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PERMITTEE NAME/ADDRESS ltnrlude FarifUf .\amr/toraliun if llifJq~.~~ NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDE$) <br />NAME P~.e-.CEOVED DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS t~AN 1 6 2008 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY •; (.]j~ ~,. = ` ~ , . Dlvlslurt Vi r~eciamaUOn, MONITORING PERIOD <br />Mining and S~~Bty FROM YEAR MO DAY TO YEAR MO DAY <br />LOCATION ~ v j q <br />MINUR <br />( SUI3R <br />I` <br />5EL` I <br />Form Approved. <br />OMB No. 2040-0004 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY <br />OF SAMPLE <br /> EX ANALYSIS TYPE <br /> <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ' <br /> MEASUREMENT <br /> --. - .- - -. ._ _- r.~ ~ <br /> PERMIT ~~ ~ _ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br /> <br />- <br />- , : . r • , _• <br /> REQUIREMENT ~ <br /> SAMPLE <br /> MEASUREMENT <br /> _ ..... <br /> PERMIT _ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT - <br /> <br /> PERMIT - ~ .. <br />;• <br />_.,~:_ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT , . T_ <br />~-~ - ;- I-' "~ <br />_ : ~. : <br /> REQUIREMENT ' <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT yi,~ 1 ~- ~., v L 'r ;,+ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> - .. <br /> PERMIT _ _ <br />_- <br /> REQUIREMENT '- ~- ' ' ' <br />NAMElfITLE PRINCIPAL EXECUTIVE OFFICER I certir) under prnulq or low that Ihi~ d:a•umenl and all atL•mhmrnN wrrc TELEPHONE DATE <br /> prcpand under my direcunn or wpenitiion in a.rurdance wth a gstrm drst~txvl <br />.. ~ t~~ to a+v~rr that quultfied personnel I r prrl~ Kather and e~almtr tltr inrormaton lr ~ ~ <br />4Vti j ~ ~ ~• -1 <br />I <br /> ~ubmntrd. Nuav1 on m) inyuin f the person ur person. xhn manaKr the sy~trm. ~ ~ ~ <br />~ j ! <br /> mstblr rue gatherin>; the inrurmntion, the information <br />tho <br />rsm:e direcU <br />re~ ~ <br />~ - / <br />/ <br />, -1 p <br />..r <br />u pe <br />) <br />whmin~d ia, to the hest of m~ k»nwirdgr and belief, true. accurate, um! compktr. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />- <br />" I am aeure that there are Jknifx•am penalties roe euhmiuin~ ruler inrurmatluo. THORIZED AGENT <br />FFI <br />O AREA <br />BER Y O <br />TYPED OR~PRINTED imludink the Ix~ssibfllty of riot and imprisonment fur LnuMinq si:dations. CER <br />R AU <br />O NUM <br />C EAR M DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aft attachments Here/ <br />EPA Form 3320-1 (Rev. 3.+99) Previous editions may be used. QOQ3 ~ ~ ~'~Ilfs'1!~ 8 ~-~~fC fUi717. <br />