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FERMITTEE NAME)ADDRESS(I-d6&F.Mtyjva.WLt wt.(fooW. t) <br />NAME <br />ADDRESS _ <br />J. BOX 535 <br />-..,MERSET CO <br />FACILITY .NBORN CRK & ELK CRK MINE <br />LOCATION MERSET CO <br />',aMES T. COOPER, EXEC V. P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPOES) <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />SEDIMENT <br />Form Approved.. <br />OMB No 2040-0004 <br />C'UNI5 <br />NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />of SAMPLE <br /> <br />TYP <br /> ANALYSIS E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###### of iF###?? b. S - # # 0 r/ j 11" T T t. <br /> REQUIREMENT k <br />-1 <br />i-II <br />MAX • MUi'l <br />u'iT <br /> .- <br /> SAMPLE :- <br /> MEASUREMENT <br /> PERMIT tf#,?#a #tfa£ t? tf •if## :i`_, %G <br /> REQUIREMENT (; ' + HUNT{ <br /> SAMPLE <br /> MEASUREMENT <br />?5 ;. PERMIT ###### ####alaf #as#### REPORT REPORT iiCE/ <br /> REQUIREMENT <br />_ LENT r :30DA AVG DAILY MX <br />N, TGT SAMPLE <br /> MEASUREMENT <br /> PERMIT aF###- fi 'f # It#ar al of #### 3000 6000 lit:?=? 9Fr=, ` <br /> REQUIREMENT U1?A DAIL.'? N':' Ptl'hi?t <br /> SAMPLE <br /> MEASUREMENT <br />?? j (S PERMIT #Y##iiit is l Y #??# s?tt# tit r.? h Z{j lJhljl AL <br /> REQUIREMENT <br />IP)E;T MAX <br />f:R'T <br /> SAMPLE <br />r> p; MEASUREMENT <br />_•CJ _ PERMIT REPORT REPORT <br />±.UENT ORD,- REQUIREMENT ;W 7,AILY MX <br />. [ i_ AND REi :.- SAMPLE z# i- <br /> MEASUREMENT <br />PERMIT # #?1-1-T REPORT S rt at#at a ;. > r>Fr-n- VISUAL <br />REQUIREMENT "NST MAX MOTs i <br />1 eertnt] o er pens ty o law that this document tend all eltachmenu were <br />TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 <br />DATE <br />Prepared under mT dlrectbn or super+i <br />- In accordance vlth a system designee <br />to .sure that quillned personnel properly gather and evaluate the Inforrlrllon _ <br />r 1 - - <br />b <br />llt <br />i <br />f th <br />d <br />B <br />d <br />I <br />so <br />m <br />re <br />on my <br />nqu <br />e <br />. <br />ry o <br />e person a persoea aho menage the system, 1 _ <br />th <br />e <br />, <br />di-fl <br />res <br />sibl <br />ro <br />th <br />A <br />th <br />r <br />r go <br />or <br />ose P <br />rm <br />y <br />pon <br />e <br />. <br />e <br />ng <br />e In <br />ormauon, the Inrorrrrtlen <br />t of m <br />kn krd <br />' i .. + <br />X <br />lll <br />d b <br />th <br />b <br />d b <br />i'' '• it- <br />b <br />t <br />W <br />ge an <br />.. <br />, su <br />e <br />, <br />e <br />es <br />e <br />,_ , <br />m <br />o <br />e <br />. true, ecru nine and mo plelt i <br />1 am aware that there are agNnrent pr..Wee for arbmltttn <br />•IGNATVRE OF PRINCNAL EXECUTIVE <br />relse Inroe rtedon <br /> g <br />• <br />I <br />h <br />l <br />i <br />r n <br />d AREA <br />TYPED OR PRINTED nc <br />rd <br />ng the poss <br />bility o <br />ee an <br />o,prlsonmene for knowing rloltuom OFFICER OR A VTHORIZED AGENT <br />ODE NUMBER <br />C <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fReference aM attachments here) {? <br />- [r ^r"I Crli._1 n^ ?. ?11 LtF{??_IED FOR=1C)YR, <br />L. - FP 4-5, ,(-4D ; <br />4, 4 <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. - _ T?}?S 1&,$,4r?lt gftTl. PAGE OF