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PERMITTEE NAME/AOORESS (7m" Fa <br />NAME <br />ADDRESS i,i ,t <br />j. BOX 535 <br />hIERSET <br />FACILITY <br />LOCATION ?ERSET <br />NaaWLeerfaa j(D 06-*w) NATIONAL POLLUTANT DISCHARGE ELIMINATION srsTEM //NPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE wuMeEn <br />MONITORING PERIOD <br />ELK CRK MINA YEAR MO DAY YEAR MO DAY <br />[ FROM TO <br />co r_ vcr• t 1 r_ <br />Form Approved. <br />OMB No 2044OOQ4 <br />MINOR <br />(SUDR MH) <br />F - FINAL GUNPS <br />RUNOFF TO N FORK GUNNI` ON R. <br />trv< - <br />NOTE: Reed kletructlone before complot" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FAE°Ncy <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE .'. # # >f 3t <br /> MEASUREMENT <br /> PERMIT # #### at; ?# 6. 5 ##1Fit I< : 9 G ,TcE/ lhd, I LI <br /> REQUIREMENT MINIMUM MA X d MI. !M MONT <br />TOTAL SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT 0 <br /> REQUIREMENT <br />3 A AV{y <br />L)P `. <br /> SAMPLE ?- , <br /> MEASUREMENT <br />1 0 c PERMIT ###### ### # *#?t## REPORT REPORT NCE/ 3T' =U <br />i -NT GP CIS' REQUIREMENT 30DA AVG DAILY MX MONTI <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # #### it r-:, F# as####a1 JDOD 6000 N( E/ lPAD <br /> REQUIREMENT 30DA AV1'.; DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT 1Q Cjr1TII <br /> REQUIREMENT 111115 MAX :?EidT <br />_i, TN c,01\!I, SAMPLE <br />-`? ATMEN-i MEASUREMENT <br />0 ) PERMIT REPOT; REPORT <br />#JrSF IE ?. fi <br />Yet ### <br />#####ie <br />NC)_ ' <br />:tai` '(/?t <br />CSR OS'c""; REQUIREMENT ' 3GDA -) I LY Mg ;' I`tt7rlTi <br />TOTAL SAMPLE <br />?I :} t '= <br /> MEASUREMENT <br />PERMIT RFPON•. REPORT <br />REQUIREMENT C3RTR AILY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' et^"y ° er pen. ty Ia. Ih.1 thh document and .H allachmenb were <br />TELEPHONE <br />DATE <br />Prepared under my dlreetton or aap _ht" In accord.nm with . 1y.lem deal?ned <br />1002twR that gaallned p,n M Property Lather and e..lu.te the Infarm.tlon <br />d <br />I <br />i <br />h <br />b <br />lt <br />d <br />s <br />f th <br />awe <br />oa my <br />ry o <br />e Foram, a per"aa w <br />an <br />m <br />te <br />. <br />nqu <br />o _at, Ita, tyalrrn <br />U <br />Ih <br />e <br />dlr <br />Nl <br />dbl <br />f <br />th <br />lr <br />Mf <br />tl <br />th <br />. <br />ade perm <br />w <br />e <br />y -pa <br />or ta <br />er <br />ls <br />erma <br />eR <br />e <br />_ <br />e <br />? Of .- <br />• <br />j mbmilled le6 to the beat of my knowledge .nd belle(. Irve, amumte..nd complete. <br />10NATURE OF PRINCIPAL EXECUTIVE <br />' + <br /> t .m .ware that there are "'ll"cult "IfIe for wb-Ild.g fats Information, 3 A A <br />TYPED PRINTED InrludtnE the poaOblllly of fine.nd Imprtaorunenl for lrgwlnE eldallorn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VFULA I Ives /NeforenCe off •rracnmenrS nsref <br />e: ' LrAI'?- T-- c (fl!_ I DS LMT APP' - I ED FqQ -1 OYR, 2 4HP W RFC T P FVT>=NT: <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used ;><hiS 15,8; 4:-W form. PAGE OF