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PERMITTEE NAMEMDDRESS(ym."fw&fr)Vm.WL erlanl(D(06nw) <br />NAME <br />ADDRESS <br />ij v <br />JNIA CO 8142E <br />FACILITY I E NO. 2 MINE <br />LOCATION ,N I A CO 8142E <br />LLIAM A. HEAR JR., MINE MGR <br />Form Approved. <br />NATIONAL POLLUTANT OISCHAAGE ELIMINATION SYSTEM I/NPOESI OMB No. 2040.0004 <br />DISCHARGE MONITORING REPORT WMRI <br />'n U E R "i ms's <br />PERMIT NUMBER DISCHARGE NUMBER - FINAL 1}):{ <br />NE DRAINAGE TO GUNNISON RIV <br />MONITORING PERIOD <br />YEAR M 2&9 YE R DAY <br />FROM TO <br />NOTE: Reed Ir»tructlorw before comoletlnp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ###ti#?t s###?s# 6. 5 #ih# .0 <br />a_ : <br />r. > <br />- REQUIREMENT MINI MUM MAXIMUM <br /> SAMPLE <br />`i' 'SP ENGF D <br />MEASUREMENT <br /> PERMIT x x ra ;::, 7-7 vt.: ?.? <br /> REQUIREMENT 30DA AWG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT cr :'v', <br /> REQUIREMENT 30 LA ri`. i DAILY MX (i if iTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ° it SF :.. # iiF# lF 1 <br /> REQUIREMENT INST MAX GENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - ? - 7-77-- 77. <br />. <br /> REQUIREMENT -UI;H At.i+ 1!_Y !-'IX <br /> <br /> SAMPLE , <br /> MEASUREMENT <br /> <br /> PERMIT <br />i Ft. -P <br /> REQUIREMENT MAX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />I aertnly u er penalty a law that thH dotvmenl and all allachmens wen <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE <br />l <br />DATE <br />prepared under my dlrett <br />on or wper.lflon In accordaratt with a system designed <br />to seaure That qualified personnel property gather and evaluate the Informalion <br />submitted. Bred on my inquiry of the person or persons who manage the system, - <br />or thaw persons directly responsible for gathering the Information, [be Information <br />submitted Is, to the bet of my knowledge and belief, true. atrarale. and romplele. <br />I am aware that then on sigNficant pmaltles for subrdtting false Information <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED , <br />Induding the pmoblilly of fine and Imprisonment for knowing vlotatlki OFFICER OR AUTHORIZED AGENT EA ODE NUMBER YEAR MO DAY <br />COMMENTS AND EAVILANAIIUM Ur PUTT vwLnllVrra Irrerersnce an srrscnmanrenere) <br />INSTRUCTIONS <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used. <br />I. C. 10, PG. 10. <br />Ci 41? 7 /' ;-7 !C s a 4-0are form.