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PERMITTEE NAME)ADDRESS (7.e FarlhryNa.?Lar.rton (D(fwwr) <br />NAME <br />ADDRESS _ r <br />LOX 483 <br />)NIA CO 8142 <br />FACILITY : ; E NO. ? MINE <br />LOCATION 1:14 I A CO a1421 <br />LLIAM j'). BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM I(NPOEM Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br />PERMIT NUMBER DISCHARGE NUMBER SAL LiI: <br />` DT,-, DR UNMi iK I L <br />MONITORING PERIOD TR <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read Ir?BtrueNons before completing thin form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FRE OFNCY SAMPLE <br /> 1>< EX <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT I MUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />?i , ?- <br />L k.: <br />REQUIREMENT <br />; . <br />I' .I . <br />r SAMPLE <br /> MEASUREMENT <br /> PERMIT ##eEe<## 1`K-. aiE : .: ,? 1.% <br />!- REQUIREMENT D P I LY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />r_. PERMIT ###x xx•?t# i , ;4##' : - 600: % - <br /> REQUIREMENT DA i L_ h1i: N <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />;=. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT R 7 dt r, f ;: t ti 3 l r+! <br /> REQUIREMENT '.0DA '-V?-' <br /> SAMPLE tt K r: f <br /> MEASUREMENT <br />PERMIT z. c.-r-•r, >,? ?? ; #? :-A <br />REQUIREMENT <br />NAMEMnE PRINCIPAL EXECUTIVE OFFICER t Mitty was ly o law that thh documrnl and all stlechnwnts wem TELEPHONE <br />pmpamd under my dirrctton or super+nslon In smordanm with a 1y.1-n designed DATE <br />to astum that qualified personnel Properly gather and evaluate the information <br />sabmltted. Bawd on my tnqulry of the Person or Persons who manage the system. <br />or those persons directly mPonslble for gatherlng the Information, the Informatt" _ <br />submitted ts, to thr bell of my knowledge and beYer, Ime, .mvnte, and mmpkte. <br />lno for Iabmltfin <br />am si <br />nificant <br />SIGNATURE OF PRINCMAL EXECUTIVE <br />th <br />t cor <br />en <br />k <br />I <br />f <br />I <br />f <br /> g <br />p <br />g <br />.m a..m <br />m <br />a <br />m <br />n <br />a <br />a <br />ormation, AREA <br /> <br /> <br />TYPED OR PRINTED <br /> <br />Inchding the podblllty of floe and Imprlaoanwnt roe knowing oolatlo- <br /> <br />OFFICER OR AUTHORIZED AGENT J <br />NUMBER <br />CODE <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ap attachmanta horn) <br />`. F <br />F 1' 7 r-' ??. L ?l I M <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used This IS a 4-pan {Orin. PAGE OF