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PERMITT'EE NAME/AODRESS(/~.rLiii.e+hry 1V~/L«wue+~/D(~G.w.y <br />NAME <br />AooaESS ~~--}} _ . <br />J. ulJ~ J..7~ <br />• •iERSET CO 81434 <br />FACIIm •~ aBORN CRK & ELK CRK MINES <br />LocATION •E=I£RSET CO 81434 <br />- 'MMES T. COOPER. EXEC V. P. <br />NATIONAL POLLUTANT gSCHAROE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT /D Rl <br />PERMIT NUMBER gSCMAROE NUM6E11 <br />MONITORING PERIOD <br />YEAR MO DAY YE M D Y- <br />FROM TO -' <br />Form Approved. <br />OM8 No 2040-000+1 <br />MINOR <br />(SUBR MH <br />E - >-INA! <br />GISCiiARGE TO ELK GREEK <br />NOTE: Reed ir~tructlorte belwe eompletlr,p this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FaEOUENCr SAMPLE <br /> of <br /> EX µ'r'ir~S TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ,r.~. :. tr ,. , <br />~ ~ _ r! i~'~._; ~, ~~~ REOUIREMENT . = M I i~! I MUM i•1,=~ X ~.1•;:it't MONT. . <br />. - SAMPLE '".- <br />"E:NDc i MEASUREMENT <br /> <br />ri PERMIT ....< - z ;~- ,. =: ,; -- .. .~ ~ _ ~ ~ r <br />1'~{`d~i .~!%O ~:~ - REQUIREMENT ~'u"A r,`/~~ rfk: ii. AV _ i~fON7i•; <br />- SAMPLE '- <br />(AS F ` MEASUREMENT <br /> <br />' ~ 1 PERMIT n .. •tra~ zr •::• .. ~ 1 -, , .:"i <br />~ ~ -- ,`Ef•dT ~ REOUIREMENT 3CiUA r;VU DAILY t~X t'iON i <br />_. ~ SAMPLE .. . , _ . <br /> MEASUREMENT <br /> <br />':32 1 ~ PERMIT ' `` ' ~' <br />-VENT L'~'_~ - ~ . ~ REQUIREMENT iN-~T 3'''fAX i=EtdT <br />- SAMPLE , . <br />tl TREATS ,:-! MEASUREMENT <br /> <br />_ i' PERMIT ,~ ,-~ ~ ~.u:_ ~,,. <br />-` ~i~i =RU~=~;-i REOUIREMENT s~_;C~i=i A`~~a DAIL'~/ i~tX ~ MO!~iTF <br />- SAMPLE .. ., -, s <br />? `~~'~~~~,L. MEASUREMENT <br />:..b 1 0 PERMIT ,: x - .. -.~ . ~, :: ~, , <br />; i,;c-',:r -~ri. REQUIREMENT ~ ~iST MAX. >',; <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />AEQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER l nnrl~ ° pe"~ lr ° live U,.t Ui1f d°`°n"el ."d .u .ll'd""t"u were <br />TELEPHONE <br />prep.red older m~ dlrxlbn « wper.lfon In .eeerden[r wlth . ry.lem dalpwd <br />DATE <br />~ to .anR lAH rindlfled personnel ProFerlT plber .nd eeduelr IM Inferwrtion <br />~~ ' /' !` ~ <br />-'~ .abmlll <br />d <br />l <br />d <br />n m I <br />l <br />r a <br />- <br />_ <br />e <br />. <br />.ee <br />o <br />o <br />e « <br />u <br />_ ~ 1 n9 ry ptnen persons wbe ~.n.yt Ilrt ertlem, 1 .. .. _ <br />« tbe: <br />enerre dln <br />ll <br />es <br />r <br />dbN r <br />I <br />th <br />A <br />a <br />r <br />~ ~ / <br /> <br />p <br />~ <br />c <br />~ r <br />po <br />e <br />« p <br />e <br />rr~ <br />e <br />n <br />onruUow. IAe Intornrlion ~ ~ <br />- :-. •- _ <br />I ~ ~ti ^ubrrrllled ts, b the btft of mr know{ed~e .rrd belief <br />lne <br />.c~vnle <br />.ad tonr <br />kt <br />~ r -~ <br />~ <br />`1~ <br />~ <br />- <br />' . <br />, <br />. <br />. <br />p <br />e. <br />~ <br />;: <br />, <br />~ <br />. ~ ~ <br />' <br />I em ewers ael aen en e1~Nlk.nl penaltks for wrbrrrlttln~ fete InronneUow, . ~ •IONATVRE OF -AINCI-Al• EXECUTIVE - <br />' ~ _ C. ~J <br /> <br />-' <br />. <br />TMpW OR pRpf~p InctWinE lbe poadDlNle of nne snd Irnprfeerunrnt r« Ynowin~ .1deUOlu OFFICER OR AUTHORIZED AGENT CODE HUMBER YEAR MO DAY <br />LOMM[1V IJ AIVU [nr•~nrs~rw.. yr ns. ..vrs..vrw Inverwrwncw err wrur.rrnrwrna nwrq <br />? ~ HI GHES7 MOIV T'h-'. ~ PERIOD REPORTEI <br />EPA Form 3320-1 (Rsv. 3148) Previous editions rmy be used. <br />OIL & GREASE - SEE i. B. 1. ~ <br />00527/ <br />