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PERMITTEE NAME/ADDRESS pnaM4irrwryNw?L«ono VD06-0) <br />NAME <br />ADDRESS _ t <br />BOX 483 <br />IA CO 814E <br />FACILITY j E NO 2 MINE <br />LOCATION ',11 A CG 8142E <br />_LIAM A. BEAR JR-, MINE MGR <br />NATIONAL POLLUTANT OISCNARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT IDMRI <br />PERMIT NUMBER DISCHAAGE NUMSEA <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />i= . <br />'DR UNM! <br />NOTE: Reed kwtruatkmw before compistk+p this fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ;t 4.,; :. i r , <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> <br />. MEASUREMENT <br />alb PERMIT <br />!fir r ; ; REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />;o54 U PERMIT sec k , ;E?OFD f' NCE/ <br />tF'L REQUIREMENT i Y "I MONTF; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ??000 <br /> REQUIREMENT <br />kv(" <br />!)A1L? <br />i'•i7H <br /> SAMPLE <br /> MEASUREMENT <br />i t (1 PERMIT s 4##uf ##.y. :IJt- 'I I =i•',,,. <br /> REQUIREMENT <br /> SAMPLE <br />NT MEASUREMENT <br />V PERMIT REFOF'' ''tPUk j ts.r. ,_ I ... <br />rtf• <br /> REQUIREMENT :;ILY MX <br /> SAMPLE v..f:. .:, <br /> MEASUREMENT <br />PERMIT -, x: xar# . , - ??pOR E <br />REQUIREMENT -1? ?..•.,? QRTR Irif a. <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER ' R^'Ir o o Pena ty o sw that thb document and all attachment, were <br />TELEPHONE <br />DATE <br />p MRd undK my dlrectMn or suPeraMon In at'twdanR wllA a ayfltm designed <br />to care that gtuMl'id personnel Properly gather and evaluate the Information <br />sabmilled. Dowd on my Inquiry of the person w prrsom who m,nage the ryetet", <br />w (hose pennrs directly mpondble for gathering the Inform stlon, the Information - <br />submllled Is, b the bnt of my knowledge and bcYcf, few*. atcvmle, and complete. <br />- 1 am aware that there are significant Penalties for arbmlltlng fate Infon ation <br />SIGNATURE OF PRINCIPAL EXECUTIVE - <br />`' <br />- JYPED OR PRINTED , <br />Including the poselbfilty or Sne and Imptbonment fw knowing vloliith s OFFICER OR AUTHORIZED AGENT A NUMBER CODE YEAR MO DAY <br />COMMENTS -AND EXPLANATION OF ANY VIOLATIONS fReferonce ep effechments hers) <br />? P' <br />T <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used 'This-'is a 4-part (brie. PAGE OF