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PERMITTEE NAME. ADDRESS rba-luJeliow-, ,VameL ,zrwngln1jerwit) <br />NAME <br />ADDRESS tz. , _ i; _;; MINE <br />34 1/ R0AD, tJNII- I <br />D JUNCTION b. ! 05 <br />FACILITY - RIBBON MINE <br />LOCATION [ A <br />1: U I t •? ?S <br />MI_)F'R, 111 ?_ 7 -_, IDENT <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) OMB No. 2046-0004 <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER I NAL DEL <br />MONITORING PERIOD `41JBUARD CREEK <br />YEAR MO DAY YEAR MO DAY <br />FROM TO - <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING Q UALITY OR CONC ENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />SAMPLE <br />MEASUREMENT <br />PERMIT ; at## ; # # # 9. O ' ,C, f' - <br />REQUIREMENT MAX I MUM !MONTH <br />SAMPLE , <br />MEASUREMENT <br /> PERMIT t ### : # # ¢ _ REPO ' F 0. 5 N, E <br />y _ '-%E REQUIREMENT 30Vt1 A I L I rinr l Tr? <br /> SAMPLE s, <br /> MEASUREMENT <br /> PERMIT #v+ #1t# 3ci? yr? 4t # ## # 10 J., l <br /> REQUIREMENT D! I;- Y i i i`J I <br /> SAMPLE _ <br />r t <br />it <br /> MEASUREMENT <br /> PERMIT REPORT RF-c" r Fs? j•IF:•-i( ##i?ii## -<r?t -r <br /> REQUIREMENT 1n[:'•' AVU <br />,* <br />Pi EJ F ` fr; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT an ## # t-r ,.? Rirs ri !i##3c it T REPORT? <br /> REQUIREMENT <br />DF)Ii_Y NX <br />:. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT '; - ?Ffi tt RFPORT ###### #•It##? # Y : :: i # #i t t i Tyru?m <br />JAL-I, REQUIREMENT ; :' =:T r`:?X N <br />MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME:,TITL.E PRINCIPAL EXECUTIVE OFFICER I ccrnt}' under penaln of law that this document and all attachments were TELEPHONE DATE <br /> prepared under my direction or supervislmn in accordance with a systcrn designed <br /> <br />k-d to assure that yuahticd perwnncl property .ather and c%aluate the Information <br />h <br />B <br /> eu <br />mincd <br />awd en my inquiry of the per on or pcrrms who nunagc the system, <br /> or those persum dlrccdy resp<msitrlc for gathering the information. the information 7 <br /> <br />?' ?" suhnim d is, to th, i,eV of my knuw ledge and Mlief• true, accurate. and complete. <br />, <br />l <br />• <br />SI ATUR F PRINCIPAL EXECUTIVE <br /> <br />d <br /> <br />PED OR PRINTED ..,t., ;,;, <br />.ur : <br />m•,:. significant <br />are <br />penalties Ior submitting raise information. <br />,ix iv--. h l ry of line and imprisonment for knowmg violatio s <br />OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />D <br />YEAR <br />MO <br />Y <br />f`n a I Ra C KI TC A&1 r% CV nI A\I ATIn\I ^1T A?IV IIIf11 ATIf1?,C r __ E <br />CO DA <br />'ART I <br />ItECIP EVI <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. li 022 / fts? is it 4-}Y3L?'1Utm.