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PERMITTEE NAME)ADDRESS pa&-rf.rWrylV.?L..e.rlon(fD(Qrwwo) <br />NAME <br />ADDRESS <br />J. 13 Q X 53L <br />;`IERSET Ci <br />FACILITY '\IBORN CRK & ELK CRK MII <br />LOCATION IERSET CI <br />MMES T. COOPER, EXEC V <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEA1 (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 />(OUBR MH <br />F - F I NAI <br />AEG I KENT <br />X <br />NOTE: Reed IMt?uctlorw before completing this form. <br />3N I' <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE .:.-;.4;:. , <br /> MEASUREMENT <br /> PERMIT iF#### ###### C- 0 PLE <br /> REQUIREMENT 11.4 1 MUM <br />Fil ;NA X I Mi 01 MONTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT it 3"F#st# ?r# ,r sr ? 70 INCE7 <br /> REQUIREMENT ?? i; ;;. I. i` < irJi iT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##'k?t3t 3F ### tr #?## . R _PO T R P R ' i u 'i <br />"k;l REQUIREMENT '30DA AVG- DAILY MX :11&;1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ### iE##### ##It#iFrt 30C.C. 6000 NCE/ _,r•''-;1.: <br /> REQUIREMENT ',SODA DA I L Y M X MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />##### <br />#iEiF## <br />lt3t#### <br />#'fsf## <br />]. t7 <br />, fir,, <br />' <br /> REQUIREMENT <br /> SAMPLE <br />E;tti i i 1LS i i MEASUREMENT <br />Z U n PERMIT REPORT REPORT NC' <br />NT GRO`. , REQUIREMENT A AVO DAILY MX <br />A ' u AS SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT REPORT <br />.:;.:: <br />E. <br />- 771A7. <br /> REQUIREMENT '..S•dST MAX 13rdT` <br /> <br />NAMElT1TLE PRINCIPAL EXECUTIVE OFFICER I mrtrty under penalty o law that this document and all ¦llachor eou verse <br />TELEPHONE <br />DATE <br /> prepared under my direction or supeMslon In accordance with a systeun designed <br /> <br />T to arrure Mai quaMfled personnel property gather and evaluate IM Informiallun <br />itt <br />b <br />D <br />d <br />I <br />i <br />f th <br /> m <br />nqu <br />su <br />ed. <br />ow <br />on my <br />e person o persona who manage the system, <br />ry o <br />• <br />1 <br />' <br />i <br />% <br />? <br />" <br /> or thole perse s directly responsible row gathering the Informtsum, tire Infornution ' -% . <br />. <br />- .., <br />, <br />. P <br />b <br /> <br />s' wbmitted b, to the Deft of my knowledge and hefirf• true, ae turale. and romplete. <br />t am aware that there are dgnlnranl perraiti. roe mt-vitin <br />raiw inro-ett <br />SIONATl1RE OF PRINCIPAL EXECUTIVE .. f74 <br /> g <br />nn. ARE <br />TYPED OR PRINTED n : e nl nr p c. nmi. ^r nnr ana imr,.,:.nm.„, f- k--., in au•,- OFFICER OR AUTHORIZED AGENT <br />ODE NUMBER <br />C <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reforonctir NY attachments hors) <br />i - r?nr_E (7i71 TD7 LMT APP` _r FOR _.IQ-,rhr 24F'R r <br />t - Tr- <br />E A . ,. - <br />NIT A 2. t <br />_ <br />EPA Form 3320-1 (Rev. 3/99) Previous editlona may be used. T]UC15 8 4-pall .017TH. PAGE OF