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PERMITTME NAME)ADDRESS (7nrAk ForllrfyNa?•rLaear,ae I(Dlj~) <br />NAME <br />ADDRESS <br />box 48-1 <br />:IA CG 514 <br />FACILITY `.E NO. 2 MINE <br />LOCATION IA CO 5142 <br />LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DA YEAR MO. D i <br />FROM TO E: d <br />Form Approved. <br />OMB No. 2040.0004 <br />r•1 i i'J 0 f•: <br />f - F 1 t4AL DEI <br />WW•TF I'D DEER TRAIL DITCH <br />NOTE: Read instructions before completing this fOrm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ' <br /> PERMIT <br /> REQUIREMENT 30DA A',: , r.ILY Mx <br /> 1 <br /> <br />` - <br />R <br />SAMPLE .7 <br />It <br /> MEASUREMENT <br /> PERMIT T _ <br /> REQUIREMENT I FIST 111AX <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT Rerun _ . r <br /> REQUIREMENT (3RTR AV" QPTR MAX "- <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ." ... <br /> REQUIREMENT -30DA AVG AI A 7DGEOA 1 ' -I, MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - <br /> <br /> REQUIREMENT I NST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />ITME PRINCIPAL EXECUTIVE OFFICER <br />NAME penalty *(I.. : Choi th is dortmern and.u .tlarnments.era TELEPHONE DATE <br />C prepared under my dimtton or sup errt?un In mverder,m with a system designed <br /> to inure IhN qualtned personnel properly galAer and er.lu.te the Inrorn.thm <br /> submitted. Based on my Inquiry of the perwn a persona who manage the system. <br /> or Chose persons dimity mponlble for totherlng the Information, the Information <br /> submitted b4 to the bell *(my knowledge and belief, Criss, arrurale, and eomplele. - <br /> nlftr,nt <br />I am swam chat there am st <br />enalties for nrbmlttin <br />false Info <br />m <br />ti SIGNATURE OF PRINCWAL EXECUTIVE <br /> g <br />p <br />g <br />r <br />a <br />on. kREA <br />TYPED OR PRINTED Imlluding the posdblHty or nne and Imprisonment for knowing lolauorss. OFFICER OR AUTHORIZED AGENT CODE NUME R YEAR MO DAY <br />COMMENTS AND EXPLANA I IUN Ur AM T VIVLA I JUNG Irrererence an arracnmenra nerel <br />%NSTRUCTIQNS - I. C. 10, PG. 10 <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used, ` 8 4-par, Form.