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PERMITTEE NAME/ADDRESS(Ind.i Farlbry Nww?L«arlon(/D(fWww) <br />NAME <br />ADDRESS <br />'NIA CO 81428 <br />FACILITY J I E NO. 2 MINE <br />LOCATION I N I A CO 81428 <br />LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTUA //NPDES! <br />DISCHARGE MONITORING REPORT (DANR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y R MO I DAY Y 16-R DAY <br />FROM TO <br />Form APPrOved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL UEL;A <br />WWTF TO DEER TRAIL BITCH <br />- I <br />NOTE: Read IrntruodoFw b*/owe complet" this form. <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 - <br /> MEASUREMENT <br /> _ <br />t1 _ PERMIT :. f u <br />I_UFNI' { hi7S` v,',._ REQUIREMENT llX :. <br /> <br />I DI SAMPLE <br />- MEASUREMENT <br /> PERMIT <br />' REQUIREMENT INST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :. <br /> REQUIREMENT 30DA MX7DGEOA <br />A. i 9R Eft __ SAMPLE r - ... _ <br />-)AL_ MEASUREMENT <br />1 © PERMIT - <br />L- T <br />- <br />-ROSS REQUIREMENT -'"?ST* MAX <br /> SAMPLE <br /> MEASUREMENT <br /> . PERMIT ' <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I "~sly under penaly o (law that thh docvmcnt and an altachmenu were TELEPHONE DATE <br />prepared under -y dlreetlon or supervfflon in wccordance with ¦ system designed <br />to aswrre that 9-@Xr-d Peteonnet Properly gather and evaluate the Information <br />submitted. Based on my Inq*fry of the person oe persons who manage the syelrm, <br />or Uoee persum dlnxtly responsible for gathering Me Information, The Information <br />submitted b, to the best of my knowledge and better. Iroe, accurate. and complete. ,_ .. <br />SIGNATVRE OF MINCWAL EXECUTIVE <br /> I a- aware that then: are tigrdlkant penalties For submitting faire Information, RE <br /> <br />TYPED OR PRINTED <br />InchAins Abe porlblllty of fine and Imprisonment for knowing eldatlorm <br />OFFICER OR AUTHORIZED AGENT l <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANAI KIN Ur nnf VIVLAIIVna Frswrwrwncw an wrrwcn..,w„ta „w.wy <br />INSTRUCTIONS - I. C. 10, PG. 10 <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used NW-*V LL 4-Nn. form. PAGE OF