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PERMITTEE NAMEIADDRESS n-.' '- FaeebryN-rdtocrlaw t(D(Ownr) NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM (NPOESf <br />NAME DISCHARGE MONITORING REPORT (DMR/ <br />ADDRESS. ?. <br />BOX PERMIT NUMBER DISCHARGE NUMBER <br />' I A MONITORING PERIOD <br />FACILITY 1 E NO 2 MINE YEAR MO DAY YEAR MO DAY <br />LOCATION ; i I A CO 81,1 FROM TO <br />L_ TAM A. BEAR SIR. , MINE MGF,. <br />Form Approved. <br />OMB No 2040.0004 <br />M?NOR <br />( SUBR ml.i , <br />F - FINAL DELI <br />SR)- BEER TRL DTC OR UNMD TRIB <br />NOTE: R*nd hwitructlone before colnplNt" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX of <br />YPE <br /> ANAlvsls T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT / <br /> PERMIT <br />F ! Tl <br />L. ,))=iV i , REQUIREMENT X, I HUM <br />I 1-03, TG , `' SAMPLE <br />1=NDEI) MEASUREMENT <br />Cl PERMIT # st?t # +t : ,t• •sti h ai # >. ;', i O :' - i ?i, H . <br />I F GR REQUIREMENT P,Vt UHI L'? ' Il)NTH <br />SET i ! - SAMPLE <br /> MEASUREMENT <br />rS 1 O 0 PERMIT ?+ #iE # # sr >f k# :r # sc-, ;, I REFIORT c P T <br />F J h <br />A B <br />r "'P..OS S V." • REQUIREMENT 3 DA A'J'-} DAILY ) <br />MONTH <br />I, tUTH' SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT -.,> # 1E# lE #t? 'I -.? -?r• ir•tt3r r f_,.?v? s f1 <br /> REQUIREMENT DAILY MX MON'rH <br />.'!U SAMPLE <br /> MEASUREMENT <br /> PERMIT # >t# ate • #tr a sl t ?., a 1 ?J i ! d <br /> REQUIREMENT IN5T h1AX <br />iiW t UtJLUi 7 SAMPLE irsr##It r <br />REATMENT PLI;,; ! MEASUREMENT Y <br /> <br />0 O <br />PERMIT <br />REPORT <br />..r T -777-77 <br />;ROSS VAi REQUIREMENT <br />=r E 1>? F SAMPLE <br /> MEASUREMENT f? <br />PERMIT - ?`F tSJT >: } t a L. <br />REQUIREMENT <br />nder <br />NAMEPIME PRINCIPAL EXECUTIVE OFFICER ' «n,ly . Pen. ty o law that thh dotvment and .II.uachmenu .ere TELEPHONE <br />DATE <br />Prepared under my dlr uon or tup?reltion In accordance with a ..stem ddtned <br />to mew" that qu.ttlled Perwnnel property tether and ce alu.lc the Inronnallon <br />asbrattled. Based on my Inquiry of the pertnet oe pereoro who man.te the rysa,N <br />or Meter ptnorr directly -tpomzlW rot gathering Me Information, the information <br />submitted b, to the lent of my t-incite and better, true. accvrsle, and complete. <br />1 am 6.8" that them am tiorksat pensltln for rabmlltin <br />robe Info tl <br />SIGNATURE OF PRINCNAL EXE( <br />VTIll'E <br />n <br />•'' <br /> g <br />o <br />, . <br />TYPED OR PRINTED Inch.alag the Possibility of nne and Imprbomnent for Itmuing ridotiona OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/orence sat •ttechmonts here1 <br />,G.I= rr- n 1-•.._-,? Tr - ,. -r.' r. <br />EPA Form 3320-1 (Rev. 3/99) Previous edrtlons may be used This is 3 4-part form. PAGE OF