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PERMITTEE NAMElAOORESS 1 <br />NAME <br />ADDRESS <br />~c~ <br />RYA <br />FACILm Psu. <br />lOGT10N _g~.t'~ <br />:: 11= i.. ~ <br />F to 2 2 2ooa <br />Division ota d Safety n1 <br />Mining <br />LCD ~i~~~ <br />IIEr~R~ PRE5T7~N'T <br />NATIONAL POLLUTANT DISCNMOE ELIMINATION SYSTEM NPOESI <br />DISCHARGE MONITORING REPORT /D RI <br />PERMIT NUMBER ascNAnOE N11MeEn <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />.. _;;;~- <br />~' - Fi; <br />ht I F.;F i?R R •. iviic; t TI_l fi} FYi ~a(.iiv(~ I 5v~~i <br />__._.- <br />_- <br />NOTE: Raad kiatructiot» balofa eomplatfnp thb tofm. <br />PARAMETER QUANTITY OR LOADING DUALITY OR CONCENTRATION NQ, EREOVENCY <br />of SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIg TYPE <br /> SAMPLE <br />MEASUREMENT s <br /> PERMIT ~. _ ;:.~..k.k ,:. ;. i i~L~•,• ' : <br /> REQUIREMENt i•ii~x I P'€l1Fi <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT <br />REQUIREMENT .. .: n -~ <br />~ - <br />- ~,:~, <br />- <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT ##-r"'. ibi< '- i :-itityr #i-: iQ~1 ~ V~ 3',.~..- -. _ <br /> REQUIREMENT '_'•v[; ~; - [;:', ? ' _ (•; ;: i'li~liu i - <br /> SAMPLE <br />MEASUREMENT <br /> PERMIT ~#3; ~ ifs( si•~iPfF#fi ###~ : - #ii--A3ci: -~ i ~ 1 ,~ 1,; :-aft <br /> REQUIREMENT ; ; ~ <br /> SAMPLE <br />i ~: i _ to , ~ .. , ; _ MEASUREMENT <br />=.,-~ I ,^ 1] <br />;. ~ PERMIT <br />REQUIREMENT - ~~i+F #~ <br /> SAMPLE <br />MEASUREMENT <br />_ <br /> PERMIT <br />'REQUIREMENT RF <br />MAC <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />AEQUIREMENT <br />1 (trill) Y f Ptnl 1) ~ I.w IhN 11111 QOrUlntnl •!Id NI ^IlKhmenU wlR <br />NAMElfiTLE PRINCIPAL EXECUTIVE OFFICER Prep.redYnderln)AlrectlonorwPer.lyorlln.ccor,d.ncewllh.l)ltemdd~ned TELEPHONE <br />DATE <br />to mYrt IhN au.MfMd penennel properly LNher .nd t..lu •Ir IM InfortllNbn <br />,obmlllte. swd on In) i1gY1ry.(mt perwn or prnon .M Irun.p let ])firm. , <br />or leofe persvls dlrecll) repellYble far ~.lhMln Ue Inforllullen. the Inforirrlbn <br />fablrlilled ht W the bnl of m) trgw4d~e .nd betlrf, IrYr, .ceunle..nd coinpkie. <br />1 Nn.w.rt IeN Ihere ^re tlEdfksnl penNtltf ter wbMtNn <br />f.tfe In(errlrtlen <br />610NATVRE Of PRINCtrAI EXECUTIVE <br />~ <br />TYPED OR PRINTED E <br />, <br />Inrfudln~ IM poelbllll) of ftne.nd Ilnprlfonmenl for Lnorte~ .INauolai OfFICER OR AUTHORIZED AOElfT CODE NUM'EiER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Ra{aranc• dl •ttachmant~ haral <br /> <br /> <br />EPA Form 3320-1 (Rev. 3+99) Previous editions may be used This is a 4-pan form PAGE Of <br />