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PERMITTEE NAME)ADDRESS (1nmY4 FWAIYNm-WLeeMron tfD(Ornwr) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)l <br />NAME DISCHARGE MONITORING REPORT (DMRI <br />ADDRESS <br />I. BOX 4;:.; PERMIT NUMBER DISCHARGE NUMBER <br />INIA <br />FACILITY I I E NO MONITORING PERIOD <br />LOCATION I YEAR MO DAY YEAR MO DAY <br />PJ I A FROM TO <br />:LLIAM t,. BEAR JR. MINE M, - <br />Form Approved, <br />OMB No. 20404004 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />DSCGH OF SR TO GUNNISON RI <br />NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FREOUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #II## r > ##iF s ?ti: ;, . _:: ,4_'r NS <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT it ac 1f:i a •rt at "qcE%' 'R A13 <br /> R <br />U <br /> EQ <br />IREMENT JV1)t =. ; t DiN.I LY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT If#tt ? ?? ### ?-a* # RFCPOR ' REPORT NCf/ ;RAI <br /> REQUIREMENT <br /> 3?JDA DP, I LY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #it# :< s #?kiE3rtFi ## #?? 3000 41J00 1NCE/ <br /> REQUIREMENT 20DA AW"' PAILY MX r? 3NT:-t _ <br /> SAMPLE <br /> MEASUREMENT <br />i) PERMIT i ?z'• :• ,?# #; T .1- , l , : ; 14 ONT I N <br /> REQUIREMENT IN3-i MAX 'NIT <br />Ji . SAMPLE <br />i kLATMENT P MEASUREMENT <br /> PERMIT REPOH REPORT <br />t?xr <br />F:. <br />fJ '7Ap <br /> REQUIREMENT ,; AI1 <br />Y MX <br /> r <br /> SAMPLE <br /> MEASUREMENT <br /> <br />REPORT p -It <br />PERMIT' <br />jT'iWiL <br />REQUIREMENT f ;45T MAY <br />NAMEf"nE PRINCIPAL EXECUTIVE OFFICER I cenlty under pens y -flow that this document and all attachments were <br />TELEPHONE <br />DATE <br />Prepared under my dlrecllon or superv (M In accordane with a system designed <br />to assure that qualified persennel property Lather and er Juste the Inforwuttlon <br />submitted. Bred on my Inquiry of tire Person or persons who manage the system, <br />or those penem directly mpondbie for gathering the Infomnatlon, the Inronnatlon _ <br />submitted is, to the best of my It W-kdof and belle(, $Mo. a rsle, and complete. <br />1 am aware that then are slgniflcanl penalties for submllling robe Inrormatloe <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> , <br />l <br />i <br />bi <br />r <br />TYPED OR PRINTED nr <br />„al? The possi <br />lity o <br />fin< and Imprisonment for knowing .ldatlors OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference N/ettechmentJ heal <br />"RECTr, FVFP.1, TS "!.-AIMED. TF CLATM A1`'PRC31. •? ?)!?C'J, <br />PF <br />upt?.?i 1`1: <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. TW» -, s a 4-pal 6orm. PAGE OF