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PERMITTEE NAME/ADDRESS (/nclude Fonliq~ Name/Lacarion ifDif(erenq <br />NAME <br />ADDRESRLcF hI0UN1'AIN ENERGY, INC. <br />~E~I.RAD^ MINE <br />3607 COUNTY ROAD 65 <br />FACILITYR~NGLY .O 6;.646 <br />LOCATION <br />ATTN' .1-rFF f)lJp TkFRT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB NO. 2040-0004 <br />M I IVOR <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD RA-1 LGAOOU~T l0 RFD !DASH <br />YEAR MO DAY YEAR MO DAY_/ <br />FROM 4 TO ~ 4 ~ #;t# lJC! D CSC HAR G~ I Q ~ ### <br />NOTE: Read instructions afore 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 AN.~v513 <br />.OLI FCRM. f ECAL SAMPLE ###### ###### #a#~rv## 1't ) <br />iENERAl. MEASUREMENT <br />r4(i5S 1 0 0 ~i~PfsRMl7 ~ ~,9F~iF~f~fk ~'~"rt ## dEitik$iFaF" OQO <br />~ AQQ ~ ik ' C~/` RB; <br />FFLUENT R055 VALUE {iEQUJRECv1ENT ### _ ll <br />JIL ANii GRF'ASE SAMPLE #t<#it#a 94? ###### #i-a,~~* ##~### <br />I51.14L MEASUREMENT <br />Oaf ~, I U o ~~~NitT ~ ' ~~ 14i' :~ ~._, k ~. "s-1 fi ~,.._ , ,~ : <br />~ "=~ii'a~~~r~ ~n ~ ,~ u~ PRA ,TS~IAtr <br />'FFL.V~NT GROSS VALUE REOUIR~M~NT ' "* -p `L ` o-##~ <br /> SAMPLE <br /> MEASUREMENT <br /> <br />~ i <br />m is ~ a <br />a-~ <br />~. 4 <br />~r <br />#- <br />~ <br />sF. <br /> gEQUTA~M NT ~ <br />i <br />~ - <br /> SAMPLE <br /> ENT <br />MEASUR <br />E <br />M <br /> y <br />~ <br />y ~ <br /> > <br />s ,A ~fY 1-v <br />~ 3?s ~. <br />~ _ ...~ r/it1 <br />- < <br />~14 F + <br />Y. <br /> SAMPLE <br /> SUR <br />E <br />MENT <br />MEA <br /> i~ <br />. <br />a <br />II~~ <br />-"~', t'I{~I~'1 K s <br />~Sb r~ #°~ .. ~ '~ tlT'.; h ~ .: ~. t rt I •i" ; <br />~~. <br /> AEOUI~EM1ASNT _ <br />_s '~~ t~ . _ <br /> SAMPLE <br />` MEASUREMENT <br /> ID~"~"' ryf ~ ".-1' Y i j~~. y ~ ~~ t 5~ .i. ~ - ~j~ ~y~ ' . . k" <br /> pf; tJ[RE6IENY A + ~ <br />' ! ^ <br /> . , s. , - r: •. <br />., <br /> SAMPLE <br /> MEASUREMENT <br /> _a <br />' <br /> 'RE~gUfREMENI~ ; , -k a ~ ~~ ~ ;:,~~ _ <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER ICMdy under panalry of law that this document antl au anachmen¢were <br />di <br />i <br />i <br />i TELEPHONE DATE <br /> <br />~ prepared under my <br />rection or superv <br />s <br />on In accortlance w <br />th a sysTem tlesignetl .~ <br />~~ <br />S <br />~'Llf/ to azsbre gat qualisetl personnel pmpedy gazhar end evaluate Iris Inlormagon - / <br />[ <br />u ~ submitted. Based on my Inquiry of Ne person or persons who manage Ne system, <br /> or those persons directly responsible for gathenng the IMOrmation <br />the IMOnnazlon <br />'/ <br />C!! , <br />sWmitleo is <br />lo the best of m <br />knowled <br />e arW bel:el <br />true <br />accwate <br />and crom <br />lete <br />r- <br />~. <br />~ y <br />g <br />, <br />, <br />p <br />, <br />, <br />. <br />h <br />f <br />i <br />i <br />h <br />i SIGNATURE OF PRINCIPAL E%ECUTIVE ~~ .177s C~ CJ/ 3 <br />TY~Eb OR PRINTED I am aware Ihat ( <br />ere are signi <br />caM penalties for subm <br />tt <br />ng <br />ake inbrmat <br />on, <br />inclutlin the ossibili olfneaM im risonrneM br knowin violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Aelerence all attachments here) <br />UIL °< GREASE REPCtRTING-SEE I. D. S. F. PG VII CifRTRLY SAMPLING INSTRUCTIONS-I C t•/, PG XI. <br />EPA'Form 3320-1 (REV 3/99)- Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />00100/000222-1516 2 <br />