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PERMITTEE NAME)ADDRESS(yndJrF.rtltg N.wdlacarrwt/Dji.,.) <br />NAME <br />ADDRESS <br />BOX 535 <br />5'RSET CO Sl <br />FACILITY 'ORN CRK & ELK CRK MINES <br />LOCATION • E'RSET C O B l <br />:'IFc; T C'1-1C?FIFR, FXFC' V P <br />NATIONAL POLLVTANT OISCHAROE EUMINATION SYSTEM //NPDE$l <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER NSCHAAOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY P AR MO DAY <br />FROM TO <br />Form Approved. <br />OW No. 20404og4 <br />MINOR <br />(SUBR MH) <br />F - FINAL GUNN <br />SEE3IMEPJT P9. f-J i TO r' -EK <br />NOTE: Read Irmtructions before completing this, form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FRIOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###jE!6# ##k 6 =_ a #### 7. ;? Ncis <br />`. f? REQUIREMENT ,, f?, . M f 30i <br /> SAMPLE <br />Ir?r. MEASUREMENT <br /> PERMIT <br />REQUIREMENT G <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT gal## i#?x ?## REPORT REPORT 3CEr 3RAD <br /> REQUIREMENT _:':DI)A AV G DAILY MX ? dTt <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ip*## ####it # ### ## 3000 6000 -!W E SR A 3 <br /> REQUIREMENT 00 DA AG'G f)Ai_.( f'ii( <br /> SAMPLE <br /> MEASUREMENT <br />?? I PERMIT :7 ,il If _ <br />f.i , . , .-• (REQUIREMENT I T AM X ?i r <br />N COQ).' SAMPLE <br />T' FATMF_,. MEASUREMENT <br />(? PERMIT REf'©PT REPORT :f: :.? # <., ?# `ta <br /> REQUIREMENT ;ILY MX -A ;I <br /> SAMPLE .. <br /> MEASUREMENT <br />PERMIT ; ; ##: ; ####1t REPORT REPORT <br />REQUIREMENT iiRTR AV DAILY MX <br />' nrtly u r penalty o low'hot this document and all .Mach-ts wen <br />TELEPHONE <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER <br />d <br />di <br />li <br />d <br />DATE <br />un <br />prepare <br />er my <br />mc <br />on or wlim on in smordann with a system designed <br />to aswn that qualified personnel properly gather and eealuale the iniomrtlon <br />Bred on m <br />- - submitted <br />in <br />uir <br />or the <br />erson or <br />ersons wh <br />n <br />th <br />t <br />. <br />y <br />q <br />y <br />p <br />p <br />o ma <br />age <br />e sys <br />em, <br />ersons dinctt <br />m <br />adble fo <br />or those <br />therin <br />ll <br />? / t ' `' "r? <br />th <br />I <br />f <br />th <br />I <br />f <br />+/ <br />y <br />p <br />p <br />r ga <br />g <br />e <br />orma <br />en, <br />n <br />e <br />n <br />ormation - <br />-•- <br />/ wbmliled Is, to the best of my knowledge and belief. Inw, accvnle. and co-vie- <br />I am swan that Then are significant penaltfn for submittin <br />SIGNATURE OF PRINCW EXE&U'TTVE <br />rata inform otlon I ?. <br />. <br />TYPED OR PRINTED g <br />, <br />Inclerding the paodblilly of floe and Imprisonment for knowing elolathwa, OFFICER OR AUTHORIZED AGENT <br />AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IUN5 I/fereronce an arracnmenrs flare/ <br />TTI_EArLE E71_ ID E LMT APP'_-TE^ r'-)P =1.?'(R., 24HR PF?Fr-^ .-1,1 ?I-: <br /> 7- <br />- - <br />m. <br />IL, T?,, <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. This is 8 Q- form. PAGE OF