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PERMITTEE NAME/ADDRESS(lndritfMbyN..d Lae ffm(fD(okwu) <br />NAME <br />ADDRESS <br />POX L735 ,ERSET 0 <br />FACILITY OORN CRIA !? ELK CRA MINE <br />LOCATION :'ERSE•r co <br />MtS T, COOPER: XEG V. P <br />NATIONAL POLLUTANT OISCHMIGE ELIMINATION SYSTEM (/NPDES/ <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MOD YEAR MO DAY <br />FROM TO - <br />Form Approved <br />OMB No. 2040-000•I"S SUBR fill) <br />F - FINAL <br />r <br />NOTE: Road Inetruatforle before completing this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #•?i&•I;••? i; '-:: x fi$, r . <br /> REQUIREMENT IM{1Pi f~':ON <br /> <br />_ SAMPLE , . 4 s <br /> MEASUREMENT <br /> _ <br /> PERMIT ::. ,. <br />V;;- REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />' <br />^ <br />t <br />r;; : a <br />'J' REQUIREMENT :7[, <br />r <br />"'- SAMPLE <br />_ MEASUREMENT <br /> PERMIT r x .. <br />Di?L'r? -u <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />- ! PERMIT <br />43T ;1Ax <br />Iii <br />-; - 'jL. L REQUIREMENT <br />- t SAMPLE <br />ATi` f= r _ :' Nl <br />y MEASUREMENT <br />a PERMIT - <br />" <br />_lJl `1? f?i 10s V%5 .I_ REQUIREMENT ;tQr?A I'+'Ir ) i_•v r.i,. i• i <br /> SAMPLE .. , <br />OLl/`_i; MEASUREMENT <br />_ <br />? <br />PERMIT .. .. .. ; ..- .. -_ <br />I L V h` x _ .. <br />?•' REQUIREMENT <br />PRINCIPAL EXECIITfVE OFFICER ' nrl,ly u r P.- Ill ° law that thh (Yemeni and an .1tWhments were TELEPHONE <br />TIT <br />M DATE <br />prepared carder my dirtrtlon or suptr+Nlon In accortianre with . system darned <br />E/ <br />LE <br />NA <br />r, L ?r7. 7-G`t go Laure that qu.Nntd personnel properly Lahr and t..lu.te the Inloem.tbn <br />- J eubmltltd. Stated on my Inquire of the person or perswu who m.nart the tytitm. r <br />d <br />i <br />I <br />er rhote Pertor. directly mpore <br />ble for gather <br />ng the <br />nformallnn• the Infornrllon <br />/ <br />- <br />aubmilted a, to the best of my knowledge and belld. Irne• aeevr.le. and complete. <br />104ATURE OF PRINCIPAL EXECUTIVE <br /> 1 ¦m a.an that there are signlnc.nt is nalrin lot submitting bait Information, 8 AREA <br />BER <br />Y <br />TYPED OR PRINTED Ineluclint the poadblllly n( Mm and Imprl.onment for knowing el°latlote? OFFICER OR AUTHORIZED AGENT CODE NUM EAR MO DAY <br />COM I,NTS AND EXPLANATION OF ANY VIOLATIONS /Ralorence aN attachments hare) <br />FABLE SnLTDrv ;MT APPLIED FOR f=10.24HR PRECIP EVFNT; <br />PP 4-5 5 , <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used 7L: ;' = T t11S is a S-part form. PAGE OF