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PERMITTEE NAME/ADDRESS pNe" F. Wyman fLeraran l/Do6esegj <br />NAME <br />ADDRESS <br />LUA =FG.:. <br />INIA CO 61428 <br />FACILITY A I E NO. 2 MINE <br />LOCATION `"1N I A CO 61423 <br />iLLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOES/ <br />DISCHARGE MONITORING REPORT (D R/ <br />_4 , <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR O DA Y R MO D <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MIh <br />(SUB `r? !"J i <br />F - FINAL DELTA <br />WWTF TO DEER TRAIL DITCH <br />NOTE: Read kwilructlone before comDletino this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. fRECUENCr SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br />. Y SAMPLE !r <br /> MEASUREMENT <br /> PERMIT :#>f ## ?t## ####w? r 1 INIC E. <br /> REQUIREMENT -:1 "DA AVG MX 7D AV 1 MONTH <br /> SAMPLE -:• <br /> MEASUREMENT <br /> <br />- 1 (7 PERMIT r. Q , v <br /> REQUIREMENT r _ i?i{s, ?It,'i_ MX -17D AV MONTH <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT -? a <br /> REQUIREMENT M I N I MUM MA X I MUM <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT " tt r 1 L.f Vr1L <br /> REQUIREMENT 'oDA :' ' < r u AV } rt <br /> SAMPLE <br /> MEASUREMENT <br />;O 1 0 PERMIT _ it <br />r i -LUENT GRO?_. REQUIREMENT ?ODA AVG MX 7D AV MONTH <br />- - SAMPLE <br /> MEASUREMENT <br />I <br />PERMIT <br /> REQUIREMENT i•4-ST MAX <br /> <br />r: SAMPLE i_:J ; <br /> MEASUREMENT <br /> <br /> <br />PERMIT - r'? LM <br />REQUIREMENT >I}DA i `: •" =1ILY MX UOUS <br />NAMEmnE PRINCIPAL EXECUTIVE OFFICER ' nn,tr u er pens ty o bw lhal Wh doevment end ap atlKhmenh .ere <br />pnparrd under my dlnctlon or suPervhlon In accordance with • synemddgned TELEPHONE <br />DATE <br /> la swim that qualified personnel properly Letter and evaluate the Information <br />b <br />it <br />B <br />I <br />i <br /> su <br />m <br />ted. <br />ased on my <br />nqu <br />ry of the Person or persons who manage the system. , <br />' <br /> or those persons directly respordble roe gathering the Inforvnanon, the Info r%atfon <br /> submftted h, to the best or r y knowledge and better. true. a mte. and eompkte. - - - <br />~I <br /> 1 am swan that there art slgnlflcant penaletes for submitting false Information, SIGNATURE OF PRINCIPAL EXECUTIVE <br />D fnd <br />rdin <br />th <br />o <br />sibilit <br />r R <br />d I <br />s <br />h <br />f <br />k <br />TYPED OR PRINTE r <br />g <br />e P <br />s <br />e an <br />mpr <br />y o <br />i <br />onment <br />or <br />nowing Aolauorm OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND tArLANA I fvN Ur rnnT VIULrn I IUNa Irfasrence M •rracnMenrs nerd <br />F INSTRUCTIONS - I. C. 10, PG. 10. <br />EPA Form 3320.1 (Rev. 3199) PreviouS edition may be used. •- -? 1? = X115715 0 4-0BTE f>ifrTl. PAGE OF