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PERMITTEE NAME/ADDRESS 17..6k FaeMtgNmma.rL siriow 1/DjW*miiI <br />NAME <br />ADDRESS <br />LUX 48.3 <br />INIA CO 8142 <br />FACllrrv ,1E NO. 2 MINE <br />LOCATION iN I A CC! 8142' <br />LLIAM A. BEAR JR , MINE MGR <br />NATIONAL POLLUTANT OISCHMGE ELIMINATION SYSTEM (/NPOES1 <br />DISCHARGE MONITORING REPORT /DMR! <br />PERMIT NUMBER otscHMOE NUMSER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />CHRONIC WET TESTING FOR OOt <br />NOTE: Read instructior» befw• completing tftb form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />SAMPLE <br /> EX OF <br /> ANAtvsis TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT <br />O <br /> REQUIREMENT SIN hMP <br /> SAMPLE <br /> MEASUREMENT <br />N" .Y <br /> PERMIT ; trti k ### #ii 100 tE#?;# # ii##{i? t? ff ; V-FRL <br /> REQUIREMENT <br />i- SAMPLE <br /> MEASUREMENT <br /> PERMIT ###3tr ####? REP OR Z ##### #### TRLY OP1i'-" <br /> T <br /> REQUIREMEN SINGSAMF <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #?E###+ ###### ZQQ ####?t# #Il##tl?s ff{L_Y CM!"'- <br /> REQUIREMENT MN VAI )i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT IF R}=E'OF{ h.r. ,:.r <br /> NT <br />E <br /> QUIREME <br />R <br /> SAMPLE <br /> MEASUREMENT <br />0 PERMIT a PEPORT - - I<i <br /> REQUIREMENT SINQSAK", <br /> <br />_ SAMPLE <br /> MEASUREMENT <br />- <br />PERMIT r ? ,.. .: <br />REPORT <br />.. <br />REQUIREMENT SINGciH: <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t nrt'1y under penalty o .o that thb document and .tl S11"It rmenb were TELEPHONE DATE <br />P"Pil"d under my direction or wPe^Won In .ccord.nce with . System de>di ned <br />to *00" that qu.Nlied Personnel PropeAy 211h" end e•alu.le the Inrorrn.llon <br />.bmitted. Bred on my inquiry or the Person W Persona who monegv the system. - <br />Of Iho.e Persoer directly rnpomibk roe gathering the Inform.lloa, the Inrorm.tio,, <br />Submitted Is. to the best of my kn..kdge and bdW. 1r - it cvrele..nd compkte. <br />- I .m -re'tie' there .re dpllfkanl Peneirks for wlbinitting r.tse information <br />SIGNATURE OF PRINCIPAL EXECUTIVE ' <br />TYPED OR PRINTED . <br />In hiding the Possibility of nneand lmPrtm"ment roe bno.lni .tol.tkm& OFFICER OR AUTHORIZED AGENT ARIA <br />NV R <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fRelorence &# attachments hare/ <br />,T _gl r) r !_ETiar~t IT' DERI'JS a ?L <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. TWs JS 2 4-pan (Grip, PAGE OF