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F'ERMITTEE NAME)ADDRESS(1wt>64FrtkryN..?Loedrlonl/D(fwww) <br />NAME <br />ADDRESS ' <br />b(JX 483 <br />?, ;NIA CO <br />FACILITY 1:41E NO. 2 MINE <br />LOCATION i N I A CO <br />LLIAM A. DEAR JR., MINE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM I/NPOE$1 <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY Y AR I MO DAY <br />8142£ FROM TO <br />M/?A <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />DSCGH r-E7 C.;4 J [j :;11v! i I I RIVER <br />NOTE: Read h»tructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX 1; EGUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />Lr', SAMPLE i? <br /> MEASUREMENT <br />= PERMIT n tt••??ss 1-4 T <br /> REQUIREMENT X NST MAX <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEJTrME PRINCIPAL EXECUTIVE OFFICER I C ruly under pen. q o ow that th <br />ared and" m <br />direction or su <br />m is document and all attachm <br />ervision In accordance with ents were <br />a system designed TELEPHONE DATE <br /> p <br />y <br />p <br />I <br /> to nature that quoNfled Personnel property go0w and evaioote the Information <br /> submitted. Bawd on my inquiry or the person or Person who manage the system, - <br />- -- - <br /> or thaw Persons directly resparnibs, for gathering the Inforwallon, the Information - 1' _ <br /> submitted Is. to the best of my knowledge oral beller, tree. accurate. and complete. <br />NATURE OF PRINCWAL EXECUTIVE <br />I - <br />I - I .m aware that there ¦n signiflcaat penoltly for submitting false Information. S <br />G AKA <br />TYPED OR PRINTED Including the posdbtuty of Mae and Imprisonment for knowing rid.tion. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fRoference aN attachments hare! <br />RRFC T^ ?-VFP.IT IS CLAIMED. TF CLAIM APPRO EC0%, WGCJr <br />i. i.E I !F5 F; ; 1c <br />EPA Form 3320-1 (Rev. 3199) Previous ededons may be used J J 111iS )S,$ 4-??r4 fQrm. PAGE .-OF