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PERMITTEE NAME)ADDRESS(1ne"FaHbry Afm-WL wi-((DOW-0) <br />NAME <br />ADORESS <br />u. BOX 4B3 <br />•47NIA CO 81428 <br />FACILITY AI E NO. 2 MINE <br />LOCATION `.)NIA CO 8142E <br />LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />?7 A <br />PERMIT NUMBER DISCHAROE NUMBER <br />MONITORING PERIOD <br />YEAR O DAY Y R MO DAY <br />- <br />FROM TO I- I <br />Form Approved, <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />i7SCHG OF SR TO GUNNISON RIVER <br />NOTE: Read Ir»tructlona before complatinp tflb tam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FRECUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE 4) <br /> MEASUREMENT <br /> PERMIT ## _ i I IF#itxh-: # f -t <br /> <br /> REQUIREMENT I N c1'T' MAX <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <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 rtrtuy ° r penalty o low that this documem ¦nd all ¦ttachments wort <br />TELEPHONE <br />DATE <br />prepared under my directfe or supervtflon in accordanrt will ¦ system ddgrted <br />la aas¦rt that quanfled personnel property gall., and e,¦Male the Info flon <br />mb pitted. Based on my Inquiry of the parse or persons who manage the system, _ <br />ersons directly responsible for <br />or tho¦e <br />atherin <br />the Informatlon <br />the Information <br />p <br />g <br />g <br />, <br />submitted I& to the best of my knowledge and belef, true, accurate, and mmpkee. y <br />n <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />- - <br />h <br />t <br />i <br />i <br />I <br />r <br />i <br />/ <br />- <br /> 1 am wart t <br />at there are s <br />gnl <br />caa <br />penalt <br />es for subm <br />tting fate <br />n <br />ermatlon. <br />TYPED OR PRINTED Including the possibility al nne and Imprisonment for knowing violations OFFICER OR AUTHORIZED AGENT CGDE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reloronce aM attachments horel <br />1`4HP, PRFCIP EVFMT T^ ,LAIN'=D. IF CLAIM APPROVED PY biC3CD, <br />A. D PP 14 OT: <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used T}11s ;IS a 4-par( fQfTll. PAGE OF