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PERMI'ME NAME/ADDRESS17-4.iFw4kryN .?Lx.wi- /Dtd..w <br />NAME <br />ADDRESS <br />d U X 4B-; <br />F'AONIA CO 81428 <br />FACILITY I qW I E NO. 2 MINE <br />LOCAT10N i N I A CO 81428 <br />LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER 04SCHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR M2 1 DAY YEAR MO D Y <br />FROM TO - <br />Form Approved <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR MH ) <br />F - FINAL <br />WWTF TO DEER TRAIL DITCI <br />NOTE: Read Instructions before completing this form. <br />ELTA <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?Fjl ### ### Q if#at tt :t <br />REPORT <br />OPTIONAC-- <br />I <br />INCE <br /> REQUIREMENT 30DA MX 7D A',J <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT r #? r i <br /> REQUIREMENT 300A AVG IM)K 7D AV N1(73 iTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ----I TIE ITT== <br /> REQUIREMENT M I N I MUM MAX I MUM <br /> <br />t l i'J._SJ SAMPLE <br />MEASUREMENT <br />G PERMIT x 4 . - tr I <br /> REQUIREMENT 30DA AVG NIX 7D AV MON <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :? #?• ?,_ , a _ <br /> REQUIREMENT 3 0 D A AV(, Ptt' -'D AV <br />-• SAMPLE <br /> MEASUREMENT <br />-, PERMIT ?:.. <br />_ REQUIREMENT MAX <br /> SAMPLE <br />?:NT MEASUREMENT <br />PERMIT ?. ., <br />REQUIREMENT MX i _. <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I mru y under penalty o In. that this document rand all attachments were TELEPHONE <br />prepared under my dlrrvtlon or supervision In accordance with a system designed DATE <br />to assure that quatlfled personnel properly gather and evaluate the Information <br />submitted. Eased on my Inquiry of the person oe per*" who manage the system <br />ersons directly responsible for gathering the Information <br />the Information <br />or those <br />, <br />p <br />- submitted b, to the best of my knowledge and begs(, true. accurate. and complete. . •: <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />t th <br />l <br />ltl <br />b <br />itti <br />I <br />t <br />ifk <br />l <br />f <br />t <br />l <br />U '^yZ <br /> ere am s <br />gn <br />an <br />pena <br />es <br />m <br />ng <br />a <br />se <br />n <br />orma <br />I am awarv tha <br />or su <br />ore. AREA <br />TYPED OR PRINTED Incfudlnt the possibility or flow and Imprisonment for knowing vtolatlo n. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION VI• ANY VIVLA I1UN5 frrererenee an erfecnmenrs neref <br />INSTRUCTIONS <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. <br />10, PG. 10. <br />C>' Ws-,W a d-Part Form.