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PERMITTEE NAME/ADDRESS p..&*,F o N..WL«rfor (/Dl&r.q) <br />NAME <br />ADDRESS <br />•a IA <br />FACILITY E NO. 2 M I i <br />LOCATION " E I A <br />LIAM A. BEAR jR. MINE i'iGR <br />Form Approved, <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INVPOES) OMB No, 2040-0004 <br />DISCHARGE MONITORING REPORT (DMR) ' ? l 13F? <br />;UQR MH ) <br />PERMIT NUMBER DISCHARGE NUMBER - <' DELTA <br />GAGE TO GUNNISON RIV <br />MONITORING PERIOD <br />YEAR MO DA Y O D <br />FROM TO - <br />NOTE: Read kwtrvctloM befors, completing thk+ form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, 7tOU"CY <br />AMPLE <br /> AVE <br />RAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />EX <br />TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />r REQUIREMENT MINIM.? .; MAX I MUM <br /> SAMPLE <br />MEASUREMENT <br /> <br />, PERMIT <br />rL. i ll__ .l <br />l' REQUIREMENT 30DA A V,11* EV', I LY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT 3 0 D A At.% ; DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT 11 ' <br />4 1 REQUIREMENT I NS T MAX. ,_ FNT <br />.. •. SAMPLE <br />TREAT' - MEASUREMENT <br /> - - <br /> PERMIT - If <br /> REQUIREMENT r,'-,A AW DALLY MX <br /> SAMPLE <br />-'- MEASUREMENT <br />% <br />5 1 PERMIT <br /> REQUIREMENT I1RfiR r-: ` - `QTR MAX <br /> SAMPLE <br /> MEASUREMENT <br /> E'= - <br />- <br />PERMIT - <br />REQUIREMENT INST MPtX `. . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 Ceril Y. Penalty ° law that thh document and all attachments were <br />TELEPHONE <br />DATE <br />prepared ender m1 direction or wpervkslon In accordance with • system deigned <br />to afatlrs IAN gtlasneA Personnel Properly [other and evaluate the informallon <br />fobmilled. sand on my 1"Wrl d the person or persons who manage the system, <br />or those <br />ersama direcnr ret <br />enslble for <br />ath <br />i <br />the i <br />/o <br />th <br />ti <br />I <br />f <br />- <br />, <br />p <br />p <br />g <br />er <br />ng <br />n <br />ema <br />on, <br />e <br />n <br />o--ion <br />- <br />submilted K to the bets or m1 knowledge and belief <br />tree <br />accumle <br />and co <br />l <br />t <br />- <br />, <br />, <br />, <br />mp <br />e <br />e. - <br />1 am aware shot there are slgniflca.t penalties for abmllting robe Information <br />SIGNATURE OF PRINCIPAL EXECUTIVE - <br /> . <br />I <br />l <br />di <br />h <br />l <br />r <br />l <br />d <br />i AREA <br /> <br />TYPED OR PRINTED <br />nc <br />u <br />gtl o <br />ng t <br />e podb <br />f <br />oe an <br />Impr <br />sonment for knowing violations. <br />OFFICER OR AUTHORIZED AGENT <br />CODE NUMBER <br />YEAR <br />MO I <br />DAY <br />i.UMMtN 1 S AMU [nrt_nnn t wfe e,,r net . . rv?n r rvn? tntn trrmc• M .rr.cnrn.n rs ntn./ <br />INSTRUCTIONS <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used <br />PG. 10. <br />4q2; ' TIh+A4-Pan arm.