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PERMITTEE NAME /ADDRESS (Include Facility NamelLocation if Different) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />NAME S <br />ADDRESS B OW I E NO. I MINES <br />P ; ; VET K 433 PERMIT NUMBER DISCHARGE NUMBER <br />PAONIA <br />FACILITY MONITORING PERIOD <br />s3 F 1'40. I i"� 1 N,: S YEAR MO DAY YEAR MO DAY <br />LOCATION . FROM TO <br />�.: AON I A <br />Form Approved. <br />OMB No. 2040 -0004 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NQ, <br />EX <br />FREQUENCY <br />OF <br />ANALYSIS <br />SAMPLE <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />UL .Dt;: , 1 ;W i'AL- <br />SAMPLE <br />A <br />USPENDEU <br />MEASUREMENT <br />PERMIT, <br />• I I <br />REQUIREMENT <br />c ter. s i t..i -ABLE <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />cs <br />REQUIREMENT <br />T1 <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />3582 (. 0 <br />REQUIREMENT <br />h <br />SAMPLE <br />HRU TR AI'MENT PLAN <br />MEASUREMENT <br />PERMIT <br />Iii; "tJR <br />:OOE,G 1 0 {} <br />T GROSS j_}-. <br />REQUIREMENT <br />.1L f^ §IND GRi°` °I"T- <br />SAMPLE <br />'I SUAL <br />MEASUREMENT <br />PERMIT <br />;40 6 6 1, ('i o <br />"LUENT GF F. <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cerlit) under penal[) of law that this document and all attachments were <br />TELEPHONE <br />DATE <br />prepared under my direction or supervision in accordance with a system designed <br />L`: r` <br />to assure that qualified personnel properly gather and evaluate the information <br />submitted. Based on my inquiry of the person or persons who manage the system. <br />or those persons dire ctly responsible for gathering the information, the information <br />- <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />or �" <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that there are significant penalties for submitting false information, <br />including the possibility or fine and imprisonment for knowing violations. <br />r- <br />,r <br />TYPED OR PRINTED <br />CODE <br />NUMBER <br />BAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />>?C1L ADS LIMIT WAIVED FOR 10--YR, 24HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS I\ <br />ANY ADDITIONAL DATA CHALI... IMF c- 3)UP'L LED TO THE DTv*ISICIN WITHIN 4E; Fi.'.-IURS. <br />EPA Form 3320 -1 (Rev. 3/99) Previous editions may be used. This is a 4 -part form. PAGE OF <br />