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PERMITTEE NAME/ADDRESS(Im"FweYyNa.?L«arrow(/DOWw.r) <br />NAME <br />ADDRESS <br />-,NIA CO 8242 <br />FACILITY , I E NO. 2 MINE <br />LOCATION 1•4 I A C 0 314 2 <br />!_LIAM A. BEAR JR.: MINE MGR <br />NATIONAL POLLUTANT DISCHAROE EUMINAnoN SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (O R) <br />PERMIT NUMBER DISCHAAGE NLIMeER <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 />WWTF TO L <br />NOTE: Reed "tructione before completing this form. <br /> <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION NO <br /> <br />. <br /> <br />EX <br />F1tEOVENCr <br /> <br />OF <br /> <br />SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _l, D; "IONAL J. <br /> REQUIREMENT i ipy A,,, N X 71) AV in., r-IT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 3F #3F # si # is :;. '; ,) <br /> REQUIREMENT 'DoDt:• MX ='D P.',) <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT t- -. #sE## ,+ 6. 5) <br />##### <br /> REQUIREMENT MIN I Nl '' ` %• I MUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT " a *#ir . if #iP## # ## tl # • LPOR T OPTIONAL <br /> REQUIREMENT ;-)ODA AVG` "IX ?D AV <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> <br /> <br />EQUIREMENT <br />4 _ <br /> <br />. <br /> <br /> <br />. <br />?'-i <br /> <br />7 <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> - SAMPLE <br /> MEASUREMENT <br />PERMIT L , <br />REQUIREMENT `'IIDA .. - . ;' . <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER ' """y under penalty o law that this document and w attachments wen <br />TELEPHONE <br />DATE <br />pre peed under my direction or wpereMon In accordance with a system ddined <br />in more that qualified personnel properly gather and evaluate the Inronnallon <br />wtbmilled. Dowd on my Inquiry or the person or penom who rnarralre the system, <br />or tMse penom directly responsible roe gathering the Information, the Information <br />submitted I& to the best of my knowledge and beW, ime, a rale, and sompkle. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />fi <br />i <br /> 1 am aware that there are signi <br />cant penalties for subm <br />tting false Information, AWA <br />TYPED OR PRINTED InAuding the possibility or Mm and imprisonment for knowing Aolild m OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANAI JUN Ur AMT VIVLA I tUn, friarerenc• err errecnmPnrs nerer <br />EPA Form 3320-1 (Rev. 3/W) Previous editions may be used. TWsJs 8 4-part form. PAGE OF