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PERMITTEENAME/ADDRESS perb*F roeyx awLj.rrfen((p(f~) <br />NAME <br />ADDRESS <br />NIA CO 8142E <br />FACILITY 1 E NO. 2 MINE <br />LOCATION 'lNIA CO 8142E <br />_LIAM A. DEAR JR., IlINE MGR <br />Form Approved <br />NATIONAL POLLUTANT OISCHAAOE ELIMINATION SYSTEM NPDESI OMB No. 2040.0004 <br />DISCHARGE MONITORING REPORT /D R/ <br />PERMIT NUMBER NSCHARGENLIMeER DEi <br />:.'_ER TRAIL DITCH <br />MONITORING PERIOD <br />Y R O, A 3 AR MO DAY <br />FROM _ TO I- I NOTE: R*ad Inmtrucdone befw* completing this fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCr <br />SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br />MEASUREMENT <br /> <br />? <br /> J <br /> PERMIT i.-;. v.Ll um 1 1114 ?072 <br /> REQUIREMENT 30DA A :'lAIL.Y MX UOUS <br /> <br /> SAMPLE <br /> MEASUREMENT <br />5) <br /> PERMIT <br /> REQUIREMENT INST MAY, <br /> <br />z RA; SAMPLE <br />? <br /> MEASUREMENT <br /> PERMIT <br />- REQUIREMENT SODA AVG M?: i PGLi?A MONTI i <br /> SAMPLE <br />MEASUREMENT " <br /> <br /> PERMIT L. - _.._. <br />- REQUIREMENT INST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I RAID Y r pen. ty o Iew that this doesment and all allwhmenes were <br />f <br />TELEPHONE <br />DATE <br /> prepared under m dlreri <br />on a su <br />y ?e^hlon to urcord.nre with . system dolgned <br /> to s nasm IAN quettfted personnel p4 opt. y jNher and eeNuate the Information <br />submltkd. Dowd en my inquiry or the persons or persons who manse the system. <br />th <br />d <br />l <br />l <br />, <br /> or <br />ose persas <br />imel <br />y respons <br />blr for gathering the Information. the Inforwrtloe <br /> submilted b. to the best of my knowledge end better. true. cac rate. and romplrle. . <br /> 1 ¦m ewar that men an signffkant pen,Itire for sunmitnng rein information. SIGNATURE OF PRINCDAL EXECUTIVE - <br />'BIPED OR PRINTED 1-lulling the possibility of fine and Imprisonment for knowing .folail n OFFICER OR AUTHORIZED AGENT CODE NUMEIER YEAR MO DAY <br />?.VmmCt\IJ ,1nV ?i.. ._.-...r...? ?. ..._ .._?....?.. w. w. ., w v.. ?..? .....?....a .....r <br />R I. ! NSTRUCTIONS - I. C. 10, PG. 10 <br />EPA Form 3320.1 (Rev 399.) Previous ed!t!ons may be used ^ 334 / 0TJIVOSi a 4-P410 farm