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PERMITTEE NAMIVADDRESS p.d.?r faeWry Mr.?Lxrra. (/D(Qicw.r) <br />NAME <br />ADDRESS <br />BUX 433 <br />NIA CO 81428 <br />FACILITY TL NO 2 MINE <br />LOCATION .,.N1.I A CO 61428 <br />i I TAM A AFAR !R , MTNF M(,R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INPDES) <br />DISCHARGE MONITORING REPORT fDMR) <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 />(SUGR MH) <br />F - FINAL <br />SR; DEER I <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX FREQOUFNCY SAMPLE <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT y. . <br /> REQUIREMENT <br />r.: <br />-A ;. 11.)!" <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT i. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT R;' ?r <br /> REQUIREMENT r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT x : - ,. ?U110 1'. it E <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />at:ti <br />, <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />r. r + <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT , <br />REQUIREMENT <br />L <br />NAMEMTLE PRINCIPAL EXECUTTVE OFFICER I nr,''y under pens q 0 law that thls document and atl at lachmrnU wen <br />TELEPONE <br />DATE <br />pRpared and- my dlrrc llOn or wpentalow In artordar,rr with a ryflem dtdFned <br />to assure that quallrkd personnel Progeny lather and r..h,.tt The Inrn,,natlon <br />wbmltted. Bred on my Inquiry of the per-n nr penoro whe man.te the eystrm, <br />- <br />w those persons dlrrclly reponsible for gathering the Infon„atlon, the Inforn,atlon <br />wbmltted ls, to the beat of my know{relp and belief. Irur, accurate. and compktr. . <br />I am .wary that Then: arc slrnmr.nt Penal"" rot rubmlttin <br />false Information <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED g <br />, <br />inrl„dtnr the po,dblut. nr M- .rid imprtsonmrnt r- kno.Inl Aelatlons OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION U16 ANT VIULA TIONS (Reference a# attachments here) <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used This is a 4-Part form. PAGE OF