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PERMITTEE NAME/ADDRESS Qncluda Facilirv A'amellncafion ijD perenq <br />NAME <br />DI_UE MOUNTAIN ENFFGY~ IFJC <br />ADDRESSIESERAD^ MINE <br />3607 CD4JNTY ROAi) f:5 <br />FACILITYRAN^-.L Y~ CC f3i64F3 <br />LOCATION <br />r i T•~PJ: JEFF- Dt sRRFRT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (DMRJ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM Oci 07 U 1 TO 00 C % 31 <br />Form Approved. <br />OMB Nd. 2040-0004 <br />MINOR <br />'SVIIR fJW) <br />F - i",tdAL R^~ ~~iN <br />RP -4 SrUI P ,ND fG RF/U b1ASH <br />n#* NU UI5~HARGI I /f I #+!"~ <br />NOTE: Read Instructions before~.ompleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMET EX OF TYPE <br />ER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNUrSls <br />'1-' SAMPLE ###iF## #.#~##it# ##i-#st: .:_ I <br /> MEASUREMENT <br />Jl~4~r ]. <I 1 ~pERMIT ~ )lRIM>~ii#'Ij! '~l1R}FdF~#=# ~## ,'~~ ~ ##+F#rr# O ~ t <br />Y N83~1/ <br />=x iI VEt:T GF%(1SS VALUE REdt11A~MFNF: '°'' ### p(" MAX MUM ill . <br />~ ' <br />.:C!.' D~=~ I ^ i r=.L SAMPLE N'#+t### #####9F ###### i`i ' <br />i1;5~'ENi)EP MEASUREMENT <br /> <br />iJ <br />!EYMr GRilSS VALVE i~EQWLR~M~NT ~'• <br />!~ ##.# ~ A D V X G <br />' <br />. . . <br />t <br />L ~• vitEA~iE SAMPLE It###iF# ###### ###### tt#:: ~~~ 1"i l <br /> MEASUREMENT <br />ki55'. 1 O O ~~ "PSAMIT ~ ',ikM 1>!11~}:~9- ; #~ ~F"1F1F~H~ii *##xe* ~ D -~ ' <br /> <br />.F ~ I l'EIVT GRt7SS VALUE <br />R~QUIREtdENT <br />="' <br />##~ <br />TNST M % <br />1G/L <br />'~' - <br />PCfJ, T-'7TAt_ SAMPLE #####~!~ -~It#'+E >tu +t##>F~ic lu;'t <br />( AS F E ? MEASUREMENT <br /> <br />I C 4 ~ 1 G O <br />. ~ PEANIi'k' <br />.:,1~#*~l8 .' <br />: ..#~il~'ik4F' ie <br /># !r <br />.• :ik•IF1kiF##. .3 .O '~ <br />.: ~ ~. <br /> <br />~'' <br />. <br /> <br />~F <br /> <br />cF FL IrE'JT ORO55 VALUE <br />REUUIREtv{E`NT <br />tarx <br />30 AV <br />X <br />C'!I a <br />-!.7:J, IN CONDUIT OR SAMPLE C.^.i ~tata~?t:r# #'rtt+, ~n ~~#it,:~;.~• <br />HPU TREATMENT PLPdJ f MEASUREMENT <br />n~ ` "+ ? (.` D •PERMIT. REPf~T -"~.~!fll~T ######. ##•R### ###~k## # #-.~ ~L,Y p~t'/~ry <br />`rl UEN7 GROSS 'JALUE REQUIREMENT `" GD ~ v~nt~ <br />]'• I_. AIJD GREASE SAMPLE ###### ~ 9q) #x-#~c=r# k =r ~ : *~ -: ,: ar s-~ <br />5l_lAL MEASUREMENT <br />~I"~cn 1 O U "I~PEq~IkT+'-.: <br />~ rr'- :~""` <br />~'•` r <br />) _5=1 i#.+k### #w###ir ###### a +<;. <br />W <br />•EKLY <br />IBLjAL <br />r l <br />=I r_I ENT GR OS.a VAL_l.E R~Q IP9~14~NT <br />~: : ' <br />~ 0=: "' ~ ,_ fry. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REQUIREMENT ~ - <br />NAME?ITLEPRINCIPALE%ECUTIVE OFFICER ICenVy untler penalry of lawthat this tlocument antl all attachmenLS were <br />repared untler my tlireceon or supervision in acwrtlance with a s <br />stem tlesi <br />ned TELEPHONE DATE <br />. <br />{~~~ <br />~ ~~ p <br />y <br />g <br />to assure Viet quel~fietl personnel properly gather end evaluate the information ~ -'_ <br />~ ,7 S <br />r <br />f/ submmetl. Based on my Inquiry of the person or persons who manage the system, <br />y <br />j, = <br />~ ~~ ~~ <br />/ or those persons tlvedly responsible br gathering the information, Ne information " <br />~Tr' <br />G~ submittetl is <br />to the best of my krgwletlge antl belief <br />antl complete <br />true <br />accurate ~ <br />f ~ ~ <br />r~ c <br />. , <br />, <br />, <br />, <br />. SIGNATURE OF PRINCIPAL E%ECUTIVE Yz- '= <br />jy Q% r <br />' - <br /> <br />TYPED O PRINTED I am aware that there are sigMCant penalties ror submitting false information, <br />inciudl the ossibni of hne antl im risonment ror knowin violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANAI IUN UP ANY VIULAI TUNS (HBrerenCe al! aRBGllmenrS ne/eJ <br />O7.L ?x GREASE REPORTING-SEE I. L'. 1. T~ PG V+'S CsR1kl_~`ir-..•I.-!. II'JG IiiSTi~l!i'iiGN'. r. l- ~; , <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />Lti Ir_'$L:i UUlic ~ :>__ 1 `` I t. 7 <br />