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PERMITTEE NAME/ADDRESS (Ind,* f efryN..?txrren t/D(#Wvw) <br />NAME <br />ADDRESS <br />UOX 483 <br />NIA CO <br />FACILITY r E NO. 2 MINE <br />LOCATION N I A CO <br />_LIAM A. BEAR JR. , MINE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDEM <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />4 -? MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />814 FROM TO <br />MG <br />Form APProvedOMB No. 2040.0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />CHRONIC WET TESTING FOR 0060 <br />NOTE: Reed Inetruct)one before cornpletlnq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ• FREQUENCY SAMPLE <br /> <br />X OF <br /> E ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />_ MEASUREMENT <br /> PERMIT k#3stt# ?3! REPORT <br />*#: <br />!f## <br />,'?: <br />=LuW REQUIREMENT SINGSAMP <br />-• "N , . , SAMPLE <br /> MEASUREMENT <br /> PERMIT 100 <br /> REQUIREMENT <br />a , <br />MN <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT rREPORT ###!F#?? ai# t T <br />, R L Y <br />'r?'1F'-. <br /> REQUIREMENT NGSAM° <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :t###•1t #3P###iE - LOO #####iF #####sF ,T%L_Y ,Or`iP- <br />. <br />r Lr!;1 REQUIREMENT M VALUE <br /> SAMPLE <br />rr r r : MEASUREMENT <br /> PERMIT tt . .? .TM p s , ;t i ft ": F3F.. T <br /> T <br /> REQUIREMEN V I NGSAt1P <br /> SAMPLE <br />"'•i 1 l: tjtt'.. ` MEASUREMENT <br /> PERMIT C,F? <br /> REQUIREMENT ::I (., _ sr"; P <br /> <br /> SAMPLE 2=? i <br />Al..r tJ MEASUREMENT <br /> <br />34 IsI? ., ;? -. •k ..r ;t <br />PERMIT REPORT <br />- <br /> <br />REQUIREMENT S INGSAMP <br /> <br />NAME171TLE PRINCIPAL EXECUTIVE OFFICER I andy er penalty o law that this document and all attachments were TELEPHONE DATE <br />prepared under my direction or mperMlon In accordanm with a system designed <br />to severe that qualified personnel properly garter and evaluate the Information <br />wbmltled. Bred on my inquiry of the person or persom who maaiage the system. <br />M those perms directly rtsponlhk ror gathering the Information, the Infor atlon <br />submitted I& to the best or my knowledge and belief, inn. is a rale, and cutnpkfe. <br />1 am aware that there are significant pensfdes far submitting falw Information <br />SIGNATURE OF PRINCWAL EXECUTIVE - v <br />OR PRINTED . <br />Including the pnribluty or nne and Imprisonment for knowing . ,54stf rrt OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference eM ettechments herel <br />rT P79I;LTS OF f_17-THAI, TTY DERIVS AS "XF-FFECT", GRnw"rN AT+IC' <br />STAT SIGItI <br />-rE - -e,^T' `?sTS: ' xi } T L? F? t'! i '.J Ltt?tR <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. _ TYSy4918•.3-Qdn fgrnl. PAGE OF