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Form Approved. <br />PERMRTEE NAME)AODRESS 17mc&*F.rikryN..?Lxrret l/n(Oeeo.r) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (IIVPOES1 OMB No. 2040-0004 <br />NAME DISCHARGE MONITORING REPORT WWI <br />ADDRESS (JBR MH ) <br />PERMIT NUMBER DISCHARGE NUMBER F - FINAL DEI <br />:MIA Ci 6142, -CGH OF SR TO GUNNISON RIVER <br />MONITORING PERIOD <br />FACILITY 1E NO c MINE YEAR MO DAY YEAR MO DAY <br />LOCATION - 'N 1 A CO 81 °+ FROM TO _ <br />LL I AM A. BEAR JR. , MINE MG:~ NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,• ;-? = ~ y ;F## 5 ###il ## 9. O r <br /> REQUIREMENT MINIMUM MAXIMUM <br />DC r, 7'I - SAMPLE <br />->FIJDF MEASUREMENT <br /> PERMIT #et 3 a ## :: ?S vi: i rAL <br />JC_. REQUIREMENT Cft4I i. M0I'4TH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #####ri #x#### stilal?•#ir REPORT REPORT NCE/ '-RAB <br /> REQUIREMENT SODA E+VG DAILY MX <br />MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #*#### ####ii # ##'E# t ''000 6000 ( )NC E. f F; <br /> REQUIREMENT 30DA Al ,'G DAILY MX MON <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT h r^ ;r # :r i:??. i •J Jt,iTFNi A. <br /> REQUIREMENT <br />I <br />BS V? INST MAX GENT <br />'.JUIT SAMPLE <br />MENT PL_ MEASUREMENT <br />Ct ^ PERMIT <br />NT REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />PERMIT r<_ RT ` : t## <br />-, , <br />7, TAT <br />REQUIREMENT SST h1P t <br />NAME/TTLE PRINCIPAL EXECUTIVE OFFICER ' ferlt'y " ' penalty ° Lw that Ul tlocomcnl and aN ¦IlachtrrnU were <br />TELEPHONE <br />DATE <br />prepared under my direction or sup-Won In accordance with • system designed <br />to tonsure that gY•MMd personnel Properly gather and ecsiusit the information <br />submilted. sated tm my Inquiry of the pence or Persons who manage the system, ,. ? <br />or those prrwm directly reepocelbk for gathering the Informallon, the Infoeerradon <br />submitted h, to the bet of my knewie igt and better. trw, accurate. and cowrpkte. <br />I am swan that then en slgntflesnt penaltie for submitting file Information <br />fIONATURE OF PRINCIPAL EXECUTIVE - <br />' <br />' <br />TYPED OR PRINTED . <br />I--hiding the pondbiutr of flee end Impriwome"t for knowing .lolalforta OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA110N Ur ArvT VIOLA I Ives fReforence am srrscnmenrs twee <br />!F r- RFC?P EVENT I f I II D IF Cl_ APPP.OVFF, PY WrIcn, <br />C <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used. This l5 a 4 -part form. PAGE OF