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PERMITTEE NAME/ADDRESSpwnVrFarajyNa.WLarat-(frCtp wu) <br />NAME <br />ADDRESS' <br />BOX 483 <br />':VIA CO 8142 <br />FACILITY , I .E NO. 3 MINE <br />LOCATION N I A CO 8142 <br />1. TAM A REAR JR , M t NF MCR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES/ <br />DISCHARGE MONITORING REPORT WMR) <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 />F - FINAL I.i_'. <br />3R: DEER TRL DTC OR UNMD TRIO <br />NOTE: Read Inet?uctlone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />v <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT , . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br />f`. T H; MEASUREMENT <br /> PERMIT REPOT <br /> REQUIREMENT ILY i'IX <br />r SAMPLE Q-. <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />I crrhlr a r pen. ty o I.. th.t IAb do menl .nd all .Itachmentl were <br />NAME/TinE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />r <br />DATE <br />pmpar <br />dunderm dtrerlln <br />om lu <br />y pervl>fon In accord.ntt rr11A . system dedtned <br />to aa.ore Ih.t qu.MM1ed personnel Property tanner .nd erahe.le the Inrmm.tlon <br />mbmltted. aaaed en my 1"ulry or the pe110e1 m pertiom who the ,Item, <br />or those per,oets dlraMy re.panllble ror gathering the lnrormatloa, the Inrorrre.uon <br />. albmllled b, to the bewt or my t".ieelte and b.110. troe..ceunle..nd eompleta. , <br />I am a--- th.t there .r. dg,unrant per¦tltee rnr eubmintrg r.he inre.,nabr <br />SIGNATURE OF ?AIMC#AL EXECUTIVE <br />TYPED OR PRINTED . <br />Indndlnt the p-dbiut, or ll a and impnlorment ror tnn.ing Wstjom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION or ANT v <br />h oral <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used This is a 4-part corm, PAGE OF