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FERMITTEE NAME/ADDRESS(rneir4ForOryNo.WLe mi-(/DtQFenq <br />NAME <br />ADDRESS <br />Boil 483 <br />:IA CC 8142 <br />FACILITY I E NO. c MINE <br />LOCATION IA CO 8142 <br />LIAM A. BFAR •JR , IITNF MICR <br />NATIONAL POLLUTANT DISCHMGE ELIMINATION SYSTEM- INPOESI <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER kDl;C,AIGE NUMBER <br />MONITORING PERIOD <br />MO DAY <br />YEAR MO DAY Y <br />A5 I <br />FROM TO <br />Form Approved <br />OMB No. 2040.0004 <br />M <br />r - r i imfiL. <br />CH. OF SR TO GUNNISON RI'-ER <br />NOTE: Read kwtrvctlom betoro complet" thlB form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY <br />of SAMPLE <br /> EX TYPE <br /> [>< ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT S#4 r# REFURT <br /> REQUIREMENT INST MAX <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />MERiTLE PRINCIPAL EXECUTNE OFFICER <br />N t "rviy ¦ penalty often, that this docerment and di attachments were TELEPHONE DATE <br />A prepared under my dlrectlon oe supervision In ascordanse with ¦ system designed <br /> to inure that qualified personnel property Sather and evaluate the information <br /> avbmitled. Bawd on my Inquiry *(I%@ person or persona who manap the system, <br /> or those Presents directly resporotbia for gathering the InIbrvn*tkwL the Information <br /> <br />' submitted is, to the best of my knowledge and belief, true, scc ratr. and complete. <br />SIGNATURE OF MfNCIPAL EXECUTIVE _- <br /> tam •w•rv that there art significant penahles for submitting flee Information, <br />F AREA <br />TYPED OR PRINTED Including the possibility or fine and Imprisonment for knowing eioladom OFFICER OR AUTHORIZED AGENT RODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIULA I IUN5 (Refarence on •rcocnmenrs nornf <br />-HR PRECIP EVFNT IS C!_.AIMFD IF CLAIM APPROVFD BV WOOD, <br />100 <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. _ , This is 0 3-part form. PAGE OF