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PERMITTEE NAME/ADDRESS17-h-&FwdHY)W-WL wi, (fDfa.+W <br />NAME <br />ADDRESS <br />r' Box 48;3 <br />NIA CC <br />FACILITY 1 E NO. 2 MINE <br />LOCATION : N I A cc <br />i-_LIAM A. BEAR JR. , MIlk <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTUA NPDESI <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />1429 FROM TO <br />"IG,R <br />Form Approved. <br />M I NOR OMB No. 2040-0004 <br />(SUBR MH) <br />F - FINAL DEI <br />aR;DEER TRL DTC OR UNMD TRIL <br />NOTE: Read Inetrucdone before completing thb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FR[OUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE _., <br /> MEASUREMENT <br /> PERMIT F- : , rr _ s , i T: <br /> REQUIREMENT <br />DS, TOTAL SAMPLE <br />FNDED MEASUREMENT <br /> <br /> PERMIT ## tr'i 3F t : i`d? E! <br /> <br />ROSS V REQUIREMENT LY 1'11( MONTH <br />- - r. c SAMPLE <br /> MEASUREMENT _ <br />1 O PERMIT rtF 3i `! # ##lt lt•#e # :, it tF ii REPORT RI PORT t I`, 'T.7- 7-,;,:-, <br />:JFNT CROSS Vf;+ :'} REQUIREMENT :10 LA A•-'G DAILY MX <br />MONTH <br />' I . TOTAL SAMPLE c <br />f Ac rE -I MEASUREMENT <br /> <br />1 _ tirj _ PERMIT °#irtF#k Ycit?x#r' ii ?t;si#i4y: 600%-' iNCci F(ri' <br />• ;J?i`i-i .N i^?c; ? REQUIREMENT a?' ^ DAILY Mir I _ MONTH <br />AI`71- - •,JE SAMPLE <br /> MEASUREMENT <br /> <br />1 0 0 PERMIT u arm ?r 3t # st " _ .- r;r# Ir = sr # It#9t ? ;v <br />iJT GROSS W) REQUIREMENT <br />. <br />iN CONDUIT SAMPLE - <br />;ICU TREATMENT PL ' i MEASUREMENT <br />'-,0050 1 C PERMIT REPOP PE.PORT t . #al###R ` , <br />FFLUENT C! REQUIREMENT 30DA LILY <br />till- AND GF SAMPLE s: fi F <br />'.' 1 SUF•! MEASUREMENT <br />7 <br />,r-. - PERMIT 1 4 L 7 7 <br />.17710-in <br />REQUIREMENT ,. <br /> <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER I RMIIy -nder peo¦ ly o lam Thal mh doeu nrnl and att .l t.chnentf M <br />TELEPHONE <br />DATE <br />T) dlrerl{On Of fYPtnhton in atcord.nrt .11h ! fyfltn ddtned <br />to assure <br />to rure rt Ihat al qualified <br />persannet PfWtrty taiMr and t.aluale the Inronnallon <br />.Ibnllled. Based oo ny Inquiry at ttl- pe,,oo.t per .ho nnun.te the fyft.n, <br />or Ihoae p-rams directly -PolWbk for tethering the Inforuullon, be <br />lnfornrlbn - <br />subnllled Is, to the bet of ny kno.lldtt and better, trot, accurst-. and -,wpW.. J <br />-' <br />I .n a.¦rt that then are dtMtlcnal Penalties ror mbnltties Wee Inferffrti.n <br />•IGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED . <br />1nif"nt the Passibility Or Bat- and Imprisonn-nl for kno.lnt folauom OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference N/affachmenfs hare! <br />'P? ^ <br />4};R (,at=rlP EVEN!' -? -F rl ;•T r1;,PT rV <br />"1FNTS- <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used This IS a 4-Part form. PAGE OF