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PERMITTEE NAME/ADDRESS pneYi sa &,,Nw?Lerrlo. yDlQi.wvj <br />NAME <br />ADDRESS <br />BOX 535 <br />uRSET CD <br />FACILITY 5ORN CRK & ELK CRK MINE <br />LOCATION ERSET CO <br />MES T. COOPER, EXEC V. P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO Y AR MO DAY <br />FROM DAY TO <br />Form Approved. <br />OMB No. 2=01304 <br />M I fUF< ', <br />(SUBF1 L: <br />F - F11-: <br />SURFACE HUNuF i- f L-; ELF <br />t <br />NOTE: Reed Instructional before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT 7. 0 <br />: it t7t ' REQUIREMENT MINIMUM <br />MAXIMUM <br />M[7NI <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />i REQUIREMENT r-1 Y, <br />- SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> <br /> <br />REQUIREMENT <br />-A -R- <br />IF 7- W <br /> <br /> <br />0DA AV{' <br /> <br /> <br />AILY MX <br /> <br />- - i <br />MONTH <br /> <br />--A 0 <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT JWU 600k) <br />f1 '. REQUIREMENT _I,JDA ?AILY MK 1`fi r 1 i <br />r1! SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT -: _l r•! <br /> REQUIREMENT I NST r-1AX .;T <br /> SAMPLE <br />i•:?:r i I':__I•:: MEASUREMENT <br /> <br />0 1 0 0 <br /> <br />i r LUENT 6RD,=- _• PERMIT <br /> <br />REQUIREMENT <br /> <br />30DA <br /> <br />ILY MX <br /> <br />4._ <br /> <br /> <br />ONTH <br />77 r,: <br />AMD FA T, SAMPLE <br />AL MEASUREMENT <br />1 <br />. PERMIT . ? _ - <br />77 <br />REQUIREMENT ' 'JST MAX ; <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER 1 re"'Iy ° "P'na'y Iaw that this d°`°'nem and'" ""eh'n 4 were TELEPHONE <br />Prepared and- my dirrcllcat or mp",islon In accordance with a system deslgrwd DATE <br />to aars IhH ti tatlfled personnel Property gather and eealuale the In1mvnallon <br />7 ?f• ," ._ snbmltled. bred on my Irpulry of the Person or persons who manajr the system, -"-? , <br />_ w those Per directly respaedble for LatheAng the Info tl - •?'? - <br />?++ ow, the Informal{on : E'••7%I r<l !: ?- t -- i 4' - ; .-..,# aobmitted is, to the bell of my knaw4d?e and belkf, true. accurate. and compkle. .: ir" - - .._ <br />1 am aware that them are sl(Nlkaal penaltlv for submitting faire Information <br />If10NATURE OF PRINd?A4 EXECtlTIVE <br /> <br /> <br />! I / `f- <br />TYPED OR PRINTED , <br />Including the podbilllr of floe and Imprisonment For knowing .teAatlaet OFFICER OR AUTHORIZED AOENT CAREA ODE NUMElfR YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Referents aN attachments here) <br />r..''. ;_EAE1_ F SOLIDS LMT APPLIED FO F? =? 0YP, 24 14P PRIC T° <br />._N'T-SEE I. A. 1 i <br />L - C <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. T>fi11jt%8.4-P m PAGE OF <br />?•??