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PERMITTEENAME/ADDRESSpw,6&F.,0r JVa.?L or/oee l/DolimrU <br />NAME <br />ADDRESS <br />bQA 483 <br />CIA CU 81428 <br />FACILITY I E NO. 2 MINE <br />LOCATION NIA CO 9142E <br />`LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT OISCHARGE ELIMINATION SYSTEM ((NPOESI <br />DISCHARGE MONITORING REPORT IDMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DA YEAR MO DAY <br />FROM TO - <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />I)SCGH OF Sp TO GUNN I SOi . RIVER <br />NOTE: Read {netructione b*for* complittlMp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE >r <br /> MEASUREMENT <br /> PERMIT #iE##cit REPORT #K <> lift###. _. J.. <br /> REQUIREMENT I NST MAX <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 />i Gently -der pe.. ty o la. that thh document and all attachments were <br />TELEPHONE <br />NAME/T1TLE PRINCIPAL EXECUTNE OFFICER <br />DATE <br />pmpared under my direction or super.tsloen In accordance with a system designed <br />to aoam that qualified personnel Properly gather and e,rhuste IM Information <br />subrrdttsd. Based on my Inquiry of the person or pemom who manage the system, - - <br />of those penam dlrecily mpordble for gathering the Information, the Inforwutlcm <br />su bmltted K to the hest of my knewkdte and belief, tree, accurate. and conplate. - <br />th <br />t th <br />r <br />i <br />nific <br />l <br />l" f <br />SIGNATURE OF PRINCMAL EXECUTM <br />i <br />b <br />l <br />t <br />i <br /> am awam <br />ere a <br />e s <br />g <br />aa <br />Pena <br />or ae <br />a <br />m <br />i <br />ing false <br />nformation. <br />TYPED OR PRINTED Including the possibility of rim and Imprisonment for knowing violations OFFICER OR AUTHORIZED AGENT COOS NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IR0erence 0 attachments here/ <br />TNI lph(;t1c'?r !?y i ?l.^r} <br />:c { -c i l'r r'T rL4I IF f? TF C; ATM <br />EPA Form 3320 i (Rev 3199) Previous editions maybe used. $ !S a 4-?t1 [gF(i1. PAGE OF <br />•J Giv