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PERMITTEE NAME/ADDRESS (Include Fuciliry A'amelloconon ijDij(erenq <br />NAME <br />EL.%= hiOUNTAIN cNERGY, CNC:. <br />ADDRESS; c•_;FRADG~ MINE. <br />;'607 COUNTY ROAD b~ <br />FACIOTYI`AN•zLY C^ $164J <br />LOCATION <br />:at~~,.1. i~rr fll ~A]RCOl <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVS7EM (NPOES) Form Apgjj~~OVed. <br />DISCHARGE MONITORING REPORT (DMA) OMB No. PD40-0004 <br /> MINaR <br /> <br />PERMIT NUMBER DISCHARGE NUMBER F' _. F i NAL- h<;i I- `t'~I <br />MONITORING PERIOD SEWAGE TRFATMEM~'- PLAN-F <br />YEAR MO DAY YEAR MO DAY <br />~"- <br />FROM 00 ; C'7. TO n r ne p F•JO D7 gr HAR:;F I ,~a..tt~ <br />I <br /> NOTE: Read Instructions beTorECa~mplehng this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUEN SAMPLE <br /> EX OF TYPE <br />PARAMETER <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS avuysls <br />iUi~~ 5-i?AY SAMPLE i'~tb#### ###### '`~##a'r#" /~JCJ 1") <br />~ ~ <br />2U DEG. (:) MEASUREMENT •' `~- ~ +' ~ ~avn-I , <br />~~1:+1r () O -'PERMIT ~~ :~r+FaF~iF.` ..'i-~#~t-iib +F~ +t'~J-~1f'klh REPORT REPC1ftT t"I CEf RA$ <br />?f;ll 5~[,'; IhtF'!_l1F.NT AEOUiREMENT •.~## V (' I <br />iCli.. S-IJ r•+Y SAMPLE s-k###•z fit it ~r ~k# tt ~r Tt~t.p# - !'i ~ ' <br />1: ?r. Oi~.G. C ? MEASUREMENT ~ -~ ~ ~ '~ <br />)[i370 1 O 0 P~RM11'- - ~ihNi~'Nii#F `•' - -,' t a~w iF#9FR## REPORT RE~'ORT p E/ pL{~' <br />'FFt.UF::NT :ROSS VALUE REQUIREMENT - .~..~ ~ - VC 7 V ;: t .~ <br />'L;! . f US. TLTTAL SAMPLE ###it #~n~ ##a~tt#;N ~aN#~z~# X C~ --) <br />'J l " <br />i <br /> <br />'t'~F'ErJ1E1J <br />MEASUREMENT <br />~ <br />~ , <br />.e <br />- <br />]; ~_~O O J 0 P~RMI~' "MiF1t+e~ba ~',a-1MiFVrJla-."~: ~T i~4cR*+~ ~- R1~PGR"t RF.PQRT O E/ R <br /> <br />f-.J SE:~ IrJFLUPNT <br />REQUIREMENT <br />#:+iF <br />~ <br />_;,I_ ~., <br />nC'I.7 p,'~, -~(l'IAL SAMPLE fi9F#it## #A#tFiF# ###### ~ ^7 ~ 'i. <br />;USF'EIVOEO MEASUREMENT I.,.~ ~..- '~c~ ~i,1~~-. <br />)05~;G ? J 0 PERMIt . iF1kiF#r~iF +'.":i~tiY~P'~t1F'' #++ iidkM: R~P~4 R6PpRT O ~:°~"i~. R <br /> <br />:1-``' UFi~JT GROSS '.'A OF <br />AEOUIRENIENT~ <br /> <br />~ <br /> <br />~ ~ <br />e#-u# <br />MX AV <br />'~!t. _ . <br />-[ FiW, IN CC]NDUI"I OR SAMPLE <br />' <br />Cl <br />O~ /~ 63y #~s~#it# a~x ~?a ::# ., . , ~ x~,: ,/ <br />' <br />' H~~ ~-' TREATt1PNT F L,4NT MEASUREMENT G. ICJ y <br />j , <br />-~ . 7 <br />!h]`.v i U - 0 PERMIT` ,a2~A"t?i.'7_, ~'.-~~F#T" '..#&1F~iFdF it^IEif M1F~lb #+F#### # t. ;. ~, W 1zXLG..~f' 'SAN <br />FFt.I!EAiT GROSS `r'ALUE REQUIREMENT ;, I; ;~~,, <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REQUIREMENT ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> '~~~PERMIT~ _ ... ~ ~ .. <br /> REQUIREMENT ~ ~ .. - - .. <br />NAMEJTITLE PRINCIPAL EXECUTIVE OFFICER I Ceniry under panalry of law Nat Nis document and dl aHazhmer~ were <br />i <br />i <br />d <br />d <br />i <br />b <br />d <br />h <br />t <br />tl TELEPHONE DATE <br />_ n In accor <br />em <br />es <br />gne <br />prepared an <br />s my d <br />rection or suparv <br />s <br />ance wit <br />a sys _ _ <br />. + G'~' i/c r ` ~Rd <br />r to assure that qualified personnel properly gather and evaluate the inlpnnanon ~ -.f.-- ' / ~ _ <br />- subminetl. Based on my Inquiry of the person or parsons who manage the system, <br />Na Irtormanon <br />or Nose parsons tlireclry responsible tpr gathering Ne iMOmlation ~ • r- > <br />'~~' ~~h~~ ~^y ~~ <br />J <br />/ `'+ r ~"'- , <br />rate <br />l <br />nd belief <br />w <br />acc <br />end com <br />lete <br />b <br />tt <br />d i <br />t <br />N <br />t <br />f <br />k <br />d <br />b ~ <br /> , <br />, <br />p <br />. <br />su <br />mi <br />s , <br />o <br />a <br />es <br />o <br />my <br />now <br />e <br />ge a <br />e, <br />u <br />e SIGNATURE OF PRINCIPAL EXECUTIVE - <br />~ / <br />TYPED OR PRINTED l am aware Net here are slgnrtiwnt penalties for wbmining false IMOrmanon' <br />incWdin the osaibili of ane and tin risonment for Nnowin violations OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />IIJFLUFNT SAMPLES MIJST J'. !;OLL.EC;TPll, 4;JAl_YZF_D 7. Ni F'UF.TE~~ 1•Ji lGffill ~ R6GAlJDt_ES~~ G` ;-1 i1. H' r~;. ..: cI_t)iaif <br />DISCH,~RGE OCCURS. <br />gpA Form 3320-1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />OC307 ~ UuC~ _'t_ - L i b 1 <br />