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PERMITTEE NAME/ADDRESS(7.r6l.FayMry)Va.?Leer,anl/D(04.ww) <br />NAME <br />ADDRESS <br />Lux j'b <br />ERSET CO 8143 <br />FACILITY BORN CRK Ri ELK CRK MINES <br />LOCATION ER SET CO 8143 <br />r'4ES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT 04SCHMOE ELIMINATION SYSTEM /INPDES/ <br />DISCHARGE MONITORING REPORT /DMRI <br />PERMIT NUMBER asCHAROE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY Y A MO DAY <br />FROM TO <br />Form Approved . <br />OMB ido 2046-0004 <br />MINl - C? <br />( SLI Is R <br />?'JRF-AC _ <br />NOTE: Read InBtructi- before compbting thle form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###### •r.- LJ r? =e y -?'. ;ti =i <br />-)r:'J i C:I20 REQUIREMENT MOh! T <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER a I.+ th.t thb do tmni and ail ml.chmmn .ere TELEPHONE DATE <br />prepared -der :wr dlrectlen or wp",114oet 1. accordance eNth . systttrt deftried <br />to b re Ih.t tfu.hfted pert nnel properly ether and evaluate the Info tlon <br />mbmllted <br />Bad nn m7 Inqu1e7 (the peewm ar pvn +h. mana(e the s <br />stem <br />. <br />y <br />. <br />dbk f <br />th <br />h <br />l <br />i <br />I <br />y rtepoe <br />er <br />or t <br />ose prn dlrert <br />or ga <br />ng the <br />nfoem.tlm. the Infortnallon <br />/ <br />-- <br />wbmllted 1% to the best of m7 kmwkdte and beMef. 1r . a rste, and complete. <br />. ; <br />i <br />{ /? '? I ?C_ C -' I <br />6104ATURE OF PRINCNAL EXECUTIVE <br />th <br />t th <br />.n sl <br />lflr <br />nt <br />- <br />111 <br />hmlm <br />f <br />l <br />Inf <br />th <br />fo <br /> em <br />itn <br />a <br />P <br />" <br />r w <br />cK <br />. <br />w <br />ornr <br />am awm <br />. <br />6 <br />m. AREA <br /> <br />TYPED OR PRINTED <br />InclWin= the powibllllr of fine and Imprboarivent for kmwing rld.Unns. <br />OFFICER OR AUTHORIZED AGENT l <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments horn) <br />-EABLE SOLIDS LMT APPLIED FOR I©, -'j'.i?R PPF,-IP l-;,? NT <br />-,q HR =VE.NT-SEr <br />- - - <br />EPA Form 3320-1 (Rev 3+99) Previous editions may be used ThtS !S; a 4- Srt a r-m. PAGE OF