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PERMITTEE NAME/ADDRESS(1nt6ii*rAyNarrLerwian(/D(fnwu) <br />NAME <br />ADDRESS <br />BUA 48:1 <br />rvIA CO 8142 <br />FACILITY r_, IDN I E NO. 2 MINE <br />LOCATIONP t=,C tJ I A CO 8142 <br />W LLIAM A. BEAR JR. a MINE MGR <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YE 4R D Y D Y <br />FROM TO - <br />Form Approve <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />WWTF TO DEER TRAIL DITCH <br />r.. =r'HARGE I _ <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX f;tE°uENCV <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE r r s :. - <br /> MEASUREMENT <br />;) G PERMIT : i .: : ## It #### x I< i' tJ AL C, 117 <br />" •'!_J, <br />!FLUEN ' REQUIREMENT ' A AVG MX 7D A11 ! 1 <br /> <br /> SAMPLE _ <br /> MEASUREMENT <br />l 0 PERMIT ,?#st # a E#oif# '3 t.s <br />;JENT GRO`- -- REQUIREMENT 301) A VG Ihk 7D AV !°1Oiv i ?i <br /> SAMPLE <br /> MEASUREMEW- <br />_ T is ,r c _ <br />rt Cl` r%EQUIREMENT MINIMUM I?i:iX I MUM <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT #le## # U VI •; <br />;ENT REQUIREMENT 00DA A'.'r= MX 71) AV MONTH <br /> SAMPLE <br />ME <br />EMENT <br />SU <br /> A <br />R <br />O 1 C' ) PERMIT k rv 7 - s t- r. t:.K r t. <br /> <br />r". REQUIREMENT ;3C?DA AV Ae? `TINT} <br /> SAMPLE - <br /> MEASUREMENT -- <br /> <br /> PERMIT k .. - . <br />+.JEN r'1 ti.. REQUIREMENT INST MAX ` . , <br /> <br />I Ur. SAMPLE <br />i R MEASUREMENT <br /> _ <br />- - - .: <br />?PERMIT <br />REQUIREMENT ".IBA AVG DAILY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I ",my under penalty o Is. that this document and ap attachments were TELEPHONE DATE <br />prepared tender my d!rectIm or supervlnlon In aetordanre with • system designed <br />to ensure that qualified personnel property gather and evaluate the inforrnalion <br />submitted. Bred on my Inquiry of the pre ar pertoer who manage the system, <br />r <br />; 1 • . <br />or chore Its min directly resporelbir <br />oe gathering the Information, the Ininematlon <br />submitted is, to the best of urry knowledge and beW. true, scrurste. and complete. <br />I am aware that there are slgnif "I <br />enalties for submittin <br />hoe In -tton <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> p <br />• <br />g <br />TYPED OR PRINTED Including The possibility of line and Imprisonment for knowing . rt.unmi OFFICER OR AUTHORIZED AGENT CREA HUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIVLA I IVN5 (Reference en effschmenis hers) <br />INSTRUCTIONS <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used <br />I. C. 10. PG. 10. <br />00329