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PERMITTEE NAh1E/ADDRESS(G+ilsei«+YtjMw?t«N/w(lntAFwUY <br />NAME (1 <br />ADDRESS <br />A DE CC Bic <br />FACILITY 4 nADS 1 DE NOR 7 H & SOUTH MINES <br />LOCATION . "ft PAL. ISADE ?:O 015 <br />.:LSON ,IDDFR, V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDES) <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MG DAY <br />FROM TO <br />Form Approved <br />MINOR OMB No 2040-0004 <br />(Sub1 i 1'`W) <br />F i NAL <br />ROf DS i L)E N12 734 TO COLO <br />aj?# NO U I SCI-sARr-ZE <br />NOTE: Read Inetructlone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOLIENCY <br />SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br />; PERMIT <br />. <br />M I N I rii <br />. REQUIREMENT _ <br />- SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> PERMIT <br />' <br />- REQUIREMENT <br /> <br /> SAMPLE <br />A Tt1? <br /> MEASUREMENT <br /> PERMIT <br />illy <br /> REQUIREMENT _ <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />IN PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMErnnE PRINCIPAL EXECUTIVE OFFICER ' cenlq ¦ r pen. ty o h. that tbb document and all atlachmen a were <br />• TELEPHONE DATE <br /> <br />"_-.... prtpared under my dlreslbn w wpenl+tow In aeeordancc with . +r+tem ddgned 1 <br />` <br /> <br />4 1 to osure that qualified perwnnd properly plher and r.alu.le Ike Inforwo0on <br /> <br />" submitted. Eased ow my Inquiry of the person m prrsona who manage the +yetem, <br /> or Ihoat penoru directly respo+Mb a for gathering the Informalloa• the Infom+.llon - - <br /> submltted I& to the best of my knowledge and belief. Irwe, accurate. and complelt. <br />l <br />RE OF PRINCIPAL EXECUTIVE <br />I <br />NAT <br /> 1 .m ¦ware that there are slgrafkant penaltles foe w itm <br />ldng hex tnformatlon• S <br />G <br />U AREA <br />TYPED OR PRINTED Including the possibility of fine and Imprisonment For knowing rlolaUtme. OFFICER OR AUTHORIZED AGENT COVE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS [Reference of attachments hotel "ENDED SOLIDS (TS" TOTAL IRON c•yIC <br />EPA Form 3320-1 (Rev 3199) Previous edibons may be used This 19 a 4-parl (Ort11 SAGE OF