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PERMITTEE NAME/ADDRESS Pali.rs-r&tyN..?Lxa/on(fV( b.en,) <br />NAME <br />ADDRESS <br />NIA CO 81428 <br />FACILITY : I E No. 2 MINE <br />?N I A CO 81428 <br />LOCATION' <br />LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHMGE ELIMINATION SYSTUA JNPDESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y MO DA YE R O DAY <br />FROM TO - <br />c 4-oproved. <br />-ME! 'J„ 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />WWTF TO DEER TRAIL DITCH <br />N)TE: Read h»trucdor» before complet" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, EOUENCY <br />OF SAMPLE <br /> EX r TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />r :. . <br />- MEASUREMENT <br /> PERMIT ;- <br />ROSS V." REQUIREMENT 0t!541LY MX UDU$ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT TIR-w1wW7 IF IT <br />' REQUIREMENT I NST MAX <br /> <br />V E L SAMPLE <br />MEASUREMENT <br />_ <br />'S 1 <br />PERMIT <br />r <br /> REQUIREMENT ORTR AVG GRTR MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 1r7rW-x-W-W -Wit -71 T 30DA AV?? MX70GEOA 1 tiOf?iTH - r <br />_UENT C.F' REQUIREMENT <br /> SAMPLE <br />i_!AL MEASUREMENT <br />i _ b 1 PERMIT <br />i ;_ :: : •i ' REQUIREMENT : `,1ST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER i -rtaty under penalty o (fa- that u," do umem and au attachments were TELEPHONE <br />prepared under my direction or mper•t*" In accordance with a system desl(ned DATE <br />to acre that qualfrW personnel properly gather and e.aluste the InrmwWtion <br />sabrrdtted. Beard cm my Inquiry of the person or pershwu who manage the system. . -- <br />i <br />I <br />h <br />I <br />ng the <br />nformallm, t <br />e <br />nfo lltm <br />nr thole penme directly re,ponslble for gather - <br />submilled ls, to the belt of my knowledge and belief, true, sourste. and complete. <br />I <br />NATURE OF ?RINCWAL EXECUTIVE <br /> I am aware Chat there are sigrrnca-t penalties for submltnng hbr Informanon. S <br />G AREA <br />TYPED OR PRINTED Including the possibility of nm and imprisonment for knowing Hd.Uom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS (Rertrrenc• &ff arrragcnmenrs nerel <br />INSTRUCTIONS - I. C. IO, PG. 10. <br />. <br />44 <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used 3 ; i; SL $ 4-parc farm