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FEAMITTEE NAMUADDRESS(I,.AA F.ribryN..a/Lorertne(/D(-r, <br />NAME <br />ADDRESS <br />:itilA CO 81428 <br />FACILITY ; I E - NO. 2 MINE <br />LOCATION ;NIA CO 81428 <br />.:LLIAM A. DEAR JR.. MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHAROE NUMBER <br />MONITORING PERIOD <br />YEAR O. DA Y I ART-m-5-1 DAY <br />FROM TO <br />1 Form Approved <br />- <br />L / OM9 No 2040-0004 <br />MINOR (SUBR MH) <br />F - FINAL DELTA <br />SR/MINE WTR -1-0 JEER TRAIL DTCH <br />NOTE: RglBd Inetruetlorite before complotht0 this fwm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br /> <br />EX FREGUENCr <br /> <br />OF <br />SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ,- <br /> MEASUREMENT <br /> PERMIT _ <br /> REQUIREMENT i !'SST MAX _ <br /> <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 />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER I cenmy under pe°' y ° Is. that Ub document end all .11whments were <br />d TELEPHONE <br />d <br />d <br />dl <br />tb <br />ehl <br />m i <br />t <br />d <br />i <br />d <br />ith <br />DATE <br />prepare <br />er my <br />rer <br />n w super <br />o <br />ence w <br />• syf <br />em <br />es <br />gne <br />ru <br />n eceor <br />1o tart that quasfkd personnel Property ether mad evaluate the Inrernulbn <br />submitted. Bred on my Inquiry of the person w person. oho lnanmge the sntem, <br />or thane persons dimity respornllele Iw gathering the Information, the Information <br />submitted b, to the beet of my ktseokdge and belW, [me. scan-le. end complete. <br />SIGNATURE OF PRINCWAL EXECUTWE <br />ll <br />l <br />t <br />i <br />l <br />i <br />t <br />I <br /> gN <br />1 sm swan that there are s <br />cia <br />penalt <br />es fw fubm <br />tl <br />ng fa <br />es <br />nform.tbn, AREA <br />TYPED OR PRINTED Including the possibility or Br end Imprisonment I'm knowing eloletko OFFICER OR AUTHORIZED AGENT CAE NUME3ER YEAR MO DAY <br />COMMENTS AND EXPL.ANA I IVr4 Vr ntn T YIVLM t was rrprerence an errarcnmenra norel <br />3HR PRECIP EVENT IS CLAIMED. IF CLAIM APPROVED BY WQCD, <br />,t _ - :-i i< iiii -?ui•i C=i ii -?iI•.i ?- <br />EPA Form 3320-1 (Rev 3(99) Previous editions may be used This 3S a d-part IiQnn. PAGE OF