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PERMITME NAME/ADDRESSpnetibF.rtbgN..a?Lac.ti.r((D(OG.nru) <br />NAME <br />ADDRESS <br />U. bux 481 <br />'AONIA CO 8142 <br />FACILITY QW I E NO. 2 MINE <br />LOCAT*WI AON I A CO 8142 <br />=r WILLIAM A. BEAR JR. MINE MGR <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT /D R) <br />A. <br />PERMIT NUMBER DOSCNAItOE NUMBER <br />MONITORING PERIOD <br />Y'AR O DA YEAR O D <br />- AY- <br />FROM = 1 1 9 TO <br />Form Approved- <br />OMS No. 2040.0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL - DE! <br />WWTF TO DEER TRAIL DITCH <br />NOTE: Read kutruetlorw bofore completMQ this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT t: ## ?•><# <br />- -- <br />_ _-- ; <br /> _ y <br /> <br />t? <br />PERMIT <br />a+ <br />#it### <br />t ;< <br />ar >;#### <br />R P f <br />OPTIONA <br />L ,L:/ "OMPOE <br />%INFLI_; _'. REQUIREMENT 30DA AVG MX 7D AV "JTH <br />- <br />DEG SAMPLE <br />ME <br />SU <br />EM <br />T <br />. C) A <br />R <br />EN <br />IG 1 O 0 PERMIT 5 <br />LUENT GROSS VAL UL- REQUIREMENT 301)A f-l,- ?rj ,',V MONTI-I <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT # w 7777", <br />J =N t :. )A[ REQUIREMENT M I N I MUM MAXIMUM <br />a, <br />FNDED SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT tr iE <br />=ivi Ii'i) REQUIREMENT IODA AVM, MX ?D A'/ riot <br />ILI SAMPLE <br />"LADED MEASUREMENT <br /> <br />=:0 1 G PERMIT J _ J. „ - <br />!- ; '? !',) GRO REQUIREMENT `,'. .. :. , AV 1, ?.,I aI r q <br />- SAMPLE <br /> MEASUREMENT <br /> <br />(,t PERMIT <br />F:NT 6R0E'.: REQUIREMENT INST MAX :_I f <br />fill ._ SAMPLE <br />i R-ATMENT " ,_?• `. MEASUREMENT <br /> P, dh t <br />f <br /> <br />: <br />PERMIT - <br />REQUIREMENT i -A i-... ;:ti I LY MX <br />_ ,- <br />1 Krill] under penalty of law that this document end ¦a attachments were <br />NAMEJTITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />prep.md under my direction or suprrehlon In accordance with a system designed <br />to assure that qualified personnel property gather and eealu¦le the Infnrnmllon <br />>o bmltted. Bred on my inquiry or the Person or Persons who manage the system, . <br />a thre persons dlr,rctly mposrdbk rot gathering the Informstlnn, the Information i ' <br />submiltsd Is. to the het of my k.awkdge and belief, true. accurate. and complete. <br />ti <br />I am aware that there ere significant Penalties for submitting fain Informatlon <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />- . <br />I <br />t AREA <br /> <br />TYPED OR PRINTED <br />nc <br />udln= the Possibility of fine and Imprisonment for knowing eiole0orm <br />OFFICER OR AUTHORIZED AGENT J <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS ANU tArt-Ann I wn yr nn . uwt,n t IwMQ f/Refvrinca M ffIlscnmmr-, neprar <br />LNSTRUCTIONS - I. 10, PG. 10. <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used CI S W & 4- Wnn. PAGE Of