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PERMITTEE NAMEIAODRESS flo."FerkYryN.+?Leerlen (/D(ffe.w.q <br />NAME <br />ADDRESS ;j <br />J. BOX 535 <br />)11ERSET CCJ <br />FACILITY N13ORN CRK & ELK CRK MINI <br />LOCATION MERSET CO <br />1,.iMES T. COOPER, EXEC V. F <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM NPOES1 <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR MO DAY <br />- <br />Form Approved. <br />OMB No. 2040-0094 <br />MINOR <br />(SUBR MH) <br />F - FINAL <br />RUNOFF" TC <br />'UN ILK <br />NOTE: Reed ilwtructione befwe 4wistiny this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. fREOUENCV SAMPLE <br /> <br />1>< OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ####iEIE it##### 6. ` :##8F# 9.0 "J CE! If.'•" <br /> REQUIREMENT <br />, 1I ? i <br />M. i-, <br />MUM r. <br />r9(_?, IT. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #If?E#Ye# tf## tkib 3(#p ### ??,. 70 <br />i?•(i: E% <br /> REQUIREMENT <br />DA IL Y• i-1 <br /> SAMPLE <br /> MEASUREMENT <br />_.45 PERMIT ####iPk #ii tt# # #s!#37## REPORT REPORT IV •_: El ,RAB <br />r , I?IEN REQUIREMENT 30DA AVG i )A I LY MX MONTH <br />i" l SAMPLE <br /> MEASUREMENT <br /> PERMIT ###it: iF##### #itiF##1! 3000 6007 !Pli.4 / f':aJ.i <br /> REQUIREMENT 30DA AV,' IY, I L Y MX ATI <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT u. a iF# r- c: sF# #iF#### it c: :> x .0 CON T <br /> REQUIREMENT <br />- <br /> INS <br />•?AX GEi•f <br /> SAMPLE <br />rtL-A : MLN 1 MEASUREMENT <br />n O PERMIT REPORT REPORT ? i x #it#at +l tt#tF#IEir t'K" AI <br /> REQUIREMENT ±.]DA AVG DAILY Mif <br /> W <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT ###x : ## ###>? REPORT REPORT <br />REQUIREMENT !.;1RTR --:N I! Y MX <br />NAMEIITITLE PRINCIPAL EXECUTIVE OFFICER 1 eersrtq under penalty hsw that thh document and all ¦ttachments wen TELEPHONE DATE <br />prepared under me dirertion or Isis. 1lon In a rdann with a system ddgned <br />to assure that quaMned personnel le We y gather and evaluate the Information <br />submitted <br />6asnd on m7 Inquiry of the person or <br />ennm who mana <br />th <br />t <br />- <br />. <br />p <br />ge <br />e srs <br />em, <br />- --/ <br />ersons direcsl <br />" or those <br />res <br />ondbk for <br />atherin <br />Inf <br />th <br />r <br />ti <br />th <br />I <br />f <br />ti <br />p <br />T <br />p <br />g <br />g <br />e <br />o <br />ma <br />on, <br />e <br />n <br />orma <br />on <br />beet of m <br />kn <br />wled <br />b <br />itt <br />d h <br />t <br />th <br />tkf <br />t <br />d b <br />I su <br />m <br />e <br />o <br />e <br />7 <br />o <br />ge an <br />, <br />e <br />, <br />rue, aearale. mad tmmplrle. <br />- ' 1 am swan that there are signincant penalties for submitting robe Information <br />OIGNATURE Of PRINCNAL EXECUTIVE . , <br /> , <br />f M <br />i REA <br />TYPED OR PRINTED Inckrding the possibility o <br />ae and <br />mprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT DE NUMBER <br />CO YEAR MO DAY <br />COMMENTS AND EXPLANATION Or ANT VIOLA I IONS fReforonce off irtacnmenrs nerel <br />r_ T7"!--r.,r:? ,. ^t1i 'Dc 1-MT 1-1-°I. TFL" FDR I!?YP-'4HR ^Rc! fir' c'• ri T <br />_ I 1 <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used ;, T4i,S:_IS•a,4-Wj1?TTT1. PAGE OF