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PERMITTEE NAMElADDRESS rlncftrde Facmjy.VameAocwian iJOtQvrmA <br />NAME JRCFP '-LC <br />ADDRESS 1 EA.'-.-,, F Be WEST MINES <br />Box 'ia3 <br />-uJNIA -:"0 81426 <br />FACILITY .''14IE NU I L'1.1- r WEST MINE5 <br />LOCATION P AON I A CO H 1 420 <br />IRADLE.V HANSEN, VP /GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM - TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH ) <br />F - FINAL DELTA <br />W. MIME AREA TO E ROATCAP CRK y <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE a a # r t# ? i <br /> MEASUREMENT <br /> PERMIT : ;: z## 6. 5 :> tt#it## t? O JFL! . " IN.i' T <br />1. REQUIREMENT <# ': I'IINI11VM MAX IIIIIJM <br />E <br /> SAMPLE at#n :+ I"i <br />" j MEASUREMENT <br />!i PERMIT >f#;t?asi *-t 4*4* 70 it,,: GRAD <br />LUi=N " 5 VkLI i= REQUIREMENT 30D A AV'o L)AI L'r MX T'If ," L MCJN iF <br />rit I?' _F SAMPLE <br /> MEASUREMENT <br />;t PERMIT #ltktt* li:t?'•ii## ii;ta iititiftr r REPORT Q S ONCE,- ffRA: <br />i `'•_UFffVi'..1>;-'. REQUIREMENT QDA AV- ;)All "'!X L.!i I{L7NT't <br />1 RON; F SAMPLE t'•t :' -? ?- .: t- 1 `:' <br />{ c;? + MEASUREMENT i/ <br />14 <br />104x5 ? Q ) PERMIT It####it it E"#3t i??tit #9E it#It# ? I. f Ni-. RAC7 <br />rFLfJEIai Cc7nccu 'Jr.tiT_': REQUIREMENT :s 3t# 30DA A V G _DAILY M''' M(2,11 MONT, <br />f`-AN1E:',E, SAMPLE ;' r !. .. .:X ; ( I `r ) <br />•?S Pin ; MEASUREMENT <br />i PERMIT n #jta ito-a ?t# aatat### `' O 4.0 NCI: <br />r? C,' SS i REQUIREMENT 'r?llA = I'F.ILY MX Mf; " MON <br />- ::>t- SAMPLE f } <br /> MEASUREMENT <br /> PERMIT -j -'t if- 'k k' k <br />AL` REQUIREMENT 1 ^1 1:1 GENT <br /> SAMPLE ( 43: <br />A 'MIENT PL•T MEASUREMENT <br /> PERMIT '-IQ T REPORT <br /># #3t? ?I <br />3x####?t <br /># lint #?t # <br />_ s <br />VEER. Y <br />I i l:? i . 5 <br /> REQUIREMENT %1I L Y MX <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I cenih under Penalty of law that thi., rkwument and all attachment%were <br />ed <br />d <br />i <br />w <br />d <br />d <br />d <br />• TELEPHONE DATE <br /> er my d <br />prepar <br />un <br />rection or wpen <br />on in acwrdance wi <br />e a system <br />esigne i -/ <br /> to nsswc that qualified personnel properly gather and evaluate the information <br />. <br /> submitted- Basal on my inquiry of de person or persons who manage the system, ;% <br />/ or those persons directly responsible for gathering the information. the information <br />V i Jj - _ •" •? T submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that there are si <br />enalties for submittin <br />fake mfixmation <br />nificant i S NATUR Ole PRINCIPAL EXECUTIVE 7 <br /> <br />TYPED OR PRINTED p <br />g <br />g <br />. <br />i <br />l <br />di <br />h <br />bilm <br />f f <br />d i <br />i <br />t f <br />k <br />l <br />t <br />i OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />Y <br /> ng t <br />e pos-sn <br />now <br />nc <br />u <br />y o <br />ine an <br />mpr <br />sonmen <br />or <br />ng vio <br />a <br />ions. CODE DA <br />L,vmmCrl Ia Pumu r-AP'LmFmmiiVr4 Vr mFmT vl JL.AI IVrvA frielerenGe dll dudOnmen[5 nere) <br />PART 1. 5. 1 U <br /> 'VENT SUBJECT TO BURDEN OF PROOF REG <br /> <br />!'??.Gt. 0 F--