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PERIIAITTEE NAME/ADDRESS (fto6& fartkryNer/L«atlw r/DOWwo) <br />NAME - <br />ADDRESS <br />NIA CO 81428 <br />FACILITY E NO. 2 MINE <br />LOCATION NIA CO 81428 <br />! I if A M A rl r-' A M 10 Iul T r l= M/tO <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTUA I/NPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHAROE NUMBER <br />MONITORING PERIOD <br />YEAR I M D YEAR D <br />FROM TO <br />Form , wF- <br />OMB No. 204040004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />MINE DRAINAGE TO GUNNISON RIV <br />NOTE: Read k etrucdon t before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCV <br />OF SAMPLE <br /> EX ALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS AN <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT -, .: ;_ ?•#IE 5. iE##A sE . <br /> REQUIREMENT MINIMUM MAX I MUM <br /> SAMPLE <br /> MEASUREMENT <br /> ? <br />"? 1 C PERMIT r. ,[ - <br /> aEQUIRE <br />MENT <br />DAILY MX ENT <br />i <br />('i <br /> SAMPLE <br /> MEASUREMENT <br /> . <br /> PERMIT <br />vou <br />,J REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT GENT <br />!.._ SAMPLE <br />T MEASUREMENT <br /> <br />PERMIT 7 77 <br /> REQUIREMENT !.>,1ILY MX <br />L SAMPLE <br /> MEASUREMENT <br /> PERMIT A- I REPO" <br /> REQUIREMENT ?RTR _ F;TR MAX <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT I NIFT MAX <br />NAME/TiTLE PRINCIPAL EXECUTNE OFFICER ' certrty r penalty o law that lhh document and .11 ¦tlachmenu were TELEPHONE <br />prepared under my dlr.cllon ar wtper.Mon In accordanR with ¦ system designed GATE <br />to aware that quaNncd personnel properly gather and evaluate the Information <br />submined- Bawd on my Inquiry of the person or persona who manage the system, !•* <br />or thaw persons directly mpomtbk for gathering the lnformatlon, the Infermallon - - <br />- submitted If, to the best or my knowledge and be4W. true. accurate. and complete. <br />EXECUTIVE <br />W , <br />- '• 1 am aware that there are significant paealtlef for submitting false Information. SIGNATURE OF MINC <br />AL <br />O <br />I <br />A <br />E <br />T AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED Including the poaYDlUly of nM and ImprMnment for knowing eloiatkrts OFFICER OR AUTH <br />G <br />R <br />ZED <br />N CODE <br />COMMENTS AND EXPLANATION OF ANY VIVLAI IVNS rxererence an Irrecnmencsr nwrel INSTRUCTIONS - 1. C. 10, PG. 10 <br />I nl5 u a •r-y?at t tut rat <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used.