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PERMITTEE NAME/ADDRESS Iln~r P.aen N..nu~ L.rum.. ~/ 1„n....u, <br />N"rAE TNAPPPP 'II NIEIr. f!!C. <br />ADDRESS TRA PPP°. MINE <br />P.O. R~II 14T <br />CILAI:. CD fi1fT2S <br />FACILITY <br />LOCATION <br />aTTR: M. GOR07N C''T£ifSE PflESICEH O.GR <br />NAl10NAL POLLUTANT PI$CNMGE ELIMINATION SYSTEM lNPDESI <br />DISCHARGE MONITORING REPORT lDMRI <br />11-161 17-I91 <br />PERMIT NUMBER DISCHNIGE NUMBER <br />MONITORING PERIOD <br />YEAR MO D Y YEAR O DAV <br />FROM TO <br />(161!/ l11-23/ 11~-15/ 126.17/ I19-19/ /3691/ <br />Form Approved. <br />1 I N ry 0 OMB No, 2040-0004 <br />4II fl a ~ Y) Approval expves OS-31-98 <br />1'I'•TF YPT TP5'IMt FOR 016a <br />¢4D N;1 PT SCH apr,C ~1[ ~ ftt <br />NOTE: Reed inawcrierr b•1oErr o platin0 this form. <br />PARAMeTER !3 Grd On/Yl QUANTITY OR LOADING !1 Grd Onhl OUANTRY OR CONCENTRATION NU FREQUENCY SAMPLE <br /> lIG531 15d-611 (39-151 1~6-531 !5i-B1) =F- <br />l31-371 E% <br />ANALYFS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 61d]I /51-6g/ 159-701 <br />LC50 STIITHE ItBHR al' SAMPLE ¢¢a¢¢p 0¢~¢¢¢" ¢O¢D¢¢ D¢fitrfi*f ~ ~3~ <br />~i;RIODAP}fAIa MEASUREMENT <br />T x'738 L D 0 PERMIT ¢¢+74014" ~ ¢¢¢.C PO el¢a ~, fj{- .. a#4~#1R:.'. ~ .. b.f1i?~lffi~li:::~: fr,R- :.~~ YR.L:~:is .>~.~: g. <br />F'FYLUENt GR^ 5 9R(.0 REQUIREMENT 4~t¢ v .. <br />LC50 STaTRE 94Rf{ aC SAMPLE ~a¢¢oa aoaR~* +7Delr¢¢ ¢D'fi171b¢ ~ 1. 3) <br />PIhEP4af.E5 MEASUREMENT <br />TANbC 1 0 ~ PERMIT KO¢0f¢! C0!!!!f«O #fi¢ 14if ¢~cf01lM+lk!¢ DD¢'4#¢ pa- ?fIL*.' -Rll[i <br />EPFLU EDIT GRD55 f~Ltj REQUIREMENT ¢¢ T, . <br /> SAMPLE <br />MEASUREMENT ~ <br />- ~ "~ - "' <br /> <br />. PERMIT .R ...f:~.. <br />;•y° <br />i. <br />- ~ y,`t~.`:,~ ~ <br /> REQUIREMENT l <br />l. - - <br /> -- <br /> SAMPLE ~~~ ~ ~' - <br /> MEASUREMENT <br /> PERMIT .. :-~;i: <br />:;::; ~ <br />~~ ~ - <br /> REQUIREMENT ~ . <br />~E:~ ~~~~' <br />" SAMPLE . 1, ' <br />I (MEASUREMENT "~~ <br /> - <br /> PERMIT <br />~ - - - <br /> ,REQUIREMENT; '~ ~ ~' :: ( <br />~~ <br />.. <br />..~~. <br />' <br />~ <br /> , . ,... <br />.si <br />, <br />. <br />:: <br /> SAMPLE :'. .. !: ~ .,4"' .. <br />.. fNEA!3UREMENT I. ~ ",' ' ' .. " ~ - <br /> P RMIT ~ ~ ~ ~ <br />~~ w _ <br />~ r - - ~ <br />- K ~ . <br />- REQUIREMENT '- .r . r <br />.. . <br />ri <br /> <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT <br />~ ;. .., .-.~.., ,,~.. ..- <br /> REQUIREMENT- --~ <br />NAME7TITLE PRINCIPAL EXECUTIVE OFFICER I CERTFY UNDER PENALTY OF UW THAT 1 HAVE PERSONALLY E%AMIN W AND TELEPHONE DATE <br />- AM FAMIpAA WIiN 7NE INFOr IMAT10N SUBMITTEp HEREIN; AND BASEO ON ' <br /> MY INQURY OF iHOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br /> <br />GordDa PaCarfl <br />6f <br />OBTNNING THE INFp1MAT10N, I REDEYE THE SUBMITTED INFORMATION IS <br />T <br />I <br />WARE THAT THERE ME <br />C <br />R <br />N <br />M0.ETE ~~~ ~ p~^ p.L~~~~o <br />) V-OL 99 07 I4 <br />. RUE, AC <br />U <br />ATE A <br />D CO <br />. <br />AM A <br />INCLUDINQ <br />SIQNIFICANT PENILLTES FOR SUBMITTNG FALSE INFORMATON <br />Praaid~nt/Galwral Maas Yr , <br />BEE IB U.S.C. E Tf101 AND ~7~ <br />THE POSSIBILITY OF NNE AND IMPRISONMENT <br /> . <br />irAd <br />fla <br />PLO <br />U <br />C <br />1 iZ1Y <br />(fMWU <br />Y <br />O5 <br />OR <br />h <br />H <br />S BIONATI1fIE OF PRINCNAL EXECUTIVE <br /> , <br />. <br />. <br />. <br />.• ulo <br />r <br />•t. <br />i <br />. nLrY <br />+AW ro <br />. <br />• <br />TYPED OR PRINTED rgam•.irlunirryd•vL~nwf ele•erwrenlanOrs x105 F•ral OFFICER OR AUTHORIZED AOENi CODE -NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erencs sll atteehmsnfs here) <br />SEfi E•A.l~ PP 7-9e PaR DETAILS OP TP,ST PiD~EDURE. RP.PDRT LC5n _ ^•T1fTTSTI'A: PlivT p;T7"ATE vAICN 75 <br />L'CTtlaL TO SOfi OP TP.ST DR6ANISIlSe lMD ATTACH a~OTE TOZICITT Tn,^T p~'~7RT Fpq~ r^ D*n, r-rTDIF.S pF aLG <br />EPA Form 3320-1 108• 1 Previow sdltiona mey a used: 1 F O I AY NO BE USED.1 ~ 01 -~ T ~ Q ~ (` q T 1 -1 0 ~ /I PA 1 OF ' <br />