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rERMITTEE NAME/ADDRESSpwr-i~. F.rWrylv../(.ocrlunUDIQG.+wa1 <br />NAME <br />ADDRESS -~- <br />tiOF. 4b3 <br />•IA CO 8i4 <br />FACILITY ~ N0. c MINE <br />LocATaN I A C 0 814 <br />_i_IAM A. EEAFc JR.. MINE MG <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEJN /INPDESI <br />DISCHARGE MONITORING REPORT /OMR) <br />PERMIT NUMBER ascrfAa,oE NuMeEn <br />MONITORING PERIOD <br />YEAR MO DAY Y R MO DAY <br />FROM TO <br />Form kpproved <br />OMB No X040-0004 <br />HRQ~.iIC L.lET TESTINC,~ EUR GG6~ <br />NOTE: R~~d Irntlvctllxw b~1w~ compl~tl~p thb tf>.m. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCr <br />of SAMPLE <br /> <br />TYPE <br /> ANALrsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - ~ ~ ~•~ <:~ <br />;:1 MEASUREMENT <br />~; ._ PERMIT ##-".:#>~# #?t#~>t,K.. - - ##~:#~t- y ,.~i-#-# ,... u - <br />~;OM'~(~:!'.!' ~. REQUIREMENT ,INGSAMP <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> '.PERMIT <br /> <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PER MIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />AEQUIREMENT <br />NAMER'ITLE PRINCIPAL EXECUTIVE OFFICER ' "^") • r p•"•') ° 1iw thN Ihh doromrn/ and au Nlachmrnu wen TELEPHONE DATE <br />prepared under rn) dlrecIlan or fupenlslon In accordance .flh . f)flem del~ned <br />Ie care IAN quaNM1ad ptrfonnel properly (NMr and ee aluNe IM Infennallon <br />~ <br />fnbmltled. laacd on wry Inquiry of the person a persona rche manse IM f)fltrn, <br />. <br />or (hose perssv dlnctl) respomibM fw plheAn~ Nr Infernullen, the Informa[bn _ ~ • ' <br /> <br />fubmllled b. b the lest of m) kna.kd~e and bttlef. Iroe, accvnle. and twnpkte. <br />l <br />ollcanl <br />endtl <br />t1ONATURE OF /RINCNAL EXECUTIVE <br />• ~ 1 <br />m <br />w <br />re IAaI the <br />fo <br />l <br />Nltln <br />hNe Inf <br />m <br />lf _ <br /> <br />' <br />TYPED ~ pgp,~~p s <br />a <br />a <br />n an s <br />p <br />p <br />e <br />r w <br />r <br />= <br />er <br />a <br />an, <br />Inrhdls IM podDlNtr of fine and Imprtfonmrnl for Arq.is rldallatf. OFFICER OR AUTHORIZED AOEIfT CODE NUMFiER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rd~r~nc~ M i~f~e/rm~nts n~r~/ <br />' -'T RrSi_IL`+ ~ D~ LETHAt_ITY D=F?IV~ ~,~ "'!EFFECT" GP,04dTN Af`!D <br />~~ <br />EPA Form 3320-1 (Rev 3/99) Previous edRions maybe used. ~111S IS 8 4-~afL [CII'tT1. PAGE OF <br />