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PERMITTEE NAMEIADDFtESS(Ym&*f.tkjymo ?L«oti"dDWwwa) <br />NAME <br />ADDRESS rl ril <br />A <br />'rRSET CO <br />FACILITY HORN lair'. F ??• MINE <br />LOCATION E.RSET CO <br />1ES T. COOPER, EXEC V.F <br />NATIONAL POLLUTANT OISCHMOE ELIMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER k?4 GE NUMBER <br />34 MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0094 <br />MINOR <br />(SUDR MH) <br />F - FINAL <br />SURFACE RUNOFF TO ELK CREEP <br />orm. <br />NOTE: Road kistructlons before cornplsthV this form- <br />;UI•4I.? <br />17 <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br /> <br /> <br />X EOVENCr <br /> <br />OF <br />r <br />SAMPLE <br /> <br />TYPE <br /> A,14ALYS,. <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT tt# aF#' b. 5 ##it## 9.0 IJC /" 1Flsilt. <br /> REQUIREMENT - MINIMUM MAXIMUM <br />MON T H <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?K •?E## #is##It)r tt?ia#it# 3 7 -FEU <br /> REQUIREMENT 30DA Fi PA I L Y M X iKUNT <br />4 <br /> SAMPLE c <br /> MEASUREMENT <br />O PERMIT # If Ir if It a sl is?t### REPORT v t : F' F• <br />GROE , ', REQUIREMENT 30DA A'OG DAILY MX N03NTt <br />AI. SAMPLE <br />c MEASUREMENT <br /> PERMIT # II # <br />iF ###### di?k# IN## 3000 6 B <br /> REQUIREMENT . 30DA AI DAILY MX M0 IN T <br /> SAMPLE <br /> MEASUREMENT <br />n PERMIT _ 10 1 , .1 C 1. <br /> REQUIREMENT <br />INST MAX <br />r- :T <br />;_. SAMPLE <br /> MEASUREMENT <br />v PERMIT <br />REP ; -i ;l._., _ '• <br />C_ RO"- REQUIREMENT '---)OD( . AV'•; - :? ILY MX r; . '.!TI- <br />,r(t SAMPLE <br /> MEASUREMENT <br />PERMIT t` ::K:7 - <br />REQUIREMENT KIST MAX Iii'?i iT( <br /> <br />I "ruly NAME/TITLE PRINCIPAL EXECUTIVE OFFICER prrp\red mparr Y antler ofer my my df'rellbm or that wthis er per.ialMwr In m In nt \ecoranddall \nte with ith \ tents syaltm m d designed <br /> TELEPHONE DATE <br />- to aware that "alilfed penoonel properly gell- and nahtatt the Intornutton <br />b <br />d <br />m <br />f th <br />itt <br />B <br />d <br />I <br />i <br />h <br />t <br />-? - <br />y <br />nqu <br />e person oe Persons w <br />o mainage <br />su <br />m <br />e <br />. <br />ea <br />on <br />ry o <br />he system, <br />i or throe perm directly responsible for galhtring the Informadow• the Info tlon <br />wbmllled Is, to the beet of my tne-Wile, and belief. tnoe. \cronte. and complete / <br />/ •. 3 ' `•^ - .? <br />IGNATURE Of PFIINCNAL EXECUTIVE <br />ltd <br />I <br />/ <br />I <br />h <br />l <br />Jtt <br />t <br />b <br />f <br />f <br />- <br />TYPED OR PRINTED am aware that t <br />ere en <br />gr <br />can <br />Penalties row ru <br />m <br />ng <br />adee <br />n <br />ornueon. <br />Induding the possibility of fine and Imprteonment for knowing violtdo OFFICER OR AUTHORIZED AGENT CAE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference X11 attachments hvrsl <br />AL FADL_>- ?7 - L IDS LMT APPL- I Fyn FOR !' 1 OYR, 4 HR PREC T r' r '1L NT <br />%i OJT-SEE I <br />i A A`•: C; T -+,L ! A' <; N 1 Nr? I <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. Tats is,a 4-part form. PAGE OF