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PEAMrME NAMVADDRESS()m&&F«WryNw?Lorrtent/D(#Wvw) <br />NAME <br />ADDRESS <br />AG CO 81E <br />FACILrTY ?PER MINE <br />LOCATION , I G co E316 <br />:,YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHANOE ELIMINATION sysTDhA (rNPOE$I <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHAAGE NUMEEII <br />MONITORING PERIOD <br />Y R O D Y IYEARI DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />FIB i?iJf;: <br />(SURF.' <br />F - F I NAL NQFAT <br />POND #2 TO FAST PYEATT GULCH <br />NOTE: Read instrucMorw before complet" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FrlEOVE?rcr <br />OF SAMPLE <br /> EX AN YS.' TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT : Y-1.: 4; K <br />, - <br /> <br /> PERMIT ,. _ .. ,., <br /> REQUIREMENT MINIMUM MAXIMUM <br />...... - ONE SAMPLE <br />MEASUREMENT <br />`.^ <br /> <br /> PERMIT <br /> REQUIREMENT AVC; DAILY MX !1UNTH <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT .. , . _. yr<. <br />??•JY 1V ` REQUIREMENT 30DA AVG DAILY MX MONTI <br /> <br />t ?' v SAMPLE <br />MEASUREMENT -7 <br />1 PERMIT <br />DENT REQUIREMENT 30DA AVG DAILY MX °tC'fvTF <br />vr' SAMPLE <br /> MEASUREMENT l <br />,! •. <br /> ; " <br />t <br /> PERMIT <br />RC; _ REQUIREMENT INST MAX (+ 1!T <br /> <br /> <br />i MENT F' SAMPLE <br /> <br />MEASUREMENT <br />_ <br />17 <br />j <br /> <br />1 <br /> <br />.;O 1 0 PERMIT <br />i <br />_UENT GRt,r,'=; REQUIREMENT 30DA r= :_Y MX <br /> <br />:-SOLVED SAMPLE <br />MEASUREMENT <br />i; <br /> - <br />- <br />1 (.) PERMIT ,..... :- .. . - <br />- <br />-11 <br />REQUIREMENT 30DA AVG DAILY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Ce""y under pena° law that thk °°cm In accoand • rend e were <br />TELEPHONE <br />prepared undermy dI rectionorsup er. tdon rdan nce with ith B • fystem ddgned ( <br />DATE <br />to amore that quallned perwnnel proptrly father and evaluate the Information <br />; submitted <br />Saaad mn my inquiry o(the person w <br />ersorm who mana <br />th <br />?JO , <br />t <br />/ <br />. <br />p <br />ge <br />e sp <br />em• <br />or these <br />ersom directl <br />res <br />on0bir fo <br />th <br />rin <br />th <br />I <br />r <br />h <br />I <br />p <br />y <br />p <br />r ga <br />e <br />g <br />n <br />e <br />armatlon, t <br />e <br />nformation <br />b <br />itt <br />d ! <br />t <br />th <br />be <br />t <br />k <br />wkd <br />( <br />d <br />': <br />? - • <br />? <br />su <br />m <br />e <br />o <br />e <br />a <br />rg <br />ge an <br />k <br />* <br />my <br />betlef, Irve, accvnte, and complete. <br />: <br />,. .. <br />I am aware that mere are dgniftanl penairla for sabmtteng fain Informaton <br />SIGNATURE OF PRINCIPAL EXECUTIVE _ <br />t - <br /> . <br />ludin <br />In <br />th <br />dblllt <br />d I <br />rll <br />i RE <br />TYPED OR PRINTED c <br />g <br />e po <br />y o <br />m an <br />mpr <br />sonment for knowing vfetaueas OFFICER OR AUTHORIZED AGENT l <br />DE NUMBER <br />CO <br />YEAR <br />MO <br />DAY <br />COMMENTS ANU t:AYL/AnA I tors yr nn r .rwL.^ r rvrsa Irtererenctt ar etrecnmmfa nere/ <br />r '3LE S01. Ins LIMIT APPLIED FOR =10YR, 24HR PR.EriP EVENT- <br />I'1;. ! i r3;1 r L OIL & c <br />I+:ai 'T i. j'. <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 1 023- 7 / C >$ Q- RFL-ft rm, PAGE OF