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........, ... w, .,- <br />PERMITTEE NAME/ADDRESS (ynclude Feciliry Name/Locadan ifOderent) <br />MIME <br />IILLIE MOUNTAIN ENERGY, INC <br />ADDRESSilESERADU MINE <br />3607 COUNTY ROAD 65 <br />FACIUTYRAN?LY C:O 61648 <br />LOCATION <br />[:1 TNI~ .1FFF 1111AA GAT <br />NATIONAL POLLUTANT gSCHARGE ELIMINATION SYSTEM (NPDESJ Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB NO. 204D-0004 <br />MINOR <br />'~ ^ lSUDR NW) <br />PERMIT NUMBER DISCHARGE NUMBER F -~ FINAL RDL.AN <br />MONITORING PERIOD RA-1 LOADOUT 7D REU WA5H <br />YEAR MO DAY YEAR MO DAY <br />FROM 00 04 O1 TO 00 04 30 a## NO DISCHARGE I~~ ##tr <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX of TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ~~~/$ <br />3qD. S-DAY SAMPLE ###~## #####-x ###### 1 <br />(`d0 DEG C) MEASUREMENT <br />)03 ] 0 1 O 0 ""~ fikiRM1T s~ ~F1FgFi4~}~; 11FMyIIFdhi~'~.' ## ~. +14iCi4~li,~tllf 0 S <br />~~ A$-' <br />.FF'I.IlENT' CROSS VALUE >'iEOt)IREMENF'' . - #a# - V4~ MX AV is/L - <br />a)i SAMPLE ###### ###### ###~rr# 1L') <br /> MEASUREMENT <br />)Ua'n~ 1 O 1 ; °" PERMIF, . ""_': r " #e .)3 ~ ~" r-~r~# O ~ ~'Y I~'U <br />=F FLU[=f'JT :;20SS VALUE ~fiEtlUIREfi1~NT "(": ### M(; ;L, <br />iOLID~, TCJTAL_ SAMPLE ###### ####il-# #Ir#c## i'--)) <br />'115PENDED• MEASUREMENT <br />)L`S30 1 0 0 `:- PF~iNtlt .; F' J ~11~~!` °if ## '1-Nil^1F1i-#. ' 3 p "" p~_ <br />:EFL ~JEN"F GR05S VALUE REO[1PFJpR4~NT <br />~ ### ,/ <br />71 l_ ', GREASE SAMPLE ###### ###### ###### #o #~xtt# 1St <br /> MEASUREMENT <br />USSh 1 0 O .-P~i3fdk?` - .'~~M~ '''"J (-~Fdt~I~IFY'~t #~ 1'F9FM~1~-+R:, :. jp~rsit## O "„ <br /> <br />.F ;-LUFNT GROSS VALUE REOUIREN(ENT. ~ " <br />##+c r~F <br />Rrry, TOTAL SAMPLE ###### ##lt### ###### 1y) <br />(AS F E) MEASUREMENT <br /> <br />)1 :3;, 0 0 ..... <br />P1=RMIi` _ <br />'~1FdF~eklF: .. <br />M~i~+~F#F~rM IiF <br />x# <br />!#rFll~fie <br />. D <br />. 0 <br />~`~! <br />~a <br />FFL.UENT GROSS VALUE REOUJ~iEMENT - ### <br />'LtILJ, IN CLINDUIT OR SAMPLE 03) #--x-tt#iF# #bar:-c+n ~~3<s;far <br />f:RU 1 RF.A fMENT PLANT MEASUREMENT <br />O')50 1 G O .~ ~ I~ - -'"'A~'~k`.l T° - AFiF~+e1F~lF #{F*### ##x~### # t r -' W ~ftlay <br />~ <br />:F~i.U`"NT SR05°. VALVE RH¢UIREMENT `' - ,.i.Ap <br />.F;LURINE., TL'TAL SAMPLE #-tt#### ###### ###### ,+-ar~~>~-r 1,) <br />2F~S 1L•UAL ~ MEASUREMENT <br />i00Sr> 1 O 0 _-~ERMIT"' ~ ^`311FiF'"' ## - i}AiF- at##-#it9t 5 <br />~~~ <br />_r L VENT GR S5 VA U R20UIREMENT • - ~ ### -., <br />NAMErrITLE PRINCIPAL EXECUTIVE OFFICER ICeniry under penalty of law Thal Nis tlowment end all adacnmenis were <br />ervi <br />r <br />nd <br />m <br />tlirett <br />r <br />u <br />n in accord <br />vnth a s <br />st <br />m desi <br />ned <br />d <br />i <br />~ TELEPHONE DATE <br />, / <br />i ~~. <br />Sid~l e <br />y <br />p <br />y <br />g <br />prepa <br />u <br />er <br />ion o <br />s <br />s <br />o <br />ance <br />e <br />to assure that qualified penwnnel properly gather and evaluate the inlormation _ <br />l-i <br />-L~ aubmidetl. Based on my Inquiry of the person or persons who manage the system, ' - <br />~~ ~f -~y~ <br />- <br />i or those parsons directly responsible br gathering No Information, We inbrmairon = ~ --T <br />~/ f ;. , ~ ~G' ' submihe0 Is , to the best of my knowledge end belief, hue, accurate, and complete. <br /> <br />r <br />inf <br />h <br />i <br />di <br />t <br />lti <br />f <br />b <br />in <br />f <br />l <br />ti <br />I <br />h <br />SIGNATURE OF PRINCIPAL EXECUTIVE ~ ~~. >- <br />-?~=f3ZZ <br />~~U <br />CIS ~ ~ <br />,c i <br /> <br />TYPED OR PRINTED am aware t <br />ere are s <br />gn <br />tan <br />pena <br />o <br />su <br />m <br />ing <br />a <br />se <br />orma <br />on, <br />az t <br />es <br />indutlln Ina ossibni of hne end im risonment for knawin violations. OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Hererence all attachments here) <br />pIL ~~ GREASE REPORTING-SEE I. H. 1. F", PG VT7. ORTRLV SAMPLING INSTF2UCFIiI"J;;-i C ~,. c^,; ,., <br />EPA Form 3320-1 (REV 3/99) -Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />