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PERMITTEE NAME/ADDRESS 17-" Fael4ry Nowa/Lora„ae (/D(QirrsnU <br />NAME <br />ADDRESS <br />LIJA fCi , <br />aIA CO 81428 <br />FACILITY ' E NO. 2 MINE <br />LOCATION I I A CO 81428 <br />_;_ I AM A. BEAR JR. , MINE MGR <br />NATIONAL POLLUTANT OfSCHMGE ELIMINATION SYSTEM (/NPDESI <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NLOASEn <br />MONITORING PERIOD <br />YEAR M Y R MO DAY <br />FROM DA TO <br />Form Approved <br />OMB No. 2040-0004 <br />M I N <br />(SUBP U ; <br />F" - F I NAL D_ LTA <br />MINE DRAINAGE TO GUNNISON RIV <br />NOTE: Read itwttuctllxw Woes complstlng this fwm. <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 J <br /> REQUIREMENT MINIMI tJ11 MAXIMUM _., <br />" SAMPLE <br /> MEASUREMENT f <br /> PERMIT <br />) <br />' <br />" REQUIREMENT 30DA fi`JG (`?t <br />r"AIL . k i <br />;'i0i• <br /> SAMPLE <br />FE) MEASUREMENT I <br />.- 1 O <br />PERMIT z <br /> <br />= <br />REQUIREMENT 30DA DAILY MX '10NTH <br />_ SAMPLE <br /> MEASUREMENT <br /> PERMIT " <br />' <br /> REQUIREMENT _ T ('Sim <br />A : FNT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT a. <br /> REQUIREMENT ',ILY MX <br />,• SAMPLE <br />-= MEASUREMENT <br /> PERMIT 1?14 b" <br /> REQUIREMENT -,RTR ;:TR MAX I <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT , <br />REQUIREMENT iST "i X <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER i remiq under penally o Is. that thh d«vment and all attarhn m+ts were TELEPHONE <br />r fu <br />",ision In arearda,eee with a s <br />stem desi <br />d <br />nd <br />dlre <br />tion <br />ned DATE <br />y <br />u <br />er my <br />r <br />o <br />p <br />g <br />prepare <br />to assure that qualified personnel props y gather and eraiume the lnformalion <br />submitted. Based Get my Inquiry of the persem or persoro who manage the system, - - <br />f <br />i <br />h <br />f <br />or Those persoee directly respons <br />ble <br />or gathering t <br />e In <br />ormation, the Inforrnatlon <br />k <br />led <br />i <br />t <br />f <br />d <br />W <br />d <br />kl <br />. - <br />. <br />now <br />rw• accura <br />submitted K to the best o <br />my <br />ge an <br />be <br />. <br />e. an <br />romp <br />e. , <br />SIGNATURE OF PRINCIPAL EXECUTIVE _ . , <br /> I am aware that there are significant penalties for submitting fstu Information, AREA <br />TYPED OR PRINTED Induding the possibility of fine and Imprtsoament for knowing rWatkm& OFFICER OR AUTHORIZED AGENT CAE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANAIIVN Ur ArvT vrvLAiivrga friererenc• sn •rr.cn,r+.nta n.r., <br />?r_ INSTRUCTIONS - I. C. 10, PG. 10. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used -i r?$, & 4-DTQ ?pfiit.