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PERMITTEE NAME/ADDRESS (7..&&Fw&ry Naas.(Lerariow (fD(&rmt) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDES/ <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />I- $OX 4P,-, PERMIT NUMBER DISCHAROE NUMBER <br />-IN IA <br />FACILITY 11E NO. 2 MONITORING PERIOD <br />LOCATION 'NIA CO 81-'! FROM YEAR MO DAY TO YEAR MO DAY <br />.LLIAM A. DEAR JR. MINE Mc: <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />CHROi•41 C WET TESTING FOI <br />NOTE: R*ad Iristrucdons botorlit completh?p this tam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />EX OF <br />E <br /> ANALYSIS TYP <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##it #?tn;>>- ##4t?F1 : srr#ttn <br />;0MMf_1: r,.. REQUIREMENT SINGSAMP <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 />NAMEfMLE PRINCIPAL EXECUTIVE OFFICER I rerttly -"der penalty ° few that thh document and .if attachment ere TELEPHONE DATE <br />prepared under my direction or super.hlon In accordance with . system designed <br />to assure that qualified personnel properly gather and evaluate the Information <br />submitted. S.wd on my inquiry of the person or persons who manage the system, - <br />th <br />tl <br />ibk f <br />I <br />di <br />th <br />f <br />or <br />ose persona <br />rec <br />y respons <br />or gathering <br />e <br />n <br />ormation, the information - <br />- submitted K to the best of my knowledge and belief, true, accurate. and minplele. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />I <br />m ¦ <br />are th <br />t the <br />e <br />. <br />nif c <br />iti <br />r <br />bmltti <br />fah <br />l <br />r <br />ti <br />t <br />f <br />TYPED OR PRINTED a <br />. <br />a <br />r <br />are s <br />g <br />an <br />pens <br />q <br />o <br />m <br />ng <br />. <br />n <br />nrma <br />on, <br />Including the podbibly or fine and ImpMonment for knowing vinhtl- OFFICER OR AUTHORIZED AOENT CODE NUMEfER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ripferenc• oat oftschments hors) <br />-r_ „. r^ nc r. r;-9?,L Y ?'r DER I'JS .,q !FFFF? ? R[i.1??-! Ar;r. <br />f H-4- <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used T]U$ is 0 4-part (pTtTl. PAGE OF