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PERMITTEE NAME/ADDRESS (7mc&kfet4kty NawrLaruraw (/D(Qlwsrel) <br />NAME <br />ADDRESS <br />BOX +E33 <br />)NIA CC) 8142 <br />FACILITY . ! I E NO. 2 MINE <br />LOCATION 1N I A CO 13142 <br />.LLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE 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 />( UBR MH) <br />F - FINAL <br />i?SCH9 OF SR TI <br />NOTE: Road Inetructione before completing this form. <br />)ELTA <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> <br />E OF <br /> X ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ???•### x#### ?? #### 0 _:KL-'" rI: <br /> REQUIREMENT MINIMUM MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT si+?# ?k# Y?siiEi#ii# u #sr,- 3S <br /> REQUIREMENT iC1IS/? n, ),, v !-?A I LY N " MON ft.; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT i:• ### =#It#a+ ###### REPORT K;=?URT v..Ei =F;A- <br /> REQUIREMENT :.iUDA AVG TYr j' Y MX MONTI-1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t.: < = .: . it ### ####'? L *00 6000 NCE! RA3 <br /> REQUIREMENT 30DA `'A I L-Y MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 1V ? ?; ? x .... c ] :7 1 6 ON T I 'I , <br /> REQUIREMENT I N5T MAX F:N <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT Rt=POR r 'REPORT I i, <br /> REQUIREMENT Z'./:,DA +t -;ILY MX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT REPORT ':UAL <br />REQUIREMENT 1:1AST MAX <br />NAME/TME PRINCIPAL EXECUTIVE OFFICER " r Pen"y 011-- that this document and all atlochmerU wens TELEPHONE <br />d <br />d <br />l <br />h <br />I DATE <br />prepare <br />un <br />er my dlrert <br />on or wper. <br />lon <br />n accordance with a System deigned <br />to naum Shad qualified perwnnal property gather and eraloale the Information <br />sebmltted. Bred en my Inquiry of the person or persons who manage the system, <br />• <br />or those preens directly respondbk for gathering the Information, the information -"! <br />? <br />submllled Is, to the best d my knmeiedge and beMer• true, accurate, and compirie. <br />I am aware that there are significant pmsltlea for wtbmlltin <br />false Informatio <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />- <br /> g <br />n, <br />TYPED OR PRINTED InNuding the poadblllty of flee and Imprkomnent fey knowing .INauona OFFICER OR AUTHORIZED AGENT CODE NUMHER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reforenc• 0 attachments herel <br />T C `MFT1 jF :LATM ;5"'^r <br />N! <br />PAGE OF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ITWS ,is. A 4-pa trt ton".