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PERMITTEE NAME/ADDRESS (7-" Fo thoyN--WL--tress (J <br />NAME J <br />ADDRESS v; I , c <br />Box 483 <br />IA C <br />FACILITY E NO 2 MINE <br />LOCATION J I A <br />TAM A nr:&a .IR i`IT <br />p(Qinw1) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM- (NODES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />' MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />C l r 3 Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH) <br />F -- FINAL <br />SR r DEER TRL DTC OR UNMD _.R I 13 M <br />NOTE: Read kwtructiom before complet" this 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 #? yrf # r # r a ? ? `> . _ i E.EKLY NS I T4 <br />I?-I REQUIREMENT ;`I I N I I`• i i A X I HUN <br />w , SAMPLE <br />fVDEL MEASUREMENT )? <br /> <br />J 1 <br />PERMIT <br />#>;#x <br />:t:r ^ <br />RAC. <br />LUEhJT "ROSS V'," REQUIREMENT ;• ONTH <br />DS, SETT1. L SAMPLE <br /> MEASUREMENT <br />Z 0 PERMIT k#r'#if# ## ## k x###%i REPCInT REPORT WE/ <br />i1!H <br />: <br />GROSS VALW REQUIREMENT 30DA AV G -'LILY MX MONTH <br />T rtTAL SAMPLE <br />AS FE) MEASUREMENT <br /> <br />0 <br />PERMIT <br />*i'•*4;- V <br />#it # (c r? # <br />'.c t? <br />000 <br />6000 <br />T <br />NCE/ <br />77, R <br />nc REQUIREMENT 30DA A I LY !`. MONT H, <br />' MPL x ... <br />0 FA -F SA <br />E _ <br /> MEASUREMENT <br /> <br />PERMIT <br />V. _ <br />r] <br />t <br />11 ill <br />'-NT I <br /> REQUIREMENT ;3T MAX GENT <br />GNDU-1 C i SAMPLE <br />? l ! MEN T PLAN T MEASUREMENT <br /> PERMIT REPORT F?FPORT - :: -# 77 r 71,; -7, <br />-; <br />GRC75S VF?L'. REQUIREMENT 3+3UA Ft`s t 1_•:? IL.Y MX , a <br />„ `.iT, SAMPLE <br /> MEASUREMENT <br />PERMIT ?iEP0RT _ < <br />REQUIREMENT .? TR r11J = QRTR hiF?. ` <br />MTLE PRINCIPAL EXECUTIVE OFFICER ' ""'ly " `pen. i ° law that this ea°`n`°"nd all olt"_ts were TELEPHONE <br />AM DATE <br />prepared under tn,.,racoon or wpershlon In a rd- wllA ¦ ",,n dt.Agoed <br />N <br />E <br />to aswrre that quaMfled perwnnel properly ether and er ahrale the Inrornullon <br />xrbmltled. Board on my Inquiry of the person or per7orsf who meaage the entem. <br />or thaw ptr"m directly repondbk for gathering the Information, the In(orrrsatlon - <br />wbmltted b. to the bet or my knowledge and belle(. ime, accurate, and rornpirle. <br />RE OF PRINCIPAL EXECUTIVE <br />IGNAT <br />- ." _ <br /> I am aware that there are sig/drkant Penaitka for mbmlttlng false Infer isdon. S <br />U AREA <br />TYPED OR PRINTED Irtcludlrtg the powlblllty of floe and Impresonmmt for knowing .lelaUt si OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aN attachments here) <br />n.... 'n;T T_ >TiIET) rr- r'1.`!-'j TA <br />APPROVF^ 13''? tJr?CD <br />PAGE OF <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used This is a 4-Part form.