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PERMITTEE NAME/ADDRESS,b,rl,,.$• F rditp.Vome,&x.imian!fi)i jerrmt) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS r: i'i I id 'E <br />WEST FIRST ST'-* PERMIT NUMBER DISCHARGE NUMBER <br />NI DAD MONITORING PERIOD <br />FACILITY ELK MINE YEAR MO DAY YEAR MO DAY <br />LOCATION : -,TON C' D FROM TO <br />:YNE COVERDALE <br />MTf <br />Form Approved. <br />OMB No. 2040-0004 <br />fAS <br />NOTE: Read Instructions before comoletinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />{ SAMPLE <br /> MEASUREMENT <br />f PERMIT tt >t F a `r' Q ` .1-- , .•t , . I ' <br />i? _IV r. U SS VALI-i' REQUIREMENT 11 AX T rl; <br />T SAMPLE - <br />%'FftiltiF MEASUREMENT <br /> PERMIT .. , .t " #n ? I 70 <br />L <br />a 5 <br />F ' -: %! T VAL'.. REQUIREMENT <br /> SAMPLE t <br /> MEASUREMENT t <br /> PERMIT t Si # ? 2 * I { _ _ r :-} . <br />P O REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT / <br /> PERMIT # tt+t 3l it # #'r u i f tt lf?t ?' 3. 7.0 <br />" r! `)Lief Ri'sS ;L REQUIREMENT _'ODA kt/G l7HjL <br /> SAMPLE t r # <br /> MEASUREMENT <br /> PERMIT ¢n#iL#iF Q i +rr t #a#iFv t ##### ?J ,`a ;"".: <br /> REQUIREMENT t•..a k. =z `. . <br /> SAMPLE 03'. ;r ?r a ^ yF rt # # # ?{ 3r <br />_ MEASUREMENT <br /> PERMIT r?P L)RT :;- ### to ^-r#*st# ## a Gr, ,_ ,--. <br />EF i L.IJENT r, REQUIREMENT -`SODA AVG <br /> SAMPLE : *4 st# "4' ;- <br />V I f3UF;I - MEASUREMENT <br />' PERMIT f itk##? REPD? i E`='='1 s Ir#-i? +i#it# 'k ###it ate v .t <br />REQUIREMENT i ST <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I centfy under penally of law that this document and all atachments were <br />d i <br />i TELEPHONE DATE <br />U prepare <br />under my direction or supervision in accordance with a system designed <br />to v,;surc that quahficd personnel properly gather and evaluate the infonnaucm <br />v submitted. Based on my mgtury of the person or pcrsens who manage the sy:stcm. <br />- ?. or those persons directly responsible for gathering the information. the mformation - L /, +• ; <br /> <br />submitted is. to the best of my knowledge and belief, true, accurate, and complete. <br />1 amt aware that th <br />re are si <br />nif <br />ant <br />lti <br />s f <br />b <br />im <br />l <br />f <br />f <br />ti <br />SIGNATURE OF PRINCIPAL EX UTIVE <br />/'c <br />- , <br />. <br /> <br />TYPED OR PRINTED e <br />g <br />ic <br />pena <br />ng <br />se in <br />e <br />or su <br />m <br />a <br />orma <br />on. <br />including the pos:,hthl%' of fine :md imprisonment for knowing violations OFFICER OR AUTHORIZED AGENT A <br />NUMBER <br />YE R <br />MO <br />DAY <br /> . CODE <br />1D REPORTED QT!.. & GREASE - SEF I 13 1 D, P S T' <br />1L I DS i i ED FOR = . <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. vUi This it; a 4-Poet. orm. PAGE OF