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PERMWME NAME/ADDRESS (1m+f«Wry N..?L«.irew ((D(#6 w0) <br />NAME <br />ADDRESS 'J <br />-ZiJ <br />'IIA CO 81428 <br />FACILITY E NO. 2 MINE <br />LOCATION •i I A CO 81428 <br />.LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT ID R/ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y MO DAY YEAR MO D <br />FROM TO - <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH ) <br />F - FINAL <br />GSCGH OF SR <br />NOTE: Read knttructione befowe completing this form. <br />,E <br />LTA <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FRECUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - ' <br /> MEASUREMENT <br /> PERMIT = . ;#itit <br />6. 5 t### _-? -? <br />U? REQUIREMENT MINIMUM MAXIMUM <br />7 SAMPLE ,t. <br />T MIDI MEASUREMENT <br /> PERMIT ##? ## f#>fa# ttt ?t 70 <br /> REQUIREMENT JOUA A'Jl; GAILY MX t I0 t f ? =i <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT ##ytir #Ti# ?r #st##if ri REPORT C l INC 17 <br /> REQUIREMENT 300A AVG DAILY MX i 1ONTH <br /> SAMPLE <br />J MEASUREMENT <br />C: PERMIT ###### #It#### : :' ###### 0 6 'r ,., <br />GR• REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />? 1 0 PERMIT it#?t# :z #### ## ####1f# ###al ## 1 t_ i 1 :.rr ,= :i <br /> REQUIREMENT t INS F MAX T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />R F.: REPORT <br />_UENT G!^ REQUIREMENT 0L.- ,+ILY MX <br />r ' SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT a +;. ?" <br />REQUIREMENT :';ST MAX <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I nntly to nder penalty .(I.. that 00% cl e ' itnl and aB.tl.chmenta were TELEPHONE DATE <br />preP.red under my dir 11-n w MPe'M" In ttccord.nee with ¦ system designed <br />to care that quaNfled pemnnei properly tathee and erNu.le the Inferrn.tlon <br />aubmitled. Bred on my IngvirT c(Ow person or persona who m.n.ge the tratem, -_1 <br />onslbk f <br />Ih <br />di <br />fl <br />the <br />I <br />th <br />r <br />i <br />th <br />f <br />U <br />l <br />" <br />y mp <br />tw <br />em proem <br />r <br />or ga <br />r <br />ng <br />e <br />n <br />orwo <br />ea, <br />e <br />n <br />mt <br />tlcm <br />_ aubmitled b, to the bnt *(my knewkdge and belief, Ime• ac tame, and mmplett. _ <br />I am .ware that Ihtre n or,,in-ni pen.Itter r- mbmitN? <br />r.he Inronntuon <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />' <br /> <br />TYPED OR PRINTED t <br />. <br />Includlnt the po.ibulty or nn. -d impr+-ni r- k- nt .hi.nom <br />OFFICER OR AUTHORIZED AGENT FIE <br />CODE NUMEiER <br />YEAR <br />MO <br />OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA IIONS (Rdoronc• sn •rncnMfnra ntrrfI <br />' PRECIP EVENT IS CLAIMED TF C!. ATM APPRO'.'FT) I?Y WQCD, <br />' .?=ASVRE!1i_f•.i,?;-SEE i t? _; -''? ,: ;:_!,;: <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used This is 8 4-part form. PAGE of