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PERMITTEE NAME/ADDRESS rlntlude Fntilul :\"ameQntarinn iJIIiJJrrrnn NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMRJ <br />ADDRESS <br />b U z PERMIT NUMBER DISCHARGE NUMBER <br />?cl'JCEG <br />FACILITY i ~i~ :~ ti-t_L; ri Ji . MONITORING PERIOD <br />LOCATION ~Er•1~: )= S_ U f31 : YEAR MO DAY YEAR MO DAY <br />FROM TO <br />~RUl~ V. PAT•FER50N, MINE M~.. <br />MI <br />tS <br />t~ <br />Form Approved. <br />OMB No. 2040.0004 <br />DND 5 RUNOFF .0 MAGPYF CREEK. <br />\-_ <br />NOTE: Read Instructions before com ting this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ• FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />;-. <br /> PERMIT - -. _ ..., ,. ... _ ~ . ;. _ <br /> REQUIREMENT r• i-::":XIME1f`I ;"•i;'- <br /> SAMPLE <br /> MEASUREMENT <br />; <br /> PERMIT .... _ ., ... _ ,• <br /> REQUIREMENT .. , i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .. - - <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERM(? ,; <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - .. .. r. _ .. ,. ... - - ._ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />r~ 1 ~ <br /> SAMPLE _ ___ -- - <br /> MEASUREMENT - <br /> <br />PERMIT i <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cerrr. uudrr Ixnulh ..r law mat mi, d~wunxnt and ,.u utlarhmenh were <br />i <br />di <br />~ <br />i <br />• <br />i <br />i <br />h <br />d <br />i <br />l TELEPHONE DATE <br /> <br />C ~ ~ ~~ ~ S 0 <br />`\ on ur wia <br />,iun <br />a cy,trm <br />prcpand under my <br />nv <br />t <br />n <br />n accoMuncc w <br />t <br />e, <br />gna <br />to assure that yualificd per„mnel pruperi~ Rather and r,:duate the information <br />- i <br />r <br />h <br />h /~ _ <br />~ ' --~~ ~~~ ~--}~}~ <br />~ <br />~ <br />~' <br />i .unmittrd. Baud nn m~ <br />nynin u <br />the prrum or Ixrvem, w <br />o nwnaRe I <br />r ,y+trm. <br />nr m~„r IK non, dircrtll re,Pr,n,inlr fnr gatheriuR the information. the inforrtutiun ~ ~ ~/ <br />i~ ~ ! - <br />C <br />_ <br />l ~ / ~ <br />_ ` ~" ' <br />vuhmined i,. In the he,t u! mr knuwiedgr :md Iw•Ikf. Irue, acauratr, and cumpklr. <br />b <br />I <br />h <br />d <br />i <br />if <br />l <br />i <br />f <br />i <br />i <br />f <br />l <br />i <br />f <br />i <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />7 //~ ~ <br />1 ~ <br />- <br />~•~ 7 _ <br />/ ~ <br />!, <br />TYPED OR PRINTED am aware t <br />or vu <br />on. <br />at <br />tere arc, <br />gn <br />uum prna <br />t <br />i <br />m <br />tt <br />nR <br />a <br />se <br />n <br />ormat <br />including Ibe pn,ihility or fine and intprisnnmrm fur AnowinR violations OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />GUMMtIV15 AIVU tAYLArvAIIVrv Vt AnT VIVLAIIVIVJ (IYQ/BlenCE 81/ airHCllmCn[S r)B!•B/ <br />EPA Form 3320-1 jRev. 3,'99) Previous editions may be used. This iS 3 ~-p~t'l COrnl. PAGE OF <br />