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PERMRTEE NAMEIADDRESSp...6&FarwryNw?L«.tlw.l(D(6wu) <br />NAME <br />ADDRESS <br />;.7NIA CO 81428 <br />FACILITY W I E NO. 2 MINE <br />LOCATION 7N I A CO 81428 <br />iLLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM IINPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE Nt1MBE11 <br />MONITORING PERIOD <br />YEAR MO DAY Y AR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />( SUB+ ; <br />F - F I iNr+L_ DE <br />WWTF TO DEEk FRAIL !)I-F'-'H <br />NOTE: Read lnetructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX FREOOUFNCY SAMPLE <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ` <br /> REQUIREMENT 30DA A1'G '?A I LY MX : , U©l35 <br /> <br />= r I D' <br />' ' SAMPLE T, <br />- MEASUREMENT <br />?O PERMIT <br /> REQUIREMENT I NST MAX . <br /> <br />_ I <br />Rf' SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT 30DA AVG MX7DGEOA MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - , <br />rti 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 /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 certnly r r Penally Or"' that Ih lr dorumtnl and all wtechmenlf were <br />TELEPHONE <br />DATE <br /> P""red under my direction a mpe r.tsla+ In accordance with - system designed <br /> to assure Ihat qualifl d penonnN property gather and evaluate the Informalon <br /> sabmllled. Bawd em my inquiry of the penal or Prom who manage the systtnn. <br /> Or Ihow persarn directly res"111t for gathering the Inforrneallon. the Information <br /> w bmitled K to the bell of my kncwttdtt and better. 1-.. accunle. and romplelt. <br />I .m .... that the- art rlrnlno-l Pnaiers I`- subminln <br />r.lre 1r ra matfon <br />SIONATUf1E OF PRINCNAL EXECUTIVE <br /> r <br />. <br />? <br />TYPED OR PRINTED ^r pnsrlbilii, r•r fl a ..a m, r,><.,,,, m for kno.Inr .le4od- <br />^ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANAIILrII Ur l+rrT VIULAI IVna r/fererence on errecnmenr3 nere/ <br />INSTRUCTIONS - I. C. 10, PG. 10. <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used ; f . '0*11 iS c44-paTE FOriT?. PAGE