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PERMITTEE NAME)ADDRESS pwsriFerWryN~/Lxerrew (/D(Qwwr) NATIONK POLLUTANT dSCHMOE EUMIHATION SV4TEM /INPDESI <br />NAME DISCHARGE MONITORING REPORT /DMRI <br />ADDRESS r• :. ... - - - 't• i~; _ <br />~. $OX c~~r., PERMIT NUMBER ascNMOENUMeER <br />i-iERSEI" `' % '' ~ ^ MONITORING PERIOD <br />FACILITY ;BORN CRK & ELK GRK MINES YEAR MO DAY YEAR MO DAY <br />LocA~ioN "IERSET CO 81 ~: -': FROM TO <br />MMES T. COOPER, EXEC V. P. <br />Form Approved. <br />OMB No. 2040-00~4 <br />MINOR <br />(SVi3R M!H ) <br />F' - F I NaL ~U <br />.~'~t.)R F Rt3~{3~F'= i'C3 i••! EK GUP•t i S R I ~1R <br />V' <br />NOTE: Reid h-etruetlotw b~iore compbtk>!y thle /orm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FnE°U~~ SAMPLE <br /> <br />EX of <br /> ANKr~S TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE :, :.~ - >. :~'.~ ~~: -; < <br /> MEASUREMENT <br /> PERMIT ~#ft##~t "-4•-lPiF# :+;~ ~ . ~:~ ~t###•3tiF 9. d II~;CE % I i~4':" I .~ <br /> REQUIREMENT ~ ' <br />_ lip : ~~ = , ;; ,~ i'• <br />M F i_} <br />M f~ i <br />-;,;, SAMPLE . T.r_,.~. .. .. :. <br />- MEASUREMENT <br /> PERMIT #~atat:.=at ,, ~r~~~~ :ak##~~ 7cj iC'Ei ~ - <br /> REQUIREMENT ,~ - ~ ' ~ ..Y ~ ~' <br />;= • `";> <br />rcOra rt; <br /> SAMPLE ,:. - _:: <br /> MEASUREMENT <br />~;=~`; 1 PERMIT ##a!•~tat~t #iE•#~~x x-a•#af## REPOftT ft£~'ORt" ~'~~i_J •RFjr' <br /> <br />' t i_ i.JElJT ~.. REQUIREMENT <br />_ <br />OODa AVG <br />l.i~ 1 i_'±` ('~;~. <br />ri;.;'I(••iT <br />;, TOTriI_ SAMPLE - :: <br />tr,~ - MEASUREMENT <br /> PERMIT -IP•It###at ~-•st#it•it•# - •lF##### ~i~CJO 70GC- )t~ICr .~ •! ~`.:-: <br />:-r ~: REQUIREMENT .:OD~A AVG bAI~-Y" MX '~"i1::•ri'r <br />• r- <br />..; ~ •::: SAMPLE <br /> MEASUREMENT <br />:~ i !1 PERMIT ~ :i .: !t ?!- d _T• ~. ,. 'r :, ',7 - .. .. .. .... ~ 3a :r. .;c ~ U '..1 r'. i '~ i1-f l-l :^ <br /> REQUIREMENT 'r•.;~~*' ~G jl ;-=~ ~ :T <br /> SAMPLE <br />~. MEASUREMENT <br />... -. ~ PERMIT REP.-lFrT REPORT .: , .. - ~t-•If;;= ~-`it <br />- <br />...JLNT GRO`:'- REQUIREMENT OAI!_Y N`:~ __ _-.~_..._ ~~ _ t^,J 1T~ <br />r ~ r~~VTJ REA'~•r= SAMPLE <br />~ ~,,, MEASUREMENT <br /> PERMIT ~x#~-~,• ftEPC3RT ~u~: ~ :~ : ~~~:: - .- , :~~~~±- _, _ ~ '~: <br /> REQUIREMENT I N~ T MA ~ !'1~}~ .; i ; <br /> <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFlCER i nrlt ] u r pen• y o 4w m•t ih h document •nd •11 •tt•chmenb wen <br />TELEPHONE <br />DATE <br /> Pnp•nd under mr dinrttan er euPe ceteton In •ecero•nR wll~ ^ lJetem ddtlned <br /> <br />- I ~ ~ \~. r~Z to •an tA•1 qu•tlned PrnonnN Property ptMr •nd e.•lu•le tM Inroewntfon _ <br />~ <br /> wrOmltted. 6raed on m~ IngWry of IM Peron or pertcea who m.n•tle tM eyatern, ~ <br />~ i <br />Y. ~ <br />' <br />~ _ <br />~ or 16a•e per•orr dlrtcUr re~PerrAbM fer ptherlntl me Inform•llon, IM inform•lbn 7 "' <br />~ . <br />~ ~ ! ~ <-' ': <br />~ <br />~ <br />~ <br />~- <br />.. ~~ ; / i - ~ ~ r,'t' - <br />r eubmltted b. b the Eeft or nq An•wlyd(e •nd hetler, trw, •ecvnte. •nd tsmPkle. <br />I .m..,r. a•t men •re e1iNRciM penalne, ror wtemltOntl rsbe tnfornreon ; iN1NATVRE OF MINCI-AL EXECUTIVE . <br />i . ~ <br />~ _- <br /> , <br />I <br />i <br />dl <br />bltlt <br />< <br />l <br />d I <br />TYPED ~ PRINTED nc <br />ntl IM pa~l <br />u <br />r o <br />f <br />~e •n <br />mpet••nmenl fa knowlen Hd•tbtd OFFICER OR AUTHORIZED AGENT CODE NUMElER YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rderrrnc• sN •ttat:hmtrnts herel <br />. :?F_ i~:~•:. .EA~L_F= 50LID5 ! MT ;r..pPLIED FDR ---tr~yR, 24HR PREr~I~ i •;-~•: <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. ,~~i~ IS d.~-p8ft f~rtT1. PAGE OF <br />