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i I^. 1 <br />Form Approved. f <br />FERMITTEE NAME/ADDRESS (1woYJrF.nbryN../Loerron t/D(QGrenr) <br />NAME DXI3DW MINIfuG, L.L~ <br />ADDRESS SAI~tI3DR1+J ~3~}i q{ ELK r~}~ MIN~~ <br />P. D. ~DX 5~~ <br />~DM~RSJ~"f' ~q D1~•3~ <br />FACILITY DA1~I~D~N CR~t g; ~LIK C17If~, M'[iNES <br />LocATaNSDl~i~r~tST~T ~D 81~};:~4 <br />A7T'I~l: J~?MJ=S 't'. ~DDPEr,, ~XEG V. P. <br />NATIONAL POLLUTANT DISCHMOE EUMINATION SYSTEM //NPDESI OMB No. 2040-00041 <br />DISCHARGE MONITORING REPORT fDMRI ~ I IyD~ i <br />G ~. t SUEiR I~3H 3 <br />PERMIT NUMBER wscNAnaE NuMeEa t+ -' ~ I I~~I-- ~U~'`i I S <br />SLII~fi,P.~~ I~Ui~JDJ='r'' 7d:t ~L.if+ CRE~f~ <br />MONITORING PERIOD <br />Y D YE M D Y ### #~J{1 D I SDHA~v' ~~ I ._._ {### <br />FROM TO -- <br />NOTE: R~~d Irntrucdom boton complytiny this form. <br />PARAMETER 4UANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREauENCr <br />OF SAMPLE <br /> <br />TYPE <br /> ANAlrst3 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM. UNITS <br /> # ~~ ~' 1 7' G y c~ ~ 1/j7Q Ih 5/~H <br /> MEASUREMENT <br />OC)~}C3C+ 1 Q L) :PERMIT ### / <br />EF'FL.U~I~J7 CI~DSS VALU :itEQIIiREMENT #~-## M I R~! I MUM MA X I Ml?1`f ~U Mbh1T <br />j , <br />' SAMPLE yrir•sr•tryr7r •rr-ir-~~-3*-~ •ea-~r-tr•rt--s~-•r~ <br />~ ~ t~ <br />I~ ~~f <br />V <br />f~ <br />~ <br />~G~ <br />StfDf <br />~I~tDJ~D MEASUREMENT i <br />t]C35;34 1 0 O > PERMIT ~'#•~' <br />~1~ F'LUJr3ti17 OF:DSD Vt3L.U AEQUtREMENT ###~ 30I3A ~V~ DA I (_Y MX M~lL. t"FOMT <br />a, d':. SAMPLE •,e• -sr ~~~ ~ ii-tri; <br />~o <br />~ <br />~ ~ ~ ~ ~ <br />I /3 0 /+~ <br />~G~ <br /> MEASUREMENT ~ l] (.9 <br />C?05~}a ]. 0 O `:PERMIT:: #~# <br />~FFL_~.fEl`J~' ~;RDDS VALU :REQUIREMENT #### 3013A AVt; ESA I L Y MX MLlL MQ~7 <br />L <br />' <br />~ SAMPLE ' <br />##~### <br />J~'SO <br />SSO <br />~ <br />O <br />~/3 ( <br />~ <br />4l <br />rS ~' <br />E7 MEASUREMENT U fJGb <br />C)1 ~~• ~ ~. ~t ~ 3PERNIIT ; # ## <br />EFF'LU~hJ f URi15S VALU REQUIREMENT ##~'# :jD]?fa AVG ~7A I LY MX UGlL MpN3 , <br />H SAMPLE ^ ~` °~~'~ #•Ii• ###### ####•Yc# <br />~~ ~ <br /> MEASUREMENT ~ © U1 G <br />©3~E~2 1 ~ D PERMIT ' #•lt•# # . : <br />~F~LL.t~~i7 ~,a~tDBD VALU REQUIREMENT #•~#~ IbJ57 MAX J"IGIL ~Ft~J'( <br />, 5.. t t1 1 SAMPLE <br />~ ~ ~ <br />4~% sr it ~ a ~,? fix. a ~•sr <br />~ <br />S„sty <br />7Hr~tU~ 7f~~A7i"IEI4T PLAN MEASUREMENT ~ i~ <br /> <br />517C?5Q 1 O O PERMIT >t s_ <br />`~ ~•### <br />' <br />EF3:'LUEhJT ~RDSS VALU <br />_ IttEQUIREMEN`C <br />;:. ~fl~~ X10 I•t~1~1 I)~`•' MGD ,~` ,; ##-s~•~• <br />~ _ ._ <br />... ~ <br />D I SSDL.V~I~ SAMPLE <br />MEASUREMENT ,; - ~ ,rx ~: ~ ~ a o 1 In d ~~ ~ 1 <br />~~ %7 ~„ s b <br /> _ - - __ <br />09'5 1 fl 0 PERMIT ` ### ~~ <br />IEf~ii {yRD"ara VALU <br />EFFL~ RE+QIIIREMENT #•~~•#~# •~ ~: ~ '{~1~7'R AVG DAILY; !"iGfL <br />. ,_._ ,::: <br />INCIPAL EXECUTIVE OFFICER t artery u er pene ty o li.~ ~e~t wh document Ana ~n ~Itxhmrnu were TELEPHON E DATE <br />NAME:/TITLE PR prepared under m7 direction or wpervMlon in ~ccordntce with ~ system desl(ned <br />J a wr S T'. 1, ~ ,~ <br />~O'~ to more that qunHfled personnel P~H7 PIAer and evNude the tnfonrutlon <br />enbmined <br />b~xd on m <br />I~ <br />ul <br />of Ne <br />erson or <br />enoro wh <br />nuna <br />e th <br />t <br />/~ <br />~^ / <br /> r <br />p <br />ry <br />p <br />p <br />. <br />o <br />( <br />e sys <br />em, n^ <br /> <br />~~ or those persorrs directly resporolbk for (Nherln( Ne Inforrrullon, the Inforrrutlon ( Gu Q <br />~ pD <br />X ~~ V ~ f rs I suhmllted b. to the bnt of my knowkd(e end heNef, true, rrmtnte, end rnmpkle. <br />IhN there r,re sl <br />nlllunt <br />1 r <br />enaltln f <br />bmltli <br />I <br />hb <br />f <br />i <br />EIONATURE OF PRINCIPAL EXECUTIVE ~ <br />Z1 <br />9 / ~~ a~ ~ ~ U <br /> ( <br />em ewve <br />p <br />or su <br />n( <br />e <br />n <br />ormat <br />on, <br />TYPED ~ pR~~p Inaudin( the possibility of One end Imprtaonmrnt for knowln( vldatloiq. OFFICER OR AUTHORIZED AGENT CODE NUMEIER YEAR MO DAY <br />COMMENTS ANO EXPLANATION OF ANY VIOLATIONS /Rte/rtrnctr M/ ~ttacnm~nts hay/ <br />?'S8 °< TD`C,=IL.. I RDIV L. T M I TS WILL.. B1= Wry I VED, ~41\fiI) ~E7TL~AL~L.E 5C1L I I?D L.M7 APPL. I ED 1= DR <:-1 QYR: ~4 HR PREG i P ~VEN7: <br />,~aE•T•1~L~t~BL~ DDL I I}S LIMITS MAY I3E 1~SA I VED FDI2 = • I OYR, ~4HR EV~1+JT--SJtE .I . A. 1, PP 4--5, A1UD I . A. G. , P. 5 FDR R4M}~T <br />~ t J 7 <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. ('jLy~'~,r 1 f ~~~4D~4rp~[~itt1. pAGE 10F <br />