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FERMI TEE NAME/ADDRESS (/weiiFac0yNanoWL eflow(/DtFwoatl <br />NAME <br />ADDRESS <br />BOX 483 <br />'?! I A CO 6142E <br />FACILITY 1E NO. 2 MINE <br />LOCATION tqlA CO 6142£ <br />I TAM a R1=AP . iP . MTNF MCIR <br />NATIONAL POLLUTANT OISCHAAGE ELI (NATION SYSTEM //NPDESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHAA0 Nt1MeER <br />MONITORING PERIOD <br />YEAR 0 DA Y R MO D.Y <br />FROM TO <br />( 5UGH MH 7 <br />F" - FINAL <br />MINE DRAINAGE <br />Form Approved. <br />OMB No 2040-0004 <br />DEL-rA <br />€NNISON R IV <br />NOTE: Rssd Instructlom before completing this tam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION ND, I <br /> <br />EX FRIEOUE14CY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />44 <br />6 <br />=•,:. REQUIREMENT MINIMUM MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .3_ ryt_:_.: <br />lord- REQUIREMENT 30DA A'J'(_i k t'€f;;t•i i I <br /> SAMPLE <br />t•-. MEASUREMENT <br />5 I - PERMIT <br /> REQUIREMENT )0 A AVC' i./:,,ILY NX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />I <br />?T r-14x <br />GENT <br /> REQUIREMENT 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT sr I ?? <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT GRTR MAX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT 1NST MAX <br />NAMErnTLE PRINCIPAL EXECUTIVE OFFICER fe"' y under pens ty o ow that this document and ¦ll ¦ttachments were TELEPHONE <br />prepared under my direction or Piperv on In accordance with a system designed DATE <br />to enure that quehned personnwt properly Lather and evaluate the Information <br />sabmltted. Bawd on my Inquiry of the Person or person who manage the system, . <br />."how persons clinetly responsible for gathering the Information, the information <br />submitted Is, to the best of my knowledge and beW, Irw, scrurafe, and compkle. <br />SIGNATURE OF ?RINCWAL EXECUTIVE - <br /> I am aware lbot then on sigrsiffmat penalths for nsbmitting fete InAwmatbn, ARE <br />TYPED OR PRINTED IndudlnE the poasibfet , o<erw and Imprisonment for knowing vlolotlont OFFICER OR AUTHORIZED AGENT COOS NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I Ions /Reference sn srracnments neref <br />INSTRUCTIONS <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used <br />O, PG. 10 <br />1 {r ;`+_;-TliCigit $-part fdrrn. PAGE OF