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PERMITTEE NAME/ADDRESS (/neLdr F.t•MtryltNdw?L.callon (fD(dbrwrr) <br />NAME <br />ADDRESS <br />13OX 483 <br />.CIA CQ $142 <br />FACILITY i E NO 2 MINE <br />LOCATION `IA CO 8142 <br />_1 IAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (INPOES) <br />DISCHARGE MONITORING REPORT /OMR) <br />PERMIT NUMBER DISCNAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />MINM'_ ((.I cl l?-??3 <br />(SUDR MH) <br />F - FINAL <br />8R; DEER TRL Dl'C OR UN <br />NOTE: Read kistrucdons before compht" this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, fREOUENCY SAMPLE <br /> <br />E OF <br /> X ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />L U- REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />SF- L SAMPLE <br /> MEASUREMENT <br />r, PERMIT , :. r 3: :<r tt #;t a: itF i ,Qi" <br />i r Vic; REQUIREMENT Qr`• r101•, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT cif## ?t #?i 3(•## :- ?:t >> r..0:5 D <br /> REQUIREMENT £)A 1 I-l X <br />t! rani; SAMPLE <br /> MEASUREMENT <br />?. ? 1 PERMIT 'NTT-..t =.,'',Ii <br />?'--NT C REQUIREMENT <br />1 Qk SAMPLE <br />Pl ,•, MEASUREMENT <br /> PERMIT RCFCIR? °EPOR' <br />rt' <br />GRDE> _ REQUIREMENT UDA TLY <br />TOTAL SAMPLE it{=: <br /> MEASUREMENT <br />PERMITS REP _i.. ' 'L <br />ORT <br />REQUIREMENT QR TR %? TR MA X <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 nn'ty and" Pena q dlaw that tAb dm urnam and an attachment, were <br />TELEPHONE <br />DATE <br />Prepared ardor my direction or aper.ision In accordance with ¦ system darned <br />to assure that qualtfled personnel praprdy gather ¦nd rraluala the Inforrnallon <br />sabmltld. land on my Inquiry of the Person or person who msnote the system, <br />M Ihose PtrWm dlrcclly r Pordble for gathering the Inroemallow, the information <br />abmllted b. to the best of my tne. p and be11ef. true, accurate, and complete. ? . - -. <br />. r ' I am swan that there an significant Penalties for subrdttlaj robe Information <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED , <br />Including the possibility of flat and Imprrsonmenl for RnowlnE rlalatlors>. <br />OFFICER OR AUTHORIZED AGENT RE I <br />CODE NuMKR <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANA I fvn yr nn T V IVLn I Ions werorence of irrscnmenrs nere/ <br />-iR PREr-F r_IrcI% r A. TMEn Tr' CL?TM PPRC)VEL! <br />MEASI, <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used ThiS, IS d 4-paR Corm. PAGE Of <br />O ,