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PERMITTEE NAME/ADDRESS dncfede Farifitr .s'ame/Location ijnifferent) <br />NAME _ ... _ _. , . <br />ADDRESS -NE <br />U., BOX 628 <br />FACILITY --W HC(IE J I.1 T Fi E <br />LOCATION -!C; LA C <br />WE WADI- <br />U 04 <br />dE MANAGEF <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 />MINOR OMB No. 2040-0004 <br />(SUBR MH) <br />F - FINAL Mrq <br />SR&MINE DRNG TRIO TO TUTTLE DR <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 <br /> MEASUREMENT <br /> PERMIT _ <br /> REQUIREMENT ?..i - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ?; .' =, : I ti • . . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT L,r I r•aa i_ _ , , <br /> REQUIREMENT r . <br /> SAMPLE <br />F•' MEASUREMENT <br />_{. - . PERMIT fiLt , . , <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT <br /> REQUIREMENT D.1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,... :. . . <br /> REQUIREMENT <br /> SAMPLE r <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT DA I L <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I certir. under penalq of law that this document and all attachments were <br />ectio <br />r <br />ared <br />d <br />r <br />% di <br />e <br />w <br />in <br />tl <br />with <br />t <br />d <br />i <br />d TELEPHONE DATE <br /> p <br />ep <br />un <br />e <br />m <br />r <br />n or suP <br />r <br />on <br />ame <br />a sys <br />em <br />gne <br />n ,)r <br />es <br /> <br />? I.) wwre that quali(rd Personal Properly other and evaluate the information "- - _ <br />--` submitted. Rawd on mi inyuin or the perxm or Persons who manage the.rsletn. i <br />l " <br /> or those persom direcUv respumiblc for gathering the information, the information - <br />.. submitted is, to the best or ml knowledge and belief, true, accurate. and cumplrte. l ,• - <br />f <br />- -- I am awarr that there arc significant penalue, for wbmitting (oche infnrmation SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED , <br />including the I-ibiliti of fine and imprisonment for knowin <br />g % iadmbms. <br />OFFICER OR AUTHORIZED AGENT <br />' AREA NUMBER <br /> <br />COE YEAR MO DAY <br />L.VMMCty IJ AIYU r-AI LANAIIVN Vr ANY VIVLAI IUNZD (Hererence an arracnmenis nerej <br />LIMIT <br />-'TIONS <br />EPA Form 3320-1 (Rev. 3,99) Previous editions may be used. ThiA is a