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PERMITTEE NAMEIAODRESS (Imh.&iaee/rylvaw?Laeartaa i(DWwwu) <br />NAME <br />ADDRESS <br />BOX 535 <br />i_RSET CO <br />FACILITY CORN CRK & ELK CRK MINE <br />LOCATION ERSE•T co <br />.DES T. COOPER, EXEC V. P <br />NATIONAL POLLUTANT 04SCHMGE ELIMINATION SYSTEM /NPOES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />MINOR <br />(SUER MH) <br />F - FINAL <br />SURF RUNOFF TO N F <br />Form Approved <br />OMB No. 2040400,4 i <br />4 <br />?_; N I a <br />i <br />NOTE: Read Imtrucdons b*fwe complet" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT tF !+-t?#ir. 6. 5 <br /> REQUIREMENT MINI :-l1-11•' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT x st x !v !< . r tt#t? r I <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT it?EiP'1F## ### R#3t i1 ^ REPORT ' <br /> REQUIREMENT 30DA AVG; DA TLY 11X riGrJTi- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ;` # ## it 4E wit ttis ;; n iFSS #'? 3500 O 7771", <br /> REQUIREMENT 30DA ,ALLY MX MONTF <br /> SAMPLE <br /> MEASUREMENT <br />1 ) PERMIT * ?.. 4 v <br /> REQUIREMENT INST MAX <br />U1.`:' SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />GR0,.-. REQUIREMENT <br />r EAF ll_. SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT ; . <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t cerlnly ° r penalty o (low that thh dorvnn,nl and all ottachmenta were TELEPHONE DATE <br />pmporvd under my direction or supervision In neordanee with a system designed <br />to mare that quattfled personnel pea" y Sather and evaiuale the Information <br />1 - enbmitled. Be" on ,fir Inquiry of the person or persona who manage the s <br />stem <br />y <br />. _ <br />or those persons dlrsett <br />mponsible for <br />atherin <br />the InformaUan <br />IM Inf <br />rm <br />ti <br />- <br />y <br />g <br />g <br />. <br />o <br />a <br />on . <br />itt <br />t <br />t <br />f m <br />k t <br />okd <br />- <br />b <br />d h <br />th <br />b <br />d b <br />I. ? <br />m <br />e <br />es <br />o <br />y <br />o <br />te an <br />i <br />` su <br />e <br />, <br />o <br />eler. I-, amrrste. and Iompkle. <br />.. <br />I ¦m <br />w <br />t th <br />o <br />l <br />dfl <br />t <br />lti <br />ilfi <br />r <br />i <br />I <br />SIGNATURE Of ?RINCNAL EXECUTTVE <br />th <br />f <br />b <br />f ; <br /> a <br />are <br />a <br />ere <br />S <br />csla <br />pena <br />a <br />m s <br />es <br />or ru <br />m <br />ng <br />se <br />n <br />cusmaden, AREA <br />TYPED OR PRINTED Inchadlng the possibility or fine and Imprbowment for knowing vlolauom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relorence eN etfechmenta here) <br />f'ij71 F ch1-T?/- -ITT APPI- 'T n r-OP :1 (!v7. 'l? ?r7t f •; - ' n.?T: <br />r wr.w.r?? 1 ;??1.y?.t:..i..?! Y. •d!r.? h i - 1-d_ r ?..wr _ _ <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. Th1S iS a 4-Part form. PAGE OF