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PFRMITTEE NAME/ADDRESS QncIVJe Faailiq• NamdLamtion ifDiBerenq <br />NAME <br />GLUE MOUNTAIN ENERGY. INC <br />ADDRESSOcSER ADO MINE <br />X607 CCIUNTY ROAD 65 <br />FACILITYRtiN~"-Y t;0 816"1 E? <br />LOCATION <br />ATTN: JF_FF UU--ERT <br />_,___ , <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br /> HINuF< <br /> <br /> ~~ ~-' i sueF? rJw <br /> PERMIT NUMBER DISCHARGE NUMBER F - 1= I NAI F: B L APJ <br /> _ <br /> MONITORING PERIOD SDH#+ SUMP I)~CHRG TCi RED WAS!-l <br /> YEAR MO DAY YEAR MO DAY _ <br />FROM OC 04 O1 TO UO 04 30 R## IJO UISCHARGL. I ~I ### <br /> NOTE: Read Instructions bef ore ompleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />RAMET <br />P EX OF TYPE <br />A <br />ER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS AN~Y513 <br />H SAMPLE +t#ir### ###### ###a~a ( 12) <br /> MEASUREMENT ' <br />040G 1 O 0 ;--P~gM1T ~ -5kih1!#a f'Ml~lF9ef1^~` <br />- ~r# ., ~ e~ ~; ~if~IF~R'R* r. . O <br />~ <br />~ #cY° N~~ <br />~FFLUENT 68055 VALUE fi~QUJRGMRMI 2 "~ r <br />~~; ~~# ;~3 , . <br />MAXIMC~1 ~~. U =~~~ <br />OLIISS, 'f07AL SAMPLE ###itlh# ##gtitl4* (" Iq) <br />USP ~r•JI)ED MEASUREMENT <br />O5LRU I O O °-PEFIMLT' x <br />~ ~.~ "< ~y. <br />~ <br />` ## ~ ;' fit ~ <br />' Q "' ~; _ <br />:: yF,. .. <br />FFL(;ENT GROSS VALUE RE~QkJIKiEfdCR~' - ~ <br />'~' <br />f =•' .u#+ %'A - ..~ <br />AVQ AI <br />~ i~!%"= G/L , . <br />IRON. TOTAL SAMPLE *##### ###### ( Iq) <br />AS _ FE) MEASUREMENT <br />104:, 1. O O ~ s.~„~.,. M~, ih#Y11F~I' : c" „J' <br />ry <br />~ ## - ~:'. s+r t ~ -- ~ <br />FFL.VEfJT 6ROS& VALUE R tUREMENT ` "' ,. <br />s t ~ ` ~ ### ~' 1iQ 30UA AVQ' AI ~ MX G/I_. <br />IL AfJli C,RL--ASE SAMPLE ##+t###' #*#t## sr##### c#~nx~n~n ( 19) <br /> MEASUREMENT <br />358; 1 O O ;:aMlfi'x, ., +~~ <br />~ ## ;. ~i~lkl4it~if,v: ;: iF~-r*~a- O C /'-. <br />FFL UE~JT GROSS VALUE REO(II~IL;MENT- ' ' *## INST MAX G/L <br />LOW. IN CONDUIT OR SAMPLE ( 03) ##it### #a#st +t fi #tt if r.## <br />iHRI! "TREATMELdT PLANT MEASUREMENT <br />OOSC 1 O O '~;PE~IN~If"'~ R ,' I`~ ~-1F+t,~ ~•lfle+tar~w :' x+t~ aR ~t rtle~ ~9'tAN <br />FFLUFNT GROSS VALUE a~0. IREMENT ~ t/Gi A d.Y GD r.. » +•a <br />, xn.# <br />~, <br />IL nrJD CREASE ~ SAMPLE ###### ( 94) #####-# i#itit#* #~ikiFil•## <br />I SI,,AI_ MEASUREMENT <br />40f-r 1 G ~O v' v;3>1MIt. ~ ~ ~.:~IFIFiNiFiF#(: .S=I ,g k, v, et# (~ , .`$'1tlAL <br />FF[ ~ci+iT GROSS VALVE R~UIHEMEN7' T 10=0 .~ #*# _ e- <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ~lEf;1UIREMENT -~ ~~ ~ "~- _ ~ ~ • <br />{ <br />NAME?ITLE PRINCIPAL E%ECUTIVE OFFICER I Ceniry untler panalry of law that Nis tlooument aritl all a[Iachmen[s were <br />r <br />ntl <br />r m <br />tll <br />ti <br />n or <br />rvi <br />n in <br />nce wkh <br />t <br />m d <br />tl <br />tl <br />i <br />tl <br />- TELEPHONE DATE <br /> p <br />y <br />rec <br />epare <br />u <br />e <br />o <br />supe <br />so <br />acccl <br />a <br />a sys <br />e <br />es <br />gne <br />~- ~r /~ ~ / f <br />'j to assure Net qual,f¢0 personnel properly gather entl evalume the information <br />~ 3 submitled. Bazeo on my inquiry ¢I the person or persons xfio manage iha system, <br />-' or Nose persons tlimctly responsible br gathering the IMOrmation <br />the Inbrtnanon <br />/ <br />[-i /V <br />(-~~ , <br />submmetl is <br />to me best of m <br />knovAetl <br />e antl belie( Vue <br />accurate <br />antl com <br />lete ' <br />, <br />~ y <br />, <br />, <br />, <br />g <br />p <br />. <br />h <br />t m <br />~ <br />ls <br />f <br />tti <br />l <br />i <br />ti <br />I <br />b <br />f <br />b SIGNATURE OF PRINCIPAL E%ECUTIVE . 7 ~- ~~ <br /> <br />TYPED OR PRINTED ere are sign <br />eeM pena <br />es <br />mi <br />ng <br />n <br />rma <br />am aware t <br />a <br />or su <br />a <br />se <br />on, <br />Inclutl~n the sibili of fine antl im risonm¢nt ror knowin viole4ons. OFFICER OR AUTHORRED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMtN I J ANU tAYLP,NA I IUN V F ANT V I V LA I IUNJ (Hale/erlCe a118R8CTImenIS here) <br />IF NO DISCHARGE OCCURS, REPORT "NO DISCHARGF_" ON DMR. OIL. &. GREASE ~- SEE I. -. 1. D. (aIIARTck~_'~' SAr~I'L1hJG <br />INSTRI-1CTIDN5 -- I. C. B, P. %I. <br />Epd Form 3320.1 jREV 3/99)' Previous editions may be used. 00284 / 0002: PHIS IS A 4-PART FORM PAGE 1 OF <br />