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PERMITTEE NAME/ADDRESSp,.e&&F«wgNesw?L«stio (/D(06nm) <br />NAME <br />ADDRESS <br />LOX x+83 <br />-dIA CO 81428 <br />FACILITY 1E NO. 2 MINE <br />LOCATION '111 A CO 81429 <br />-LIAVI A. BEAR JR. MINE_ MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT f0 R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUER MH) <br />F - FINAL <br />DSCHG OF <br />NOTE: Read kwtructlons bofors eornpletirtp this form. <br /> <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 ii 3t#rt#st ;, k## ?; #3hlt3f# 9. 7 ;_Ei-' ?-I <br /> REQUIREMENT MINIMUM t'IAXI UM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ? # #yl##fi 3F##11#?k -' 70 <br /> REQUIREMENT c Jr ti' ';t i rP r. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##It#Itlr ###### sr#### REPORT I .1.4cE <br /> REQUIREMENT ?,. _ '• I LY 1'R F. t.?. L•i , ; , <br /> SAMPLE <br />ins MEASUREMENT <br />! PERMIT #if### r #)hlfillllt 3000 csV00 <br /> REQUIREMENT 30DA AVG DALLY MX M13NTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ar 1.4) ; <br /> REQUIREMENT If•.IST MAX :.; <br />i, SAMPLE <br /> MEASUREMENT <br />J PERMIT REF- '`F`CC E :. <br /> REQUIREMENT :JCr 1L%e NIX <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT + :> z•* <br />REQUIREMENT ' ,;T MAK <br />NAMEfrFTLE PRINCIPAL EXECUTIVE OFFICER i ";;;t; ° er penes i o law that this document and all ¦nschments wen TELEPHONE DATE <br />prepared under my di"cilon or wpenl>ion In accordance with a system designed <br />to assum that qualified perwnnel properly tether and evaluate the Inf,wmatlon <br />submitted. Stated on my Inquiry or the person oc Persons who manage the fntem, - <br />or these persons directly responsible for gathering the Information, the Information <br />y % <br />submitted Is, to the best or my tnuw4dre and belief, true, ecssrnte. and complete. <br />- <br />SIGNATURE OF MINCWAL EXECUTM <br />- I am awn" that then an significant Penalties for submitting fair inrormaidon, AREA <br />TYPED OR PRINTED Including the poosibillty of fine and Imprisonment for knowing YW*t m OFFICER OR AUTHORIZED AGENT NVMEiER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fRoforlACa all attachments hers) <br />-ER Ps;-C'^ 1 V?tJ T= CI. AT-FB. IF !; r?r aPPR`?vEC (??' W_jr'n, <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. TWss ks 8 4-part form. PAGE OF