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PERMITTEE NAME/ADDRESSp..ri rMryN.. L-wia (fD(#b.wv) <br />NAME <br />ADDRESS _ .. 1 A - <br />.,a dux 14JU <br />Li: ADE CC 81n <br />FACILITY nD5jL•£ NORTH b SOUTH MINES <br />LOCATION c; $ P A i. 15 A D L C IL; 61 <br />-LSON Let KIDDEE, Volt, <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM NPOES/ <br />DISCHARGE MONITORING REPORT tD R) <br />PERMIT NUMBER DISCHAaaE Nl1MeER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />- aeVal <br />(soaK La) <br />F - FINAL FE <br />IC COAL CFErK <br />r3 <br />I <br />NOTE: Read instructiorm before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />y REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT <br /> <br />Pam under e pert ty o bw that mte document and all attachments were <br />NAME/ TITLE PRINCIPAL EXECUTIVE OFFICER I <br />TELEPHONE <br />pr under <br />dlrectlo, or.rpe..blon <br />d.nee with . e <br />n eesl,ned <br /> <br /> <br />ATE <br />-- ? <br />. @M <br />at <br />lnrt <br />to swum n that quaMfled personnN propeAt ether er and esaluate the tnfomutlon <br />b <br />it <br />d <br />B <br />d <br />I <br />l ' <br />/ su <br />o, ref <br />m <br />te <br />. <br />ase <br />miu <br />ry or the perm, or Persons who menu" the System. <br />Of Ihtse persona directly responsible for gathering the Information, the Information - <br />`- - <br />•.,, <br />- <br />,, <br />- Submitted K to the best of m, Ynawledp and btW. true, seevrste. and cornpkte_ :. <br /> i am aware that then am etENfkint penalties for submitting raise lnfontrdo,. SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED Including the Possibility of nm and ImpMmunent for knowing eldauots OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re4rence dt attachments hare) <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. This is a 4 part form. PAGE OF