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PERMITTEE NAME)ADDRESSpwd,i/ssedeylvw.dteralfan((DW6a) <br />NAME <br />ADDRESS <br />J. E,Qx ?ti5 <br />F IERSET t?lJ <br />FACILITY 01BORN CRK & ELK CRK MINE! <br />LOCATION •1ERSET CO I <br />-MMES T. COOPER, EXEC V. P. <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 />OVB No 2040-0004 <br />MINOR ` <br />(SUER r,! <br />F - FINsk;_ i??idIS <br />SURFACE RUNOFF TO ELK CREEK <br />NOTE: Rood hwtructlone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENcY SAMPLE <br /> OF <br /> EX ANAlrsls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 6. 5 ,? it # 9.0 NCE/ IN i <br /> REQUIREMENT M I N I MU _J MAXIMUM MONTH <br />DS, SAMPLE , <br />P ENDF '_ MEASUREMENT <br /> PERMIT It##x # as ## f### t 35 70 717C E Ai., <br /> REQUIREMENT 300A AVG DA T-L_Y MX MONT <br />,_ T 7: SAMPLE <br /> MEASUREMENT <br />- <br />-, C' PERMIT #1I##ID# 3t##irtt 'fyt#iftPiF REPORT REPORT INCE/ FAB <br /> REQUIREMENT ', FDA AVG DAILY MX MONTH <br />.. SAMPLE <br /> MEASUREMENT <br /> PERMIT 3000 6000 <br /> REQUIREMENT 30DA AVG DAILY MX f_ I••dT1 <br />- SAMPLE <br /> MEASUREMENT <br />.'2 PERMIT ?rt;ra s : '`ta>=; .0 <br /> REQUIREMENT I NST ; iA X <br /> <br /> SAMPLE <br />?i MEASUREMENT <br />O PERMIT s, .. t -r t ## ii?F# t+i°; i A- <br /> REQUIREMENT ; A < A I LY MX MONT <br />_ SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ,...... c ..; a jI_ r <br /> REQUIREMENT _ f,iST MAY <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I fen,q un&T penalty o tow that this dcr meet sod an .tbchments were TELEPHONE DATE <br /> perpamd under my direction or ouperctsion In accordance with ¦ system designed <br />- to amen that quattned Personnel property father and etaluate the Information <br />submlHed. eased on my Inquiry or the person or persons who manage the system, <br />-- <br />_ <br />' <br />I enns directl <br />or those <br />res <br />onetb t for <br />atherin <br />th <br />I <br />f <br />ri <br />U <br />I <br />Ik <br />f <br />t _-_ <br />• - , y--, <br /> P <br />y <br />p <br />g <br />g <br />e <br />n <br />ro <br />on. <br />n <br />o <br />e <br />orma <br />ion .. , <br /> <br />1 su matted b, to the best of my Lnow4dge and better. trw, accurate. and complete. <br />l am aware that then an s+g"ednc¦nt pmsities for submitting false information y <br />SIGNATURE OF PRINCIPAL EXECUTIVE / <br />TYPED OR PRINTED , <br />Including [be possibility at line and imprisonment for knowing etatstlons OFFICER OR AUTHORIZED AGENT CAAEA <br />ODE NUMEIER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reforonc• a It •ttschments hors) <br />i L_EABLE SOLIDS LMT APPI- TED FOR =10YR, 24 HR Pr-T7--, ,' R , 24HR EVENT-SEE I AND T. t; .._ 1r:Ii <br />is-?L=T- r i F !Ai T ?r, F)4': AIJQ T0 ±i i f.: -c i Iiflt? t?i A'JC' <br />TITi&iS,T4-part fcum. PAGE OF <br />EPA Forth 3320-1 (Rev. 3199) Previous editions maybe used _