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PERMITTEE NAME/ADDRESSpnev6Fdroryx..?L«,wi e(/D(p6.wu) <br />NAME <br />ADDRESS <br />J. B U X S31. <br />IERSET CO $1 <br />FACILrTY NBORN CRK & ELK CRK MINES <br />LOCATION :IERSET CO 61 <br />.MMES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOES) <br />DISCHARGE MONITORING REPORT ID R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-00bA <br />MINOR <br />(SUBR MH) <br />F - FINAL GA <br />F-1J"'InFF Tn N F(3F?V, <br />NOTE: Reed Watructfons 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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT st##dt## REPORT '1 ! #iti[##X #!t##:+ ?### - JN / SIT UA <br />! <br />, REQUIREMENT I NST MAX <br />F <br /> <br />MONTH <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />t -t ay under pen. y o 6. tha <br />thh document and all attachments were <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />prepared under m direction or <br />w <br />Pe,,islo^ In .Keord.nee with • f]Jltm designed <br />10 mare th.1 qu.etled Personnel Property Rather and er.luele The Infornullon <br />- - wbmilled. Bred " my Inquiry of the Perms or persma who manate the System. <br />or that penas dtrecty mpemlbk for whertnt the Informa0o0• the Inforwrllon <br />-1 .ubmllted Is, to the bett a my twowled[e and better, trot. accur.le..nd compMe. I . ? //. <br />I ..n.....' 01.1 1h ,-c -: sly"n..n1 pcnda., r... _h.,du!of r.t. .,1.,.0.... <br />SIGNATURE OF PRINCIPAL EXFCUTTVE <br />- <br /> . A A <br />TYPED OR PRINTED , n. » • * , •° r^ ! • ,,r •, ----. - Or rice r. ca A. : ai: _> > G' HT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference eH attachments here/ <br />`EABLE SOL I DS LMT AP PL_ 1 TT 10YR , 241iR car; <br />24HP EVENT-SEE I.A 1: <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used T}uSjS?a 4-part Oral' PAGE OF