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PERMITTEE NAME/ADDRESS p,.r?.?. i rwry N?.oit ec.rten t/Dtd6w.y <br />NAME <br />ADDRESS - - <br />BOX 187 <br />;IG Co <br />FACILITY -taPPER MINE <br />LOCATION a I G Co <br />`,YMOND G. DU BOIS( PRES <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT /O R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />81 c FROM TO <br />GM <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL MOFAT <br />DISCHARGE TO DEAL GULCH <br />NOTE: Read butructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOVENCr <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT a#i # # R PO.T >x x #?E##:; .. Ott#° )r1C / SU <br /> REQUIREMENT I NST MAX i MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT -7 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE - rte' <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT I \10 <br /> SAMPLE j <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br />y- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT - -" <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />I -Wy under Prn. ty . law that this document and .11 attachmenta were TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER prepared under my dlreclion or super.Inson In aceordanre with a system desitned DATE <br />?- to assure that quaNiled Personnel property gather and evaluate the Information } /) -. <br />l 1 submitted. Based on my Inquiry *(the /organ or Persons who manage the systtttt, / - -,; / <br />.J <br />or Ihoae Persons dIm"Iy responsible for gathering the inforsnatbn• the Information <br />/ <br />t <br />k <br />I <br />t <br />b <br />tt <br />d h <br />t <br />th <br />b <br />f <br />d <br />l <br />( <br />t <br />t <br />o <br />my <br />us <br />t ge an <br />i <br />su <br />mi <br />e <br />, <br />e <br />e <br />be <br />le <br />. <br />rue. aresm <br />e, and comple <br />e. <br />o <br />dil <br />SIGNATURE OF ?RINCIrAI EXECUTIVE <br /> I am aware that them are slgn <br />cant Penalties for mbml(ting fain Information. A A <br />TYPED OR PRINTED Inrludint the possibility of fine and ImprIm went for knowing Holatlom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Retwonca ap attachment: here) <br />f =n?RI_F SOLIr)S LIMIT APPLTFD FOR =117YR, 24HR PRFCIP FVFNT.- <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used TNS Wa.{-pag,,COrm. PAGE OF