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PERMITTEE NAME/ADDRESS,/,r, luck Facrlir .: •i. l..,:n, ;r l?:/icrenn <br />NAME <br />ADDRESS vl. <br />} BOX 459 <br />FLORENCE ?p <br />FACILITY tr? R MINE <br />LOCATION _AFN vQ <br />.:=RA(3!= tJ p6TT?ta'-'•?if\I. h_?As <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />i <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />U?, FROM TO <br />mr• <br />UPd6 \oi? ?.; ,. <br />RIVER <br />.X <br />PdnTF• O-A Inc!'.. n?i...... 1...4.,... .. ..1nfinn fhia f- <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE I MAXIMUM UNITS <br /> SAMPLE t -r x .>-# - .. <br /> MEASUREMENT <br />('. PERMIT iF2 isf-? T ;rtt :i # 9. G W ICE! YF =li <br />''>r 055 VALV' REQUIREMENT ^r.? <br />-t+Js. E SAMPLE <br /> MEASUREMENT <br />G Q PERMIT # ?t##•>f #.,r z;t-, t ##it# REPORT <br />? <br />: W I CE/ GRAB <br />GROSS VAL.U; REQUIREMENT 30G'A AVU Lif E ?F <br /> SAMPLE x x ; <br /> MEASUREMENT <br /> PERMIT t?#k :t #4a#Y -tsrt i# lV Th :3 R `•.'• <br />l- <br />-: FLUENT G' 1:)SS VP,:i REQUIREMENT r <br />Y <br />l <br />_ i <br />l_ <br />I f:° <br />-LOW, IN CUNL}UIT ;F, SAMPLE <br />?i•IPU TREATMENT FLr' d ; MEASUREMENT <br />Z 0 Ci PERMIT #'? #?F# it 1! r ## sF?t# # i s 0NT `t M • r_';_ `Dc* <br />UFNT GROSS VALI,): <br />F; REQUIREMENT <br />. 1 <br /> SAMPLE 44) ;r I I # I x st 3 is -r <br /> MEASUREMENT <br /> PERMIT h'tr >` F: _. 'k#x t t.. .r.:r# ?#### x L'!CFr ?SlA <br />FLt•JEN T REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT I <br />I <br /> PERMIT <br /> REQUIREMENT <br />i <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I cctnfy under penalty of law that this document and all attaLliments were <br />TELEPHONE <br />DATE <br />i prepared under my direction or superNision in accurdance with a s stem des!gnrd <br />d <br />ehard A. <br />MUnson to assure that qualified ps-monncl properly gather and esaluatc the intbrmation <br />I <br />Vice Pre sider <br />t submitted Baxd on my inquiry of the person or perxme who manage the system. " <br />. or those persona directly responsible for gathering the ntRttmation, the information • r <br />J <br /> is <br />submitted <br />to the best of im knnu ledge and hchef <br />true <br />accurate <br />lete <br />and com <br />1F <br />9 <br />7 <br />41 <br />723- <br />09 <br />of <br />0 <br /> , <br />, <br />. <br />, <br />p <br />h <br />h <br />i <br />i <br />l SIGNATURE OF PRINCIPAL EXECUTIVE / <br />. <br /> aware t <br />at t <br />crc are s <br />gmt <br />ceno pcna <br />t? •. for submitting sake information. <br />TYPED OR PRINTED ncluJng the poss!bihn of !inc and onprisonmcm for knowing swlatiow OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />e.,•.uururn .. _ _ .. .. _ <br />.`1=(`7G! F?.tCr, 1T C19r' +C f'T ? nI i.=•'r)F•A..t nr pr?nnl- n f_;1+- T r_ r'•..1; •..,7•_. <br />3 32 1 3 7 <br />00302 /QPi*rsp 4-parL fomi.