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PERMITTEE NAME/AODRESSp~.eaVilirrbryM..r/wsrr«II/pdi.,wr) <br />NAME • ~.+ <br />ADDRESS ... , . __ , , .. ; r_ <br />'. IiOX 483 <br />I-'AONIA Ci <br />FACILrTY -.. _,I I E NQ. 2 MINE <br />LocATaN; ~`7NIA Ci <br />t 1 TAM A RFAA . IA MTI <br />NATIONAL POLLUTANT gSCHMOE ELIMINATION SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT (O R/ <br />c. <br />PERMIT NUMBER gSCHAROE NUMtIEiI <br />' " '" MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />f 914~'i:; FROM TO ..'.' <br />IF Mf:F~ <br />Form Approved- <br />pM6 No 2040-0004 <br />MINOR <br />(SUDR MH) <br />F - FINAL DEL <br />DSC HG OF SR Tf? 6UI+lN I SON RIVER <br />r- - <br />NOTE: R~~d h»tructlorw b~fw~ compbtMy this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FnEOt>ENCV <br />OF SAMPLE <br /> <br />TYPE <br /> ANAlysls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT ti3: ~ #-~~- #~•##3'•# ' ~ = `~ ~### :~': •~% c , : !`=KLY h,, - - <br /> REQUIREMENT Ti`1 N; ~ !•i~Jt"1 <br />~;; N <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT •>~#~•#•tE•x• #•####•~• ~ #t~~s•~t-#•k ;~5 7p :i,..,; <br />~~t REQUIREMENT 3vD '.: pl Y i ::><: ~' ; ifl,l "Ii <br /> SAMPLE <br /> MEASUREMENT <br />C ~ 0 PERMIT ,; : 'C.?; #~t•~c~E## ~ #•fiiFlE~F# REPDf2 r F2EPCIR l tIVCE/ _F'~T, <br /> .REQUIREMENT. .+~DA AVr,~ DAILY MX I"iDNTFi <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ,~.;~.;~.: x ~ )r-d ~ : s:+~-! ~ 300 b0U0 NCB/ P,Ai' <br />;1;,~ REQUIREMENT ;30L'A AVr~ )ZA1LY MX !w>7!'JT--1 <br />_ _ SAMPLE ' <br /> MEASUREMENT <br /> PERMIT. - K;.;~rE~.„ 1..~.,-~.ti.>; 1~J t •~!... <br />. ,, REQUIREMENT <br />' l" SAMPLE ' <br /> MEASUREMENT <br /> PERMIT !~~; iEi-it#i~~ ~ts'ris<,_+•3;• #:t~~•:~s~3t - ::=1 <br />"~ '•~ ~ . REQUIREMENT _ :,~ I; , <br />:. <br /> SAMPLE ' <br /> MEASUREMENT <br />PERMIT _ r:~#si~tt-v- I ~ ~' , <br />REQUIREMENT .- .. r. ~::~itTR P.'ti't~ r3RTf< MAX <br />NAMER7TLE PRINCIPAL EXECUTfVE OFFICER I Rnd. u r pone q o .w LhN Uh dowmenl .nd VI ^tlKhmentf wen TELEPHONE <br />pRp.red under T~ Olrecllon or eatper.lrlon In Ktord.n[e with . ^J11fen Ot~Ened DATE <br />to actors IhN ~udlned personnel FropeA) LNher end ereJuete the Inrerenelbn <br />soenrtled. 6esed on rnr Inaulr~ or the perwn « persons who m.naRe Use tTflem. - <br />« those penero dlreclry respeniek r« iNre.+.K the Inrornullew, the InformNbn , <br />tuelelllted b, b the Best or m~ tnewkd~e .nd beYer, IrN, eaeunle..n0 lornpMe. <br />iIONATLRE Of MINCI-AL EXFCYJTIVE ~ ' <br /> 1 .m ewers leel there ere dMnant penaltla for ee1bm11tlnE hbe Infornroon, I A A <br />TYPED ~ PRIPITED Inefudlle~ tee porfmutr er nne.ne Illprleownlem r« Lnowllq .Id.tian ofFICER oR AIRNORIZED AGENT CODE Nt1ME1ER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRS/~r~nc• aN •ttachmlrnts h~r~/ <br />' ~'4HR PRECIP FVEFIT '^ ~L./~TM~'P TF CL_AIM APPRO11Lll DY td(3CTJ~ <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. T,I~g ,15, ~ S-~7~i ~171r. PAGE OF <br />