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PERMITTEE N.r,MFIADORESS r7?Yd+f.rWryN?. Lennon t/D(pb+w.l <br />NAME !. ?. . <br />ADDRESS - 1 ?• _-.K CRK MINES <br />'J. lyL1X X35 <br />??1ERBET rQ 81434 <br />FACILITY --,A!dBr'•RN CPA & ELK CRK MINES <br />LOCAT*W DMERSFT CD 814334 <br />_"_ COOP ER, EXEC V. R. <br /> <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM IINPOESJ <br />DISCHARGE MONITORING REPORT fDMRJ <br />PERMIT NUMBER OISCHAAGE NUM6E11 <br />MONITORING PERIOD <br />Y R MO DAY I YE R MO DAY <br />FROM -' I TO <br />i SUOR <br />F - FIB <br />SURFAC;_ <br />NOTE: Read Inetrucdom before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br />EX Fag "'Ncr SAMPLE <br />TYPE <br /> ANAL11s1s <br /> AVERAGE MAXIMUM UNITS MINIMUM AVEP.AGE MAXIMUM UNITS <br />L ..I °- SAMPLE x ., <br />ice' ;I MEASUREMENT <br />•???`S-i t? O PERMIT 31? -ill -Po t t: P Li R i i =`. -- - .. ,. .. ., .. .. s- .. ,. _•r'- <br />FFLi_:ErJ I -ROSS '--F REQUIREMENT INST MAX ;O=C- - MONZ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLF <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TTrLE PRINCIPAL EXECUTIVE OFFICER I Benny -der penally o hw lh.l thh document and all .m.chmmtf ere TELEPHONE DATE <br />P"P-d under my Alrerllon tr WPer.Mlon In bccord.nct w11h • sy.1-d-Igned <br />In antun Ih.t g..Ilned personnel properly gather .rod evaluate tht Inror,,.tlon <br /> <br />st or perstrm who -.at, the left,,,. \.?-' <br />submitted. Named on my Inquiry of the peror <br />( f <br />7 <br />? f <br />.( <br />. 1 <br /> <br />_ <br />•_ <br />- ? <br />n, <br />J i <br />? <br />, <br />- or Chose, perform dlrteny mpotdMe foe gathering the informalea, the InfornutMM <br />submiHed h, b the best of my kno+k!dge and beYef, I-, .ccvnle. and comPkle. <br />IONATURE OF PRINCIPAL EXECLITIVI< <br />NJF <br />l <br />1 <br />f <br />I <br />l 1 - <br /> se <br />I .m ,..n BAH there art dg <br />"nl pena <br />ties for mbm111 <br />n1 <br />a <br />nfornmllon, <br />SPED OR PRINTED Including The peatblllty of nne and Imprlgnmenl for knowing rlolatlom. OFFICER OR AUTHORIZED AGENT CAE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANT VIULA I IUN5 rlfererence an arrscnmsnrs nerel <br />FABLE SOLIDS I_MT APPLIED FOR -: =101 24HR PRECIP EVENT: <br />EPA Form 3320-1 (Rev 3199) Pre: jous editions may be used This 1S a 4-Part form, PAGE OF