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PERM(ME NAMEIADDRESS(IwrriiwatyN..WL .ton (fD(&r u) <br />NAME <br />ADDRESS ;'•I: <br />J. L'?1X JJJ <br />_]NERSET CG 814 <br />FACILITY ",NBORN CRK & ELK CRK MINES <br />LOCATION iI?IERSET CO 814 <br />;MES T. COO PER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NLTMSER <br />MONITORING PERIOD <br />YEAR MO DAY Y AR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH ) <br />F - FINAL <br />D i SC!-lARGE TO ELK C <br />NOTE: Read kwtructlorw before completing this form. <br />UN ' <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT 114 . <br />:_UEN f \?'R i j:_ , i REQUIREMENT M I N I P• (l:rl. MAX I MUM MONTH <br />LJb, I 'J H- SAMPLE <br />_'ENDT MEASUREMENT <br /> <br /> PERMIT sr FA 7 a rr:?-a>r t;t. tC l? <br /> REQUIREMENT 30DA Al:- i-1h 7i) r,V ;'103; ,. MONTH <br /> SAMPLE <br />-? MEASUREMENT <br /> <br />C1 PERMIT sr . r- 1 <br /> REQUIREMENT ?GGrl A`.%v DAILY 11X i. _ PIONTi- <br />?r, C o SAMPLE r <br /> MEASUREMENT <br /> <br />G PERMIT u A <br />;AS S V REQUIREMENT >r F N S'T NA X i .; `,N T <br />LJIIN it_! I SAMPLE <br />' ATMF MEASUREMENT <br /> <br /> <br />ROSS `.- PERMIT <br />REQUIREMENT <br />30DA AV!:' + <br />DAILY M? .. R r r 7 t, t. ; <br />MaP? <br /> SAMPLE <br /> MEASUREMENT <br /> <br />O <br />i_NT GRO PERMIT <br />REQUIREMENT I-., <br />= R AVG <br />DAILY MX <br />r ., SAMPLE <br />,L MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />'!ST MAX <br />NAME ME PRINCIPAL EXECUTIVE OFFICER Pena q o a. that Ub doenrrrrTt and .N .ttachrmmts were <br />prepared under my dirvetlon or superrWon in accordance with a t)tlem deigned TELEPHONE DATE <br />?- ! <br />I // = <br /> <br />/ to sure that quaMned Pe-4 Property gather and evaluate The Information <br />wrbmltled. Send on my Inquiry of the penes or peraom who manage the system, <br />or than persom directly r pondble for ptherinig the tnrcn tjm the Inform.Tbn <br /> <br />I,? )) ?, I f - '-'. <br /> <br />_? ;. r ._ <br />rr <br />i submitted b, to the list (-v knewledge and beset. true, am,nte. and r»mpMe. <br />I .m ...n Lb.t there .R d <br />n.nunt <br />eoalun r- -hrNtlln <br />f.tw nun m.tb <br />SIGNATURE OF YRINCWAL EXECUTIVE - it <br />TYPED OR PRINTED r <br />p <br />f <br />a, <br />-Iud+r,f1h.p-dhllt,.1nr».r,<t mprt-nmer, ,f.1N.0- OFFICER OR AUTHORIZED AGENT CAREA ODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IVN5 (Reforenc• ON •ffechments hors/ <br />PERIOD REPORTED. <br />OIL & GREASE - SEE I. B. 1. D <br />EPA Form 3320.1 (Rev. 3W) Previous editions may be used- ,r -S,-- r. ! C) 'A!S #8)83)4-pat mmi. SAGE tpF