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PEAWME NAME)ADDRESS(7.s16&F&-OtyN.WLecer,onIJD( omi) <br />NAME OXBOW HINZN0, LI:_C <br />ADDRESS SANBORN CRIB ?< ELK CRIB MINES <br />P.O. BOX S35 <br />SOMERSET CO 81434 <br />FACILITY SANBORN CRIB & ELK CRIA MINES <br />LOCATION SOMERSET CO e1434 <br />ATTN:' JAMES T. COOPER, EXEC V. P .. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (D R) <br />oo007 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM .09 0 try TO 08 07 31 <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR MH ) <br />F - FINAL GUNIS <br />SEDIMENT POND TO HUBBARD CREEK <br />##* NO DISCHARGE Izi ### <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />PIS SAMPLE #####?r lscI`Lt# ?fk'ir#w# ( 12) <br /> MEASUREMENT <br />00400 1 0 0 PERMIT n .: .... ### ?? Y .. •.!. ? rF .?%s I' 6 <br />F` <br />EFFLUENT GROSS VAL U R.... REMENT #,?#r i" T ? ??.NI `s°l . °, ?.shlai<< SU <br />s# , <br />SOLIDS, TOTAL SAMPLE ?,t?: :: ;fa • ;.? ;?# 19) <br />SUSPENDED MEASUREMENT <br />00530 1 0 0 PERMIT' . X 11) . % CRA'.13 <br />EFFLUENT "GROSS VALUE REQUIREMENT; <br />SOLIDS, SETTLEABLE SAMPLE <br />;r=: <br /> MEASUREMENT <br />00545 1 0 0 PERMIT C"i- , <br />EFFLUENT GR088S VALUE : REQUIREMENT, A, X 4"IL/L <br />IRON, TOTAL SAMPLE k ## x## #? ## ##;,_ ## t? ) <br />(AS EE) MEASUREMENT <br />01045 0 PERMIT' # <br />EF'F'LUENT GROSS VALUE FIECiU1REMEN.T #?r#? L', ?1?. <br />OIL AND GREASE SAMPLE 1'?) <br /> MEASUREMENT <br />03582 1 0 0 PERMIT ?' _ ### ?.• # `? i ' 1TTi <br />0 R B <br />EF'F'LUENT GROSS VALUE A?f]UIREM?NT [i 3 fi 1r ? iST ??s ? r?t?/f_ U <br />ENT <br />FLOW, IN CONDU X T OR SAMPLE t 03) ? #sf### w4 ?## >~ # # ?,?,##?r <br />THRU TREATMENT PLAN MEASUREMENT <br />50050 1 0 0 PERMIT REPORT PE P DIR i <br />EF'F'LUENT GROSS VALU REQUIREMENT' C?I:rr'? (>AI_Y FOLD <br />OIL ARID GREASE SAMPLE a #?°oirfPiE { <br />94) T8##?r i dr rril r# fir# jid.' <br />VISUAL MEASUREMENT <br />' <br />0 0 <br />84066 1 <, AMI1 ; xn! <br />EF'F'LUENT DROSS VALU REQUIREMENT I+3C1= <br />NAMEtnnE PRINCIPAL EXECUTIVE OFFICER ' tt^uy ° er Pena ly o aw -that this document and all attachments wen <br />TELEPHONE <br />Prepared under my direction <br />pn In accordance with • system designed <br />DATE <br /> <br />U <br />/ to assure re that qualified personnel property gather and evaluate the Inforsnstbn <br />wbmitled. Bandon my Inquiry of the person or persons who manage the system. <br />'or those persons directly responsible for gathering the Information, the Informatlon <br />`-' <br />-? r l <br /> <br />_ <br />?70 9; ? <br /> <br />5 X10 ( I / . PCj ( <br />submitted h to the best of my knowledge and belief, true, accurate, and complete. ?j <br />g <br />O <br />S <br />Q o <br />9 <br />C N Y I am swan that there an significant penalties for submitting false Information SIGNATURE OF PRINCIPA EXECUTIVE <br />TYPED OR PRINTED , <br />Including the possibility of fine and Imprisonment for knowing slolaUoro. OFFICER OR AUTHORIZED AGENT CODE NUMBER . YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS wairrence all etncnments here/ <br />TSS 9y, TOTAL. IRON LIMITS WILL. BE WAIVED, AND SETTLEABLE SOLIDS LMT APPLIED FOR • =10YR, 24HR PRECIP EVENT; <br />SETTLEABLE SOLIDS LIMIT MAY BE WAIVED FOR >10VR, 24HR EVENT-SEE I. A. 1, Pty 4-5, AND I. A. 2, P. 5 FOR ROMNTS. <br />Id9. i At !23 t <br />T QG ;)A4 40- <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 0006 7It)T•?t"FC"M4= ?i 44 TITI. PAGE ,OF