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PERMITTEE NAME/ADDRESS Qnclude Faciliry NemdLocari¢n ifDij(erenq <br />NAME <br />iILUE MOUNTAIN ENERGY, IN•;: <br />ADDRESSr•,=gER AUO MINE <br />:3h07 ~OUNT'I R0~ U ~5 <br />FACILITYRANGL`! r0 8! h4S <br />LOCATION <br />ATThI~ IC4-F' 11 Ih 1]CI"JT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 2040-0004 <br /> r;INOR <br /> <br /> r".n gun ~~ ~~,c S SUBR PJW ~ <br /> PERMIT NUMBER DISCHARGE NUMBER ~ _ T"? N!' <br />l Af`J <br />RBI <br /> i <br />. _ <br /> MONITORING PERIOD SDHx', •~jl1h1P ::SC HkG ~'_i 'r~i.1; WASH <br /> YEAR MO DAY YEAR MO DAY _ - <br />FROM 00 OB 01 TO 00 OB 31 a~5 t' iV^ L' l;_:'}ir1RGL ~ ~ ~ t-## <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 /~N~-CIS <br />'H SAMPLE ##trair+r atr iraa~ >~tr.s i<a Y <br /> MEASUREMENT <br />}pn.:,G U 0 PERMIT ikil#tiFit+1' ;jF1F~Fii! 1F tra : !~ iriFlFlFiFdF , 0 W EKI:.Y lVSI7U <br />-FFL_Ucl'.T GROSS VALUE AEQUIREMENT trtra HEN MUM .°: <br />-OL I C'S, TOT:tL- SAMPLE #atr### aatratrtt 19 1 <br />iU;=L'1:-TJUcU MEASUREMENT <br />J09".'O i (' O PERMIT, =s5lHY+iI~+M~° #iF- s try- TI>~b41„`• ~ ~_' ('y ,^n. CEII Ra$ <br />=FF'LUE:NT 8RG55 VALUE REC7lJ1F3E`MENT ~ "r: #._# q~{,1 '~( G/ <br />R7rJ, TD'TAL SAMPLE #a~airaa a,rtrtrair 19) <br />( A~ F~E) MEASUREMENT <br />]] 1"'a~' 1 . O O _P~RhIIT ~.' '?l9tiFIFlL'ili~ .- ~' .: at, <br />~~ ,} <br />o ; ,fi..".c, .-, <br />a ~ <br />- <br />o <br />`t <br />Ras <br />-FFLUENT 68055 VALUE REQUIREMENT ~-• ',t" sits +,~'(j X G/i_ ~ T <br />I'- ANU C-REASE SAMPLE ###+E+F'fF #~#-~+`# air*traq ~#tr nira ~ Ic%) <br /> MEASUREMENT <br />}~`3~ I C' 0 - ~ PERHIIT, '~~'-~'~'~"~. ;,,~, iF trir "_: 7Hd~iNF#u- `. tlFN~lt~iri-4 - 0 { ~" ~ ~ a`$ <br />_FFl_UFN~T GROSS VALUE REQUIREMENT s?rtr ~_ G''_ T` <br />-Lflly, IN CONDVIT OR SAMPLE O'3) tr#a~t?-#a #it#tttt# n#atrtrp~ <br />IHRU T'R EATMENT PLANT MEASUREMENT <br />(?C]50 I O O PERMIT ,~~pT. 'f~~~7 dtiFw•ihnir itll'iFirira raM~raiF # n# kV NS7AN <br />.f"F-L UENT GROSS VALUE REQUIREMENT GU ~ a-'~ <br />!,_ AtJD t;R EASE SAMPLE #trat## 94) #air #u;s~ #;fa.R.~a s'#¢is-i '. <br />IryL MEASUREMENT <br />i4J~6 1 O O `PERMIT. ',~IItiF .=."!f ~ T-'Y .S=1 "ir+»r+>txw- +'~iFAFirIF*a aatit+r+ta * ~,: <br />W <br />E-tuY <br />I9UaL <br />cF FLUENT GROSS VriLUE REQUIREMENT O= ~ - ~;#:, <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER ICenity untler penazry of law that This tlocument entl ell ettachmen,s were TELEPHONE DATE <br /> prepare0 untler my tlireclion or supervision in accordance with a syslam tlesignetl <br />/ <br />, ~ <br />!/ <br />! <br />) <br />~ W assure Thal quahfed personnel propeM gazh¢r antl eveluaze Me inbrmalion <br />ersons who mana <br />e the s <br />stem <br />i <br />r <br />n a <br />d <br />e <br />d <br />i <br />I th <br />b <br />M -_i.y <br />/ r ~ <br />/ <br />( <br />a, . <br />Bi. <br />_ <br />_ <br />~ c - y <br />, <br />p <br />g <br />. <br />ase <br />on my <br />ry ¢ <br />e pe <br />so <br />su <br />m <br />e <br />nqu <br />Ne inlormation <br />ahering Iha iMOrtration <br />ersona tlveN <br />ms <br />onsible for <br />or Ihose - <br />~*' '6~ <br />L ~ ~ <br />~->r ~ ~,v , <br />y <br />g <br />p <br />p <br />submrttetl is,,o the best of my knovAedge and belies true, accurate. end wmplaze. SIGNATURE OF PRINCIPAL E%ECUTIVE -i. •'7 - 2 L dL' C 9 ~ ~ <br /> <br />TYPED R PRINTED I am aware that Nere ere slgnifcant penalties far submining lalse Inbrmation, <br />indutlm the ossibili W fns and im risonmant for kncvin violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence all attachments here) <br />?F NU DISCHAP.GE OCCURS, REPORT "N^ U1'-;CHARGE" ON UMR. OIL &. GF;EASF: -~- SEA I. ii .. '; t~U<',RTEI+LY SAt'IPLLt•,!-. <br />INSTRUCTIONS - i. C. 131 P. XI. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. _ THIS IS A 4-PART FORM PAGE OF <br />