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PERMTTTEE NAME/AOORESS (AeY~FrI4ryNw/fu~1m VDIgsmU ~ NATIONK POLLUTM7DISCNMOE EUMIMATON SVBTEM iNPOESI r~~~~~..rr•_v__ <br />NAME DISCHARGE MONITORING REPORT IDMRI <br />dOYIE RESOD ACES LIn ITep a15i 1T-1s DD~f'S1'[IC 'w7TF {~ ~f~ILO. Ty040•o00a <br />Approval explr~e <br />OS31-8S <br />aoDREss <br />~ <br />~ <br />L GG 3 <br />dUYIY. !10 1 6 NO 1 1i F.5T MINES ^ ~ (SIIdR i:C) <br />PERMIT NUMBER DISGHMGE NUMBER F - F I i ~A L <br />P. 0. BOY 1480 <br />FACILETY P A O M I A CO 8I4 29 MONITORING PERIOD ` I N p R . <br />dOYIE RESJQACf:S LI11I?HD YEAR MO DAY YEAR MO DAY ~ <br />~- <br />~. LOCATION <br />~ tac: <br />FROM p p7 0 TD 0 09 JO •`•+: r,. RO UI5CN~RG6 ~ <br />~~ <br />P 1761 i1 (21-171 111-ISl 1141T1 t1e-1s/ 1.711.911 NOTE: RACd frntructlonE Mfor~ complctM9 ~M 1wm. <br /> PARAMETER 17 C•rd Ontyl OUANTiTY OR LOADING !4 6b Onryl QUANTITY OR CONCENTRATION N0, FgEGUENCV SAMPLE <br /> 1657 5467 ~ 3s~5 [65 545/ EX of <br /> 177J71 MKVSS TYPE <br />'U <br />~ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rcraa (54581 15s-701 <br />j <br />',ly HOOF 5-ilAY SAMPLE ;Ly#v0# #~Y#10#~9 440#t0 ( I9) <br />{' (10 UBG• C) MEASUREMENT <br />. <br />ooalo i o o c_.';; <br />x, I <br />oa+~~Ela~ <br />~~~>x <br />~;: <br />wo±x>;L>~+IL <br />~:o <br />us <br />u~~.~ <br />:'t~'~€Ixa~ <br /> a• Ii, l.r dHEOHIf{EMEN7 <br />. <br />~• ;. <br />~ .; ~ 4## <br />~ ~:~ C ..'t <br />: / <br />, -R~?.fi <br /> P l)M, IN CONDUIT OR SAMPLE ( U3) LY#40#4 'X:.`-16t4C ~<•4 ;:C{; <br /> {U THtA1'1lBNT PLAN ;EASUREMENT <br /> <br />7H050 1 0 0 <br />~?;CERMI7;a,;, <br />~.~:~:.....,:.::`..i.. ,,. <br />';>.; ~. ~~.:;, <br />? •.. d(p!014#~:`-' .;. <br />.: `. ~+#M`.t~i: <br />.? Ilx~k.±~fi3k'., <br />ton <br />'::?: <br />rC::~.L'1 <br />:N~TA) <br /> <br />~ <br />~~~~ s <br />` <br />~ toot <br />~ COLt IOHI'9, FECAL SAMPLE :;;k~4## g4Y~&I#0 440### -' ( 13) <br /> G B N A L MEASUREMENT <br />i ~ / i' r <br /> 74 1 0 n ~ . ~ Y~o~pe+plgl ,~ ##~9c~o~ o t #ta!airsltF ~ 6t1D <br />~ ~~~-: ~ / ~:J kAB:.... <br /> RE~UJREM~N7 - <br />r , ~ ' ` . <br />° <br />~ <br />~ <br /> . <br />: fi##FJI ~ 4: ':b !, <br />~~ 00 L .:. N <br />r <br />N <br />. <br />' ,II SAMPLE <br />~ MEASUREMENT <br /> <br />~ r~ s; <br />- <br />-- <br />7 ~ - R~E,SUIREM - <br />-} <br />.1 . <br /> SAMPLE ` <br /> MEASUREMENT <br />~ <br /> '>~>:z'f~ RMIT::.~>"`. :,r,':G.:::); ~('t <br />~:;:(;~:'':'r, ::; :~it'i: .r~: ~>:..-:.:~. ~: :::. :...:....~ ~ _ <br /> g . <br /> E <br />, <br />~: ,::::, < ., . <br /> <br />,. <br /> <br /> <br />.. <br /> .. <br />~ <br />MP <br />~ ~' <br /> . <br /> <br /> RM <br /> .. yHE41MIR ~`NHT °yc i --; <br />~x' <br />'fit .. s, •t <br />i~,'4. x <br />" . , <br />` <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ~ <br /> `~ ~~ ,~EDUIR AAEN7 <br />E ~ ' • q - ~ ~ - ~ rk :~ - '~ <br /> , <br />, :.. <br />,:...: . <br /> NAMERITLE PRIN PAL EXECUTIVE QFFICER I CERTI <br />AM FA FY VNDEh PENKTY OF l <br />MILIM N7TN THE INFOR AW THAT 1"ryAVE PDISONALLV EXAMINED MD <br />MATON SUBMITTED NEREIN; MO eABED ON / TELEPHONE DATE; <br /> f (J T <br />!7 <br />Ij X11 I <br />~ <br />I"~Y: <br />+ MY INOUIgY OF TNDBE INDIVIDUK9 IMMEDIATELY REBPONSIBLE FOR <br />GRINNING THE INFORMATION <br />1 BEl1EYE THE 9L6MITTED INFOMIATION IB ~ ~ <br />~ ~ ~ <br />~ <br /> J <br />.: <br />J <br />1 <br />{ 1 , <br />TgUE <br />ACCUMTf AND C <br />M <br />T <br />1 <br />T <br />- % <br /> <br /> <br />~ , <br />O <br />PLE <br />AM AWME <br />E. <br />HAT THERE <br />. ME <br />91GNINCMT PETIKTIE9 FOR BUBMITTING FAME INFOM/ATION <br />INCLUDING ~ / <br /> (J 1) '~r - <br />~ ~ <br />" , <br />THE POS9IBIUTY OF PNE MD IMPRISONMENT. BE! 1B U.S.C. ! tOpl AND 77 <br />C <br />E ( <br />a iN1NATUf1E OF PRINCMAL EXECUTI <br />E ~~ l ~ 1 ~ ~~ r I •~ <br /> <br />TYPED OR PRNIIED U.B. <br />. <br />718. l <br />Wbr u~/r !M~ mroM• I^.Y irc.Y.d• Iiw• ye ro ! 10,000 <br />rN ermarhNnrlral~l.wrt •l anr•rltmmPr rd8/wa1 V <br />OFFICER OR AUTHORQED AGENT <br />C <br />D <br />FlllM~R <br /> O YEAR M.0 DAY <br />' ~ TS AND EXPLANATION OF ANY VIOLATIONS (RPhnncP rN imchmnrs h•r~l <br /> GREASH--SEE I. S. 1.C~ PG 6. <br /> 1 <br />Qtr 7d ~ ,.. ~.. 5, ~ 9NIDW idl. x. - r!~D! fired. IREPLACEB FPA F.OFIM T-aD WHICH MAY NOT 8E USEp.I <br />PAGE <br />OF <br />l <br />0 0 O 18 % 4 7) 6 0 6 - 1 <br />