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PERMITTEE NAMEMDDRESS (Ime" FrWry He??Lecarrow (/D(Qwwu) <br />NAME <br />ADDRESS _ <br />BL 483 <br />-NIA CO 8142E <br />FACILITY )1E NO. 2 MINE <br />LOCJiT1ON 3NIA CO 8142£ <br />LL I AM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM IINPOES1 <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER asCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />?.HRONIC WET TESTING FOR 006A <br />NOTE: Read Instruction before completing this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOVENCY SAMPLE <br /> <br />EX OF <br />YPE <br /> ANALYSIS T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />A ; ;."- SAMPLE <br />A!"i MEASUREMENT <br /> PERMIT ,.#?- ..;. .y REPORT it##•r + ## <br /> REQUIREMENT S I NGSAMP <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT tt?r tt;s #'t #tf ,: 100 3t # li tF It tt a tt # j? F )? 1 r? L <br />_w REQUIREMENT MN VAL_. '; <br /> SAMPLE _ <br /> MEASUREMENT <br /> PERMIT sf## #### REPOT:. #IE####c ###### TRLY :DMP-: <br /> REQUIREMENT STNGSAMP <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###iEi ": - 1V(J ##f}#?FIE #tF#IF## I> LY Cl:hh' - <br /> REQUIREMENT MN YALUE <br /> SAMPLE <br />JLJr t' i tl'! 1 H hiF'' MEASUREMENT <br />n PERMIT < ?r I?PC1F!T I R'.- r C ! <br /> REQUIREMENT I NC'S,r1MP' <br /> SAMPLE <br />: ?I'd _ : ; '. {`,; • MEASUREMENT <br /> PERMIT REPORT" <br />L; ,?. REQUIREMENT SINGSAMP fi <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT -REFQRT <br />REQUIREMENT S I NGSAMP <br />1 rentty under pens ly o ¦w that this 6-menl and ON sttachrrenn were NAMEfT7TLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE DATE <br />prepared under my direction or rupr lslot in accordance with a system desgrwd <br />to ease" 1h01 quahned Personnel Property gather and aeNuate the Inrorntallon <br />anemllled. aeaed on my Inqulry of the Person or person who manage the "art% <br />ibl <br />d <br />f <br />t <br />or those person <br />lnctly respons <br />e <br />or ga <br />hering the Information, the Infornrdon - <br />eubmltted h, to the best of my knowledge end btfW, Irate, accurate. and eomPkte. <br />au than are el <br />dnunt <br />l <br />av <br />mNtles f <br />b <br />lttl <br />k <br />l <br />SIGNATURE OF PRIMCWAL EXECUTIVE _ <br />f <br />r <br />d <br />_ <br />TYPED PRINTED P <br />em s <br />e" <br />t <br />or su <br />m <br />ng <br />e <br />n <br />on, <br />a <br />orma <br />Inctuding the podblllq of fine and Imprisonment for knowing .Idatlom OFFICER OR AUTHORIZED AGENT XREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relorence all attachments horal <br />PL"St,! TS OF FT!-'ALITY DEPTV--' rS "-FF"Fr=CT": G?ntJT A ?? <br />STAT <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This is a 4 -part forin- PAGE OF