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PERMITTEE NAME/ADDRESS (/aakrbF@dkiyJV.. tLersateml/Ooi,,ewj <br />NAME <br />ADDRESS <br />AIG CO 516,' <br />FACILITY -' P ER MINE <br />LOCATION I G CO 816; <br />- YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO OAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 20400004 <br />MINOR <br />(SUBR JC) <br />F - FINAL MOFAT <br />POND #3 TO MIDDLE PYEATT raUL.CH <br />NOTE: Read Instructions WOW* completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE a . <br /> MEASUREMENT <br /> PERMIT ###### REPORT <br />##### <br />fE### <br />a ### <br />i lr. i'_/ <br /> REQUIREMENT INST MAX triONT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 1 <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />'REQUIREMENT <br />, -- -- <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />i mmly under pens ly .(law that tAb document and all Nlachmmis were <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER prepared under my direction or supereislon In sccordsn with a system designed /i TELEPHONE <br />DATE <br />_ to Emu" that qualified pevwnnel prop" pthn and e.Wate the Infoematlon <br />b <br />d <br />B <br />d <br />i <br />su <br />mitte <br />. <br />re <br />me my Inqu <br />ry of the permit or perwas who mange the syfiern, - <br />/ - or throve perm directly rapordble for gathering the Information, the Information <br />submitted b, to the bat of my knowledge and beW <br />trra <br />a rste <br />and can <br />kfe <br />- • // <br />_ <br />. <br />. <br />. <br />p <br />. <br />. _ <br />I am swam that then are W&I11cant penslna for oubrrtltttng fair Information <br />SIGNATURE OF PRINCNAL EICECUTWE <br />TYPED OR PRINTED , <br />Indudlnft the possibigty of Rae and Imrprlsomrment for knowing eblatlomi OFFICER OR AUTHORIZED AGENT AREA NUMBER YEAR MO DAY <br />GUMMENTS ANU CArLAr'IA I IV" wr n.. r .r.ra .. r rvna frirrrrrncr rn rttrcnmrnta nrrq <br />t -'iBLE SOLIDS LIMIT APPLIED FOR <=10YR,24HR PRECIP EVENT- <br />:,S MONITORING - I. B. 2. <br />EPA Form 33201 (Rev. 3199) Previous editions may be used. , CJ 1 96 / (jWIS js`a?4-pact brm.