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PERMITTEE NAME/ADDRESS ( m,&&IocduyNa-WLoeetim t(D(QFnau) <br />NAME ; <br />ADDRESS <br />LDX 463 <br />NIA CO 8142 <br />FACILITY : I E NO. 2 MINE <br />LOCATION t ;,j I A CO 8142 <br />LL TAM A. BEAR JR. r MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DEJ <br />DSCHG OF SR TO GUNNISON RIVER <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ;, .?,. . <br /> MEASUREMENT <br /> PERMIT ?t#### :### _, ####> - 9. 0 LEEK! T1. <br />_ REQUIREMENT J?f I J'; ! , '``1 MAXIMUM J <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,!,;AB <br /> REQUIREMENT _ ti L. ` 4' S'ir' i T t <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT Ire## ;?### REPORT REPORT NCE/ <br /> REQUIREMENT 30DA DAILY MX MONTM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###iz## ###### #?F### 1000 6000 )NC 1-7-1 <br />- • REQUIREMENT 3-DrJA AVG DAILY MX MON rri <br /> SAMPLE <br /> MEASUREMENT <br />? n PERMIT <br /> T <br />Q <br />E <br /> RE <br />UIREM <br />N INST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT REPORT _ 11=1 '. .J`i?3TA;. <br /> REQUIREMENT SODA AVG DAILY PI <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT i': ,ls_ 4 + #iti R L <br />REQUIREMENT ,;ST MAX <br />r penalty o Iaw that thh docvmtm and au ¦t <br />e <br />° <br />NAMErnnE PRINCIPAL EXECUTIVE OFFICER ' "^"> <br />TELEPHONE DATE <br />with . sys em d <br />u <br />nd <br />d <br />o! T) OlrtcltOrr M Nper+lalon In aROrdenre kth yft deigned <br />prepam <br />to afaum that au&Hned personnel prWe. y gather end evaluate the Inrormation <br />sabrrtlttrd. eased on my Inquiry of the person or persoru who manage the system, - ,y <br />(h <br />l <br />or <br />ole persons dlrert <br />y mpordbk rot gatherlnI the Information. the Worm ithm - - <br />submitted If, to the bet *(my knowledge and beW. tree. uc,rrsle, and complete. <br />I am -re that there an figNfleant penalties for aubmltttng rein lnrormadan <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED , <br />IndWing the Possibility of Arse and lmprfsonmem for knowing .(datimm OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference M attachments hare/ <br />s'REC IP EVENT IS r l AIMED, T Ct. PRA' FTC F'v r•.I Win, <br />,SURFMFNTS-SEr F' <br />EPA Form 3320.1 (Rev. 3,99) Previous editions may be used This- is a 4 -par( form. PAGE OF