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PERMITTEE NAMEIADDRESS p e&&P ibdyNoodL wo n yDWw w) <br />NAME <br />ADDRESS i <br />'j. BOX 535 <br />"lERSET ?Q <br />FACILITY NBORN CRK & ELK CRK MINE <br />LOCATION `4ERSET CO <br />AMES T. COOPER, EXEC V. P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INPOESI <br />DISCHARGE MONITORING REPORT WWI <br />PERMIT NUMBER asCHAA40E NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />.( 434 FROM TO <br />Form Approved. <br />OMB No. 2040-W <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />[MENT POND TO SANBORN CRE1 <br />NOTE: Read kietructlorn before co plating this form. <br /> <br />PARAMETER <br />[>< QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX ANALYMS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ### r z ; #### .. h ti•## I . i? / I NS I T <br />_ REQUIREMENT <br />MINIMUM <br /> <br />I•t=', ~ :[ iii tM <br /> <br />i•tt.?IT <br />I'D S, OT SAMPLE -t: <br />-LADED MEASUREMENT <br /> PERMIT 3r, ONCE/ RAB <br /> REQUIREMENT <br />MCINT?l <br />F SAMPLE <br /> MEASUREMENT <br /> PERMIT .## # if i! it # tt##### REPOT. REPORT lNCE/ <br /> REQUIREMENT 30DA A'-)G DAILY MX !' GNT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##it#tZ# #p#### ##iFiF#IE 3S00 7000 ACE/ GRft1 <br /> REQUIREMENT 30 DA ' `A I i MX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t r u u 3 i44- h r. ., .•: r r :v i J E.i!,; f F H <br />-; _? J?• REQUIREMENT <br />U.! :I". ; - SAMPLE <br />J f RLA f MENT ;;'.! MEASUREMENT <br />50 1 0 0 PERMIT REPORT REPORT <br />?_UENT GROG. --, REQUIREMENT a :" A I LY M X <br />1 DS: TOTAL SAMPLE <br />SOLVED MEASUREMENT <br />PERMIT # 3t iF# c: x -####;; RE PT R t F. •_ `r (, =,: i <br />REQUIREMENT ,7D{t i,..r .,AILY MX <br />NAMEMnE PRINCIPAL EXECUTIVE OFFICER 1 """y Y r penalty o l.. that UH dorumenc and an atiachmn+la .ere TELEPHONE DATE <br />prepared under my dlrsrllon or auperrW,m in accordance with a system do itned <br />- to aaure that quonfled personnel properly 901her and e.aluale the Inforrnatton <br />subrrdlW. 6aed on my Inquiry of the person or per two who en na <br />e the s <br />stem <br />- ` <br />t <br />y <br />. <br />or chow perwm directly r pornlbb for pthMn <br />the Inform tjoa <br />th <br />tio <br />I <br />f <br />t <br />, <br />e <br />n <br />orma <br />n <br />b <br />t <br />d h <br />th <br />t <br />f <br />k <br />l <br />su <br />mi <br />te <br />, to <br />e bes <br />o <br />- <br />t a <br />edze and belief. I-, a rule. and complele. <br />I .......r. that there - druIM...I F-111- f-.ub-ittmg r.t.e w- ti- <br />SIGNATURE OF ?RINClPAL EXECUTIVE <br />TYPED OR PRINTED . <br />the p- bull. or nor -d imp,1--l r.r .?.,.in f .iM.u<•rn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aN attachments hare/ <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. TINS IS a 4-W f9rm. PAGE OF