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r <br />?ERMITTEE NAME/ADDRESS fnriude Farilira Frmelbwntinn if i ifferentl <br />NAME L' <br />%DDRESS ~ I NE <br />ERUS - <br />FACILITY COAL . 1 I ^•i E <br />LOCATION •- P ERUS I f3 I ,3?f <br />A REDFTZM.I MINE ENGINEER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />r rfn Approvv--7 <br />0%16 No. 2040-0004 <br />LFLtA <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />t.: <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE / <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT I <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .. , -- <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r _ . <br /> REQUIREMENT <br />NAMErrITLE PRINCIPAL EXECUTIVE OFFICER I u rtiF under prnulb err lau m:rl du, drwrrmrm and all al Wrhnx•nl, Herr TELEPHONE DATE <br /> prrpan+l under m. Airactinn nr ,nlrr'areran in ucc urdunrr wilh u ,r,Irm Ar,lpnral 1 <br />r T- 1 ` ?' <br />`"`ti ? •?- - ? i ?'M f V ? u. a„un• that rpralifird prnnnnrl prpeH7 S;ullxr and r. aluutr tlx inbrcmuti°n <br />8a,rd on m. inquire rd Ihr Ixnun err fxnom whu manu?r Ibr ,a,lrm. <br />,uhmillarl /I <br />- <br />y <br /> . <br />or tho,r Ixnon, Jin•ctl? rr,l.meldr Lm ;:uthrnnL the iafnrmaGuu, Ihr mfornwliun ?-_ j ? ? <br />, <br />_ -' - _ <br /> el <br />J Ir <br />9ier <br />urnn <br />dr <br />nul crm <br />idr <br />d i <br />t <br />Ih <br />- I <br />t <br />f <br />Ln <br />d <br />a <br />tru <br />• <br />h <br />iR - ' - - i j C <br /> . <br />. <br />.. <br />p <br />. <br />,, <br />.. <br />a <br />wv <br />o <br />m. <br />u <br />y <br />pc <br />n <br />a <br />a <br />. <br />,u <br />m <br />a SIGNATURE OF PRINCIPAL EXECUTIVE <br /> I umauarv that there un ,i?nifia.rnt pa•mrlfie, fnr ,ubmiuing Lai- int-s1 I . <br />Mm I tinm <br />"i <br />Relit f fi <br />d im <br />r <br />r <br />nt f <br />r An <br />th <br />' " <br />r OFFICER OR AUTHORIZED AGENT CR?E NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED ne :m <br />n <br />nr <br />u <br />r <br />. <br />m hr <br />m <br />e I I - <br />` rn <br />^ <br />GUMMtNIJ ANU tAVLANAIIUN Ur ANT VIVLAIIVIYJ (nrrrrrrrt;c an aua?nrnr rna ncrcj <br />':--CIP EVENT SIJi3•_)ECI TO BURDEN OF PROOF REGUIPEMEINJI'S <br />TO THE DIVL5I'-')i1,l WITHIN 48 H131JR7". <br />EPA Farm 3320-1 (Rev. 3)99) Previous editions may be used. _?f7O81 !