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PERMITTEE NAME)ADDRESSpoolokF rWryNawarL.er,. (fD(.rW) <br />NAME <br />ADDRESS <br />r. <br />1A CO 8142° <br />FACILITY : E NO, 2 MINE <br />LOCATION :IA CID 81428 <br />LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SY8TEM1 //NPOESI <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YE &R O. DAY TO Y MO D6 <br />- - - <br />For^•. Approved. <br />OMB No 2044-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DEL <br />MINE DRAINAGE TO GUNNIaON RIV <br />NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREG <br />NCY <br />U SAMPLE <br /> G <br />F <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ,.x.: ;. t# ##### I= <br /> REQUIREMENT MINIMUM MAXIMUM <br />S' <br /> <br /> SAMPLE <br />MEASUREMENT <br /> <br /> <br />PERMIT <br />?- -35 --7 7-Tr <br />.'= •': REQUIREMENT 3OGA AVG DAILY MX `10hdTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT fi t r- fi sr sr RTC= <br />i -rr??: <br /> REQUIREMENT DAILY" ttX fl©i`fTF <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT . # DE # <br /> REQUIREMENT Ii+fSi ?';fcX <br />Ef•?1 T <br /> SAMPLE <br />i' MEASUREMENT <br /> <br /> PERMIT 174; 1 <br /> REQUIREMENT fr A I L `r f i x <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - <br /> REQUIREMENT INST MAX 9 _ <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' «"tte u r penalty o l.'. Ile at lhh dm fnern and all attachments weR <br /> <br />TELEPHONE <br />Prepared -der my dl rertlOn or su perrlllm In accnrdantr Mille . System desitned <br /> <br />DATE <br /> to more that quart M1ed personnel PrWwrty gather and eraluale the Infwmatbn <br />submitted. Bred .rt my Inquiry or the Person w perstYS who manate the System. <br />-r <br /> or thew persom directl <br />rrs <br />o ilble fw <br />alherir, <br />th <br />l <br />r <br />ll <br />th <br />I <br />f <br /> y <br />p <br />t <br />t <br />e <br />n <br />orma <br />oa, <br />e <br />n <br />ormation <br /> submitted I& to the ben or my tn.wledte and beh , true, am,ralr. and complete. <br /> I am aware that there are sltNtkaat pmatt,e, for submitting War Inrorr don. SIGNATURE OF PRINCIPAL EXECU TWE " <br />TYPED OR PRINTED Itw-h,ding the possibility oat nor and ImpMonmem for tmielrrg Aolatlorm OFFICER OR AUTHORIZED AGENT A 11A NUMBER <br />CODE YEAR MO DAY <br />?..VMMCfq 1 J AIgV Gnr v-....-....... ?. ..... ..??.?.. ?.... ?. ?. .....? ?.. ?.. ?....... ?...., .... ., <br />i F y INSTRUCTIONS - I. C. 10, PG. 10. <br />EPA Form 3320-1 (Rev 3'99) Previous editions may be used. 487 `'•:?°l ?-f5 a• 4-pad- COrrn PAGE