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PERMITTEE NAMEIADDRESS tfncfude Faeifitp A'amdfncation i/UiJJrrentt <br />NAME <br />Lt <br />ADDRESS I'; , AL <br />629 V. <br />FACILITY i`t, 11 L UN MINE <br />LOCATION q <br />t I?i? <br />LANCE WADE, NINE MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />MINOR <br />(c5UIiR i H ) <br />F ° FINAL <br />5R &M I NE DRN9 <br />Form Approved. <br />OMB No. 2040-0004 <br />I"'INTR; <br />NOTE: Read Instructions hatnrP r.mmnlatina this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />1 <br />OD A i G <br />u• . i i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />77 <br />F4 -7 <br /> REQUIREMENT ?U1)A Ati, Cr <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />F EZT f.-I <br /> REQUIREMENT <br />F; A V G <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPOR <br /> REQUIREMENT <br /> SAMPLE I <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalt} of law that thi%cimument and all attachments were TELEPHONE DATE <br /> prepared under my direction or mpa•ni>ion in accordance with a +.+tem designed - -•--- <br /> to aacurr that yunl{fird pervmnel prutterl"i gather and c+altale the information <br />submitted. fared on m? inyuin of the per.nn or persons who manage the srstrm, <br />i or thost pennrts dirmth rc?potnibk for gathering the information. the information <br /> +ubmittcd is, to the hra of m% knowledge and belief. true, accurate, And.ompletc. <br /> <br />m <br />wa <br />th <br />t the <br />I <br />a <br />e si <br />if <br />t <br />l <br />i <br />f <br />b SIGNATURE OF PRINCIPAL EXECUTIVE <br /> a <br />a <br />re <br />a <br />re <br />r <br />gn <br />ieun <br />pena <br />e, <br />or.u <br />t <br />mitting false information. <br />TYPED OR PRINTED including the ptssibilit% of fine and imprisonment for knowing.iotauons. OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />rnRAPAFNTC ANTI FYPI ANATInN nC Ahly vttll ATlnt+tc rn.+e.............tt <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. X301 9e 5lS':1'4-paft fiOTITI.