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PERMITTEE NAME/ADDRESSpn&b hFwOjyN..?L«. f-(fDtPr s) <br />NAME <br />ADDRESS <br />LOA 46-'1 <br />:NIA CO 81421E <br />FACILITY ? I E NO. 2 MINE <br />LOCATION NIA CU 8142E <br />.I I TAM A tat=Ar4 -1A MTK;r- M!?A <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES/ <br />DISCHARGE MONITORING REPORT ID R) <br />PERMIT NUMBER DISCHARGE NuMeE>t <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved, <br />OMB No, 2040-0004 <br />F - FINAL DL! <br />SR;DEER TRL DTC OR UNMD TRIB <br />NOTE: Reed Irt•tructiorr before comoleth+a this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. U <br />NCY <br />FAEO SAMPLE <br /> O <br />F <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT , <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,:? #i4# t :. . , t tix, -,L. ?; ;. {, ?= • _•; .: ,. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT x##x # tt• ??.?## ; - <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # - a r s # # :, rIN? <br /> REQUIREMENT <br />GE_N . <br /> SAMPLE <br />1AT F; MEASUREMENT <br /> PERMIT REPOP- E- PC, ) <br /> REQUIREMENT '_tODA r = ILY i' <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' -Illy " -- peni'y o is. that UN dorumenl and au attachrnents m <br />E <br />prepared under my dlrsctfon or wpervfA- In arcordanre .Ilh • system ddgned E <br />DATE <br /> to mere that grahAed personnel properly gather and evahre the Infrrmation <br /> wbmllted. Bawd on my Inquiry o! the Peron or persona .ho manage the system. <br /> or those persore dlrvoly responsible for gathering the Information, the Information - <br /> wbndlied hl. to the best of my knouledge and betlef• tree, accurate, and complete. <br /> 1 .m a- that there are sfgelnont penahle, for wbmlRlng fahe Inrorsnatkm, e1ONATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED 1-11Wing the passibility or Am and Imprlsonrnent for knowing vlolationa OFFICER OR AUTHORIZED AGENT AREANUMBEA YEAR MO DAY <br />'. r'1 `T APP' SFr-1- Lr,-. -r - ,:D .r rl ;n -,nc, rn Py L nr <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used This IS a 4-Part form. PAGE OF