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PERMITTEE NAME/ADDRESS (include Faciliry NamNLacanon i~Digerent) NATIONAL POLLUtANT DISCHARGE ELIMINATION SYSTEM (NPDES) FOtm APPfOVed. <br />NAME DISCHARGE MONITORING REPORT (DMR) OMB NO. 2040-0004 <br />PLTTSBD.RG E MI-YAY COAL ~IINIRG ~ <br />MINOR <br />ADDRESSEDtlA VINE r n ~ ~ nni (SUER yM) ' <br />PERMIT NUMBER DISCHARGE NUMBER I <br />P.O. dOC bSld P - FINAL ~ROI1T'i <br />FACILITY ENGLEMOOD CO 4015.5-6518 MONITORYLGPERIOD SURFACE RUNOPF TO OAK CREEK <br />LOCATION ~ ~ YEAR MO DAY YEAR MO DAY <br />FROM 0 12 O1 70 00 12 J1 aan NO DISCRARGI; ~ Ot. 'u <br /> <br />..... ~ . ....................~..~........ Y.. <br />• , <br />...... ~ ~r....~..y ........,..... <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAM EX of TYPE <br />ETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS - AA''v-GIs <br />OIL AND GREASE SAMPLE as#aaa ( 94) #40S?4 *,#>r4#s a~::~a>x <br />Y L S U A' L MEASUREMENT <br />daUbb <br />1 U U Fa <br />v ,r <br />a ~ Mme fie f <br /> <br /> <br />EFPLUENT GROSS YALU <br /> <br />_t~_ k ~ <br />.. tC` ~ ~_;'. iCr:, <br /> <br />~~1 ~ rm-~ ~~# Y ~;: <br /> <br />~ ~ ~" NO=O `, ~#. t I;Kd .~~~ <br /> <br />• a;~.tt<d,ia4 ~+~~ <br /> <br />+.-.= ` <br />,`r~~`..,,w`y <br />"'"- ~ <br /> <br />n# , <br />, <br />+i H <br /> <br />~=1v "~_ <br />SAMPLE <br />~L ~ ~ SAMPLE <br />M <br />ASIJREM~NT ~ - <br />e ~ ;` E <br />' J <br />' <br />~ ` v ~ <br />'~ <br />~ i ++ r 5 <br />K 9 <br />'" C <br />, <br />(f <br />1' <br />Ji: ~ <br />_ h. <br />. , r , s r <br />. ' .fy <br />ti <br />1 ~'„ <br />' <br />, <br />' <br />- SAMPLE <br />b' <br />. <br />~ <br />'` ~ MEASUREMENT <br /> - <br /> y .~~ <br />~ Ih _..x. <br />k <br /> / ~ c P''"' YN~ _r <br /> <br />. ~~ 'MEfjSI~REMENT ~.~ - t~~ ~ }:., ;~Y,'', `; <br /> ' ~ ~ ~ , <br />in~`• <br />~ 4 <br />~ <br /> tL+ ~ '' q ~il <br />' SAMPLE - Imo`' <br />MEASUREMENT <br />~ <br />iv 54' Y ~~ ~I.. ~~.: <br />t <br />* Y-~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER .I Cehily unoer penairy of law that this oocumem ono all attachmonts were <br />prepareo unoer my ovaNOn or supervision in aaoroance wah a system oesigneo TELEPHON E DA TE <br />L' <br />E~ b assure that qualified personnel preperly gather ono evaluate pie,nlormation <br />~L <br />Rl W N ~L C-An[TR <br />. <br />. <br />submitted. BaseO on my inquiry of the person or persons who manage the system, <br />or those persore oireNy responsible br gathenng the inlormatmn, the inlormason <br />_ <br />RJR-L.f\ tRcnlw~ new LI+Er submitteois,tothebeslolmyknowledgeantlbNiel,tme,eccurata,anocomplete. <br />I am aware that there ere si <br />nificant <br />enalties for sub <br />lalse inlormation <br />min SIGNATURE OF PRINCIPAL EXECUTIVE ~i 'i 'L~ `'~~~ ~\ ~ ~ ZZ <br />, <br />g <br />p <br />g <br />m <br />TYPED OR PRINTED Including Ne pwsibiliry olfine and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT <br />rnnr: NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS TOTAL IRON LZtlITS PILL dE MANED, AND SETTLEAIILE SOLIDS LIMIT APPLI:D YD7r <=l0YR,2U:ia Pg>vCIP EYENT- <br />SEE I. A. 2, P~ IY, POR REQUIREyENTS. ?RTRLT SAMPLIV~ INSTRUCTIONS-I.C.v, P:, ?(III. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used :. ' ~ THIS IS A 4-PART FORM PAGE OF <br />?'~ Od;56/JO1i717-1133 2 <br />