <br />ng <br />a <br />n <br />a <br />e2 <br />or su <br />t <br />orma <br />on. AREA <br />TYPED OR PRINTED Including the pondbl9ty of eae and Imprisonment for knowing vlutailorm OFFICER OR AUTHORIZED AGENT CODE NVMEiER YEAR MO DAY <br />I COMMENTS AND EXPLANATION OF ANY v1ULA t IUNS IRererence un arrscnmdnrs nerej <br />INSTRUCTIONS - I. C. 10, PG. 10. <br />EPA Form 3320-I iRev 3,'99) Prev ous ed t,rrs ma} he csf'! This is a 4-part form