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FERMITTEE NAME/ADDRESS(/wdir£arWryN??L«rreceU?(OG?q <br />NAME <br />ADDRESS <br />b 0 X 4» <br />fNIA CO 81425 <br />FACILITY .: I E NO. 2 MINE <br />LOCATION NIA CG 81428 <br />_LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT OISCHMOE ELIMINATION SYSTEM rNPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHMOE NUMSM <br />MONITORING PERIOD <br />YEAR MO DAY Y O DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />DSCGH OF SR TO GUNNISON RIVER <br />NOTE: Read irntrucdons bsfoas compisthly this form, <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br /> <br />EX FREOUENCr <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />- <br /> <br />. PERMIT <br />REQUIREMENT ;r#rs<sF #kt tiiF ?. _ a <br />NIMUM <br />M <br />9.0 <br />MAXIMUM <br />7 <br />Y ; I <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT P #r' ,E # ###### ####ii r n: ,:,' <br /> REQUIREMENT AV% ur' ' L `; 1`1 C;PJT11 <br /> SAMPLE <br /> MEASUREMENT <br />5 1 Q PERMIT REPORT r. H <br />FLUENT GRO;: REQUIREMENT 300A AVG DAILY MX _ MONTH <br />, HI. SAMPLE <br />(AS '-F MEASUREMENT <br />5 i. PERMIT #?`#IFIttE # ##?I ## #iE# 30 b T NCE/ A <br />GROS?-• REQUIREMENT Z301DA AVG DAILY MX MONTH <br />,? .f,: - SAMPLE <br /> MEASUREMENT <br /> PERMIT' s: ?E#IE1F#iE 1it f P = ,?+i:. <br />i . REQUIREMENT ; hl; ( MAX '.,::. :NT <br />i I SAMPLE <br />_[_, I_; -, ;.•.. RL r., MEASUREMENT <br />r. PERMIT <br />REPORT <br />77 <br />- REQUIREMENT 3t; 'JA I LY MX <br />! - SAMPLE <br /> MEASUREMENT <br /> PERMIT E <br /> REQUIREMENT ! NST MAX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Ce;atr " r Pena tr ° taw that this document and all attachments were <br />prepared under my dlrertfon or supervision In accordance with a syatem designed TELEPHONE DATE <br /> to more that quallned personnel pnTrrl) Lather and evaluate the Information <br />f th <br />R <br />I <br />i <br />T <br /> nqu <br />aubmitttd. <br />ased an my <br />ry o <br />e person or persons who manage the system, ... <br /> or thaw Persons dlrecty responsible for gathering the InformaUow, the Inromrllm <br />/ <br /> submitted K to the but of my knowled re and beW. true, accurate. and ronepNte. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />_ L <br /> I am a- that there are signlncant penalties (nr suhmtmng fair Informadon, <br />TYPED OR PRINTED Including the posrbirty of line and tmprlsomment for knowing rtolallo s. OFFICER OR AUTHORIZED AGENT CODE NUMKR YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRdsrsncs s/l •ffachmonts hsrel <br />'-HP ?"RECIP EVENT IS CLAIMED IF CLAIM. APPROVFT? PY WO-CO, <br />EMENTS rE i s <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used Tt IS a 4-KEII fgrm. PAGE OF