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PERMITTEE NAME/ADDRESS(lock,iFwOryNwo/Le stab (fDtoWww) <br />NAME <br />ADDRESS <br />BJX 4°3 <br />iNIA CO 81428 <br />FACILITY : I E NO. 2 MINE <br />LOCATION' 'NIA CO 81429 <br />LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM fNVOESI <br />DISCHARGE MONITORING REPORT (DMR! <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO D 6Y YEAR O DA <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH) <br />l <br />F - FINAL <br />WWTF TO DEER TRAIL DII <br />NOTE: Reed Instructions before completing thin form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ( - <br /> MEASUREMENT <br /> PERMIT a fir it =4 < ... <br />REPORT <br />OPTIONAI <br /> <br />?1 <br /> REQUIREMENT JODA AVG MX 7D AV .. <br /> -- <br /> SAMPLE <br /> MEASUREMENT <br />1 PERMIT .. -, ii ##7t , <br /> REQUIREMENT 3OD(- fly, 7D AV ? I <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT .7 <br /> REQUIREMENT PI I N 1 fill MA X I Muff <br /> SAMPLE <br /> MEASUREMENT <br />y PERMIT dI ?+ REFUR-t <br />I trtL <br />it's <br /> REQUIREMENT 30DA MX 7D kb' `'. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT '30 1115 <br />1I,- <br />^J 1 - REQUIREMENT '?'DA AVG MY 7D AV - MONTH <br />I SAMPLE <br /> MEASUREMENT <br /> PERMIT ;. ., _. ,.. <br />,.I REQUIREMENT TNST MAX ??.1aT <br /> <br /> SAMPLE <br />T`r' _:' `'•t MEASUREMENT <br />PERMIT U. o <br />REQUIREMENT 3C' A (=. `.` .1 =t I L • +• .r. t_;; . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t certtly under penalty o is. that thto document and .n .uacnmrnb were <br /> <br />TELEPHONE <br />prepared under my direction a auperetolon In accordance with ¦ system designed <br /> <br />DATE <br />to amre that <br />. qualified PerwnM Property gather and erahrate the Inforenalbn <br />t <br />Based on my Inquiry of the Person or Pcrmm who -note the system. <br />or tho <br />or !hole een directly mponstbla for gathering the Inrornutlon, the Informallon ' <br />Pero <br />aubmllted la. to the best of my knowledge and belief. 1r . We orale. and compkle. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />i <br />r <br />t <br />I <br />I <br />I* <br />th <br />ir <br />M <br />t <br />lt <br />f <br />k <br /> <br />. <br /> o <br />or <br />n <br />orsnor <br />¦m ..are <br />at <br />em are f <br />gn <br />" <br />Penal <br />ies for wbml <br />ing <br />m. <br />TYPED OR PRINTED Including the potalbllity of fine and Impriwnment for knowing ootallons. OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference n/l attachments herd <br />1 INSTRUCTIONS - I. C. 10, PG. 10. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 4 'R1jI.W it 4`0arl form.