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PERMITTEE NAME)ADDRESS(l th-&FwOyN..WLeraHeaVD40var) <br />NAME <br />ADDRESS <br />PRIG CO 8162E <br />FACILITY ' R P ER MINE <br />LOCATION ' IG CO 8162E <br />vhdnhtn n r%I I nnrc 00=4:2110-M <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTUA /INPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER LMSC.AAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY Y MO DAY <br />FROM - TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL <br />POND #5 TO NO NAME GL <br />MLOFAT <br />NOTE: Read Inotructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FpEOUENCV <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT <br />i <br /> r T7757r- <br />j <br /> PERMIT T <br />I~ <br />' <br />i <br />'I! <br />? MAXI MUM <br />UF:' ; + REQUIREMENT } <br />J <br />J <br />( <br />I I <br />? <br /> SAMPLE ; <br />, <br />! <br />' ENL-t-L MEASUREMENT L' f - <br /> <br />K <br />1 <br />7 r-r <br />-,Alr <br />O 1 0 C) PERMIT P , <br />.- <br />- <br />LUENT GROSS REQUIREMENT 30DA A V G DE?,1 LY MX .' _ .MOM t <br /> <br />- - - <br />SAMPLE _-.7 . <br /> MEASUREMENT <br /> ° , 7 i <br />E i 0 PERMIT <br />GR"J`_,. REQUIREMENT 30DA AVG DAILY MX MON "r <br />IUIML <br /> <br />( AS F17 ? SAMPLE <br /> <br />MEASUREMENT <br />i <br />1 <br />....... -I 'a i ? • ,:, PERMIT ., ,. ... _ <br />-= 1= LUENT ^•'_._? <br />REQUIREMENT <br />r <br />aUA AVG <br />3 <br />DAILY MX <br />!- <br />P^^NT <br />MI'l. L: `5t'. _. SAMPLE <br />MEASUREMENT <br /> PERMIT > .. ,. .. ?. ., t 1.. <br />" <br />u: v REQUIREMENT ( MAX i <br />.ENT <br />TT 7L)11001-1 <br />fix=ATMENT PL SAMPLE <br />MEASUREMENT `._ ?. <br />O PERMIT <br />LUENT GROSS rV - REQUIREMENT .40DA AVf? DAILY MX <br />D5, SAMPLE „ _.- <br />SOLVED MEASUREMENT ' <br /> <br />PERMIT <br />REQUIREMENT " DA AVG DAILY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFlCER t ccrily u er penalty o law that this document and alt attachments were TELEPHONE <br />Prepared under my direction or mper•Wm In accordance with a syalan designed DATE <br />to mvre that qualified prn mtf properly gather and eealuele the Inforrrutlon <br />_ . / sabrdtted. Bated on my Inquiry of the person or perew» who a,anar the system, <br />' <br />/ <br />/ <br />„• <br />?? /' ,• r <br />-' <br />or those perilom directly respordbk for gathering the Information, the InforrnaUon <br />I <br />to and beW. true. accvrs(e, and eompMe. <br />- submitted h• to the best of my bnow <br />r • <br />. , <br />TIVE <br />r <br />' <br />'j ;` ) I am aware that there are 00fle"I pertahla for oubmitung false Informatlcm, SIGNATURE OF PRINCIPAL EXECU AREA NUMBER YEAR MO DAY <br />TYPED OR PRINTED J Including The blur of flee and 1 rhonnrrnt for knowing tolatlom <br />Pa+ y aw • OFFICER OR AUTHORIZED AGENT CODE <br />COMMENTS ANV tAr"L f1f%r rvrw yr re... ....?.....,..., r.•.,?.••• w • _..__ _.._..- .. _. <br />.;N LIMI T ? V.- LL BE WAIVED, & SETTLEABLE SOLIDS LIMIT APPLIED FOR <=10YR, 24HR PRECIP EV <br />!?COF REGUIREMENJS UNDER T[ - 1 *; T: c <br />4))Is is a,4-pa?Tprm. <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used