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PERMITTEE NAMEMDDRESS(7*c&&rrtNryN..?Ler«,on(/D{ ww) <br />NAME <br />ADDRESS <br />,:)NIA - CO 61428 <br />FACILITY 1 W I E NO. 2 MINE <br />LOCATION ON I A CO 81426 <br />;.LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM NPOESI <br />DISCHARGE MONITORING REPORT fD R) <br />PERMIT NUMBER DISCHAAGE NUMBER <br />MONITORING PERIOD <br />Y AR M2 I D Y YEAR MO D Y <br />FROM TO <br />Form Approved <br />GNB No 2040.0004 <br />MINOR <br />( SUBR MH ) <br />F - FINAL DEI <br />DSCGH OF SR TO GUN14I SON RIVER <br />NOTE: Read kwtructlorlw before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. CY <br />FRED SAMPLE <br /> <br />E F <br />of <br /> X ANALrSOS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT R #?FiE## if it t.t=tE 6. 5 its # . <br />J. REQUIREMENT M I N1 I'lum MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # ##? "ti #{r#ss#+? ?k ###tt 70 '•;.;k .!•,,; <br />! REQUIREMENT Al..'(; DAILY "'*IX NONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT =r # # # : iF ,-?: ,= <br />REPORT <br />REPOR F_ <br />v , <br /> REQUIREMENT 3001DA AVG DAILY MX MC1N rH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ??KF-s ###### n 3t##lFt. v iU 6000 <br /> REQUIREMENT 300A ')AILY Nx !-fi iplTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r#### #lEiEiF#u rt ##a; : ###### :.; LF4 <br />L REQUIREMENT i Pis-I ;;; i ,T <br /> SAMPLE <br />_ A i!°s iv i F L :'•' - MEASUREMENT <br />.7 1 0 0 PERMIT REPURT <br />S #,r <br />; <br /> REQUIREMENT '30DA 6, . . A I LY MX <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT - ,... . , r .. - <br />REQUIREMENT ,:ST MAY <br />1 natal] r ptm 1] n hr lha Uls dncu menl and ad .IlachmMU were <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />prepared under my dire'tlon o. suprr.Mon in accordance with a system ddgned <br />to awtrre that quahtled personnel propeAy Rather, and r,aluate the Information <br />aobmltted. bawd an m] Inquiry of the person or per,,m, who man., the system, - <br />or those persorn directly r spondble for tathMnt the Information, the Information - - " <br />submitted b, to the bees of my knewtedte and belief, true, accurate, and mmplee. <br />I m .-am the there sae sftrrnont Pn.tues fnr rubminlnr W, W-11- <br />91ONATURE OF PRINCIPAL EXECUTIVE <br /> , <br />i <br />h <br />mMIl <br />fM <br />t <br />1 <br />d. <br />1 <br />TYPED OR PRINTED ?r <br />e p. <br />l.o <br />mpr <br />- <br />u <br />neand <br />so-ir-kr,...i„r.1 rru?n. OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />GUMMtr4I J /GNU tAru+rvPk I svrs yr rsrs r vtvt.n t tv"Q In.r.rwnco err .tt.cnm.nra nnrtrr <br />L!HR PRECIP EVENT IS CLAIMED. IF CLAIM APPROVED RY <br />r_J ri F !t I -SEE i'f' _ 'i <br />"o'4 " This-is a 4-part Cgrm. PAGE OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions maybe used