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PERMFFTEE NAMEJADORESS (iwe6k Feeihey)voedLacerle I/DdWvl r) <br />NAME <br />ADDRESS - <br />bUn .i <br />!ERSET CO B <br />FACILITY MINES <br />LOCATION ERSET CO & <br />1ES T COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTDA /NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />1 FROM - - TO <br />Form Approved. <br />OMB No. 2070-OW <br />MIND <br />(SUBR NH) <br />F - FINAL GUNIS <br />DISCHARGE TO ELK CREEK <br />NOTE: Read Instructions bofOra completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - f?#<r ## 6.5 yr#### 9. O 74c l 1i-13_T <br /> REQUIREMENT - MINIMUM MAXIMUM MONTH <br /> SAMPLE .. <br /> MEASUREMENT <br /> PERMIT f L G A <br />U E N T REQUIREMENT tVG NIX 7D AV i. mONTri <br /> <br />_:,•.,, A SAMPLE <br />f AS F L MEASUREMENT <br /> PERMIT ` r # 7F t # ## ##?F## <br /> REQUIREMENT -'ODA -"VG PAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT '; i*'? it )E#i}### it## #3t Ii 1F 1t# 1 'A _ <br />F.O, REQUIREMENT INST t1AX GENT <br /> SAMPLE <br />r LA 1 riEt? T i MEASUREMENT <br />O i 0 O PERMIT f! I R f: ... ? _ . ,. - a .. ; . ;: <br />f' REQUIREMENT 1UL; _ FV? =t I L MX t';OPJT} <br />G r 1 SAMPLE { <br /> MEASUREMENT <br /> PERMIT r? .. w L . it# F+ <br />t ! . ti 3 ;F REQUIREMENT ? :4ST MAX 7= _ <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT - <br />E <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER t Gently under no y Is. that thh document and all attachments were TELEPHONE DATE <br />pmparvd under my dlretllon or lupentalon In arcordanm with ¦ ryaleen designed <br />to a mum that qualified personnel Property [ether and e.aluate the Worrnallon <br />1 <br />! <br />• <br />i ? submitted. Based on my Inquiry of the Person or pertoro who manage the tystrm, <br />I or (twee "ors dlrerttr miamolN. for Eathenrn the Inrormallort, the information l 1 f <br />, <br />l <br />d I <br />be l ar <br />l <br />b <br />i <br />th <br />I <br />d <br />t <br />d <br />/ <br />my <br />t wa <br />e 9e an <br />wr <br />rr <br />t <br />e <br />& to <br />e <br />better. true, accura <br />e. an <br />eompie{e. <br />m e <br />SIGNATURE OF PRINCWAI EXECUTIVE <br />V <br />r \ I <br />th <br />reen <br />ltl <br />itti <br />I <br />r <br />t <br />f <br />b <br />mi <br />ti <br />th <br /> s <br />¦m aware <br />em a <br />can <br />Pena <br />ng <br />ce <br />n <br />orno <br />at <br />e, <br />or su <br />m <br />on. <br />TYPED OR PRINTED Inrhederq the Possibility dnne ¦nd Imprtsonmen( for ?no.ent .lolauoen OFFICER OR AUTHORIZED AGENT COQ NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aM strachments hare) <br />PERIOD REPORTED. OIL & GREASE - SEE I. D. 1. D <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 5 + Tats l5 a 4-part form. PAGE OF