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PERMITTEE NAME/ADDRESS Ifnabb F.etbry Na.WLt wton I(D(Ofwem) <br />NAME <br />ADDRESS <br />'JIA CO 8142E <br />FACILITY I E NO. 2 MINE <br />LOCATION NIA CO 8142E <br />L_LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM_ fNPDESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y M9 I DAY Y D 6Y <br />FROM TO <br />Form Approved. <br />OMB No. 2040.0004 <br />SUDR <br />F - FINAL I;LL.TA <br />WWTF TO DEER TRAIL DITCH <br />T -- <br />NOTE: Reed Instructitx» before completing this form. <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 _ <br /> REQUIREMENT 30DPI A'J+' DAILY MY <br /> SAMPLE <br /> MEASUREMENT <br />J PERMIT <br /> REQUIREMENT I 045T MAX <br /> SAMPLE <br />Rr„• MEASUREMENT _ <br /> <br />5 <br />PERMIT A it, it W <br />w <br /> REQUIREMENT --SODA AVG M,Y DaE0A ;,- MONTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT I NST MAX <br />r' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMEnME PRINCIPAL EXECUTNE OFFICER I mrbly ° r Pena ty law that thls d-rnenl and .II auachmenb were TELEPHONE <br />Prepared under my dimlton or auper.iafon In a rdnn" with a system designed DATE <br />to --'hot qualified Personnel PropeAy Lather and evaluate the Information <br />f.bmtned. Based on my lnqulry of the person or Persona who m.n&V the system. <br />. , <br />c <br />respomlbk roe gathering the Informatiow <br />the InforrerUon -' - <br />enns dimit <br />or those <br />y <br />, <br />P <br />s.bmllted Is. to the best of my knowledge and belief. 1rwe, a ralr. and tornpiete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE ^ <br />` y <br /> I am aware that there are dirnlflcant pendnes for slrbmllting false Information, AREA <br />TYPED OR PRINTED Inei.ding the Possibility of nae and Imprisonment for kmwfng .Iolst?ole. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IReforence ell attachments herel <br />INSTRUCTIONS - I. C. 10, PG. 10 <br /> <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used. 4 isA `-paw ITI