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Fcrm Approved <br />PERMITTEE NAMEJADDRESSpwei~~fe+rryN../Ler.nawl/D~i.w+r~ NATIONAL POILUTAHT OISCHMOE ELIMINATION SYSTEM <br />f(NPDES/ OMB No. 2040.0004 <br />NAME ~ ~ <br />DISCHARGE MONITORINU REPORT (OMRI '~ <br />,~ <br />ADDRESS ;_ ~,Jili~ l_,kK L~1.N. .t1?. ~ ~ `;lJ1iFi i•TH 3 ' p <br />f3. I30?C 535 PERMIT NUMBER asc-+AROENUMeER - r= j;;~q, t",i_?f•J''` <br />i'tERSET CC; - <br />FACILmr ~NQORN CRK ~ ELK CRK M~P.t~ .: MONITORING PERIOD <br />LOCATION ;;TERSE t ~' <br />FROM YEAR MO DAY YEAR MO DAY <br />TO <br />/ <br />J <br />MMES T. COOPERt EXEC '~ NOTE: R~~d Ir»trucNorn b~fot~ co mpl~tir-p tfib tam. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, FREOUENCV SAMPLE <br /> OF <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS Ex A.,A<Y~s TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT s,~u••tt•#>- L >: •st•'.i#x 9. Q :~~i_ <br /> .REQUIREMENT f•i i t i l i. _~::; MAX I t=:.l~t f.`~,i <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ,..~#it;l._, -. , a .: a . .:-it# ~•3r•~ :;~ Tf.+ - <br />•.., <br />~.. REQUIREMENT ,. , • .. , ,, j ~,,r. :•~ .. _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT it•## #•ttst st•-rte-•~•if••~ - ::~~t••,t~•Y~ i t. 1 ~; i ,! w .; <br /> REQUIREMENT ,,sI~A ft`•' DE~II__Y" i~i~{ `~CZIVTt <br /> SAMPLE <br />_ MEASUREMENT <br /> PERMIT ~~-* # stiF## at #•##',f :; ';; ~il:~(i ~ :'iai~'-_ i : •-: r- .' <br /> REQUIREMENT .3~::~'u"A j~~ 3. Y i'•tUl•a i•r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT js•###•?I'at ~#•##3t••~• ~iE#~I-~s• •+#•~•~# 1 fi <br /> REQUIREMENT <br />I I`d _; 1' ;`1 A X <br /> SAMPLE <br />~: ~ ,~ ; i•I:~l••i1 P:. MEASUREMENT <br />... .I f? ~ PERMIT _ ~ J'rl - ... 'r :r :. <br />=;~- REQUIREMENT .. : ~- ':'". • il.1' h1X . <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT _ .- , ...._ _ - ~ <br /> <br />REQUIREMENT : -•d= T Mr"~ X . , , <br />;-?: j;_., <br />NAME/T1TLE PRINCIPAL EXECUTNE OFFlCER ' """) ° ` a"") ° '" Ihn uy eocvme"' .na sll .tt.entnertls "ere <br />TELEPHONE <br />DA <br /> <br />p.ep.na °ne.. m) ai,.rtt"" or super+lslon In .ccord.nn .ttn . gs+em dd~ned TE <br />to afwrt that qusMfkd penonnet propeA) i.tntf .nd ev Nu.le the Intnrmslbn <br />fir`. -. f subenltlea. Sttsed on m) irpulry of the peen" a penom "ho 1n.M(e lht f <br />fleen <br />) <br />• _ <br />- w those penem dlrecU) eespornibk fee pthert n~ lAe IntormsUow, the Inlormsllon c.~ r <br />I <br /> <br />• ~~. fabmllled f>, b iht belt of m) -newltd~e •na bHlet, Iroe, KtLnlt. ^M compkle. - -- ; ~ <br />1 .m ."... uet Ihen.re sl~nlnc^nt pmHtles ror wbntitan~ r.be Inrommtlon <br />s10NATURE OF <br />-RINCIPAL EXECUTIVE <br />TYPED OR PRINTED , <br />tncludtnt the p°sdbrot) of nne.nd Imprtsomntnt tee tn°.inE rld.tlont OFFICER OR AUTHORIZED AOEMT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R~l~rinc~ td! •tt~thmtrnt: htrrtr/ <br />EPA Form 3320-1 IRev 3/99) P~'loua edrQons may be used. TI11S IS 8 4-pall fpfTTl. PAGE OF <br />