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PERMITTEE NAME/AODRESSQ-is.rtMryNw?Loe.rlonl/D(06w ) <br />NAME <br />ADDRESS <br />LOA 483 <br />-:NIA CO E3142lE <br />FACILITY ! I E NO. 2 MINE <br />LOCATION )NIA C0 9142E <br />:LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY I Y R O D Y <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />OSCHG OF <br />NOTE: Read kwt(vcdorw before completmg this form. <br />ELTA <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT EPOVT <br />s'• i?# x <br />###### <br />#3t#3? tc? <br />i>= . <br />: ':- UA <br /> REQUIREMENT 1 NST Mgt <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITIE PRINCIPAL EXECUTIVE OFFICER I "may " r -p-en-shy ° law that thh document and all stwhments were TELEPHONE DATE <br />papered under my direction or sup-*49n In eccerdentc with a system deslgned <br />to swum IAN q.shned personnel properly tether and e•Nuete the Information <br />wobnitled. ewwd m my taqulry of the peesow ar persoro who manage the system, <br />or those persme dhectly respordble for gelherlng the InformeUow, the Infoemall n <br />th <br />b <br />kn <br />wk l <br />d <br />t <br />t (m <br />d <br />4 <br />e <br />es <br />o <br />submille <br />o <br />y <br />ge an <br />betlef, true, ec mle, and complete. <br />K <br />I em ewes Wet them em slgninceal preeltla I- mbmfltln <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />fete InrommitlM _ <br /> g <br />, AREA <br />TYPED OR PRINTED Inrfuding the powiblUtr of flaw and Imprbonment for knowing eioletJoen, OFFICER OR AUTHORIZED AGENT OOS NUMBER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aN attachments here) <br />;P r'RECIP EVENT IS ri ATrnr-M TF :jPR0k F'; rn <br />?ASURFMENTS-SEL. ._; <br />+--BAR r I' i 0 e fil7'T?i i - r r; <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used TWs iS a 4-Pert rorM. PAGE OF