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PERMITTEE NAME/ADDRESS t7-" FwAk yNw?Leeat,am (/DWwvwr) <br />NAME <br />ADDRESS <br />6LIX 1ES <br />i G CO 8162E <br />FACILITY ;'PER MINE <br />LOCATION • IG CO 8162E <br />'MOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM NPOESI <br />DISCHARGE MONITORING REPORT (LIMP) <br />PERMIT NUMBER otsc/+AnoE NuMeElt <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL <br />DISCHRG TO FLUME GULCH <br />NOTE: Read k»trvctlone before completing We form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 6. 5 ##iE ### 9.0 :EKL I NS I.' <br /> REQUIREMENT ?r MINIMWI . MAXIMUM <br /> SAMPLE <br />ni MEASUREMENT <br /> PERMIT ## >f## # s?#### ###as ct 'v Pdt E: ?: ' ,1 <br />+.r REQUIREMENT "i}17A c.', Dfi, I t_Y M MQtvT <br /> SAMPLE ; <br /> MEASUREMENT <br /> PERMIT # ###### yE OPTIONAL REPORT NC Ei <br /> REQUIREMENT / 30D AVG DAILY MX MONTH <br /> SAMPLE R: <br /> MEASUREMENT <br /> PERMIT #I! tbiF # ib { ### ## 3000 6000 '.CE/ GRAD <br />r? REQUIREMENT :30D AVG DAILY MX MONT14 <br /> SAMPLE <br /> MEASUREMENT <br />^. 1 O PERMIT 10 ,nWTII ?-s?r'„J <br />aLl• REQUIREMENT / IIgS, r MAX <br /> <br />JI',!1 '.- SAMPLE <br /> MEASUREMENT <br />0 PERMIT REPORT fEPO T <br />1"L-1JENT CZROSS t:/ ' REQUIREMENT (ODA AVG DAILY MX <br />T J =i, T1.!TAI- SAMPLE i <br />'-iOLVE "' MEASUREMENT <br />PERMIT it###)r# #at#? ;f .k t#. REPORT REPORT 77 <br />REQUIREMENT 31JDA AVG DAILY MX <br />Y ee pone *flow teal thls davmem <br />d[ <br />and <br />wM TELEPHONE <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER t DATE <br />cor <br />a with system <br />prspared under me direction or wper.tsion In accordance wile a fyatem designed <br />prepared <br />• - / to sent" that quaMned personnel properly father and eenlunle the Information <br />fobmllled. Bawd on my Inquiry of the person or persons who manage the system, i j - <br />or those persem directly responsible for fathering the Inibr-matlom, the Information <br />best or m <br />bmitt <br />d K t <br />th <br />knowled <br />, <br />d b <br />li <br />f <br />ty <br />t <br />and <br />m <br />i <br />t <br />- <br /> <br />,' <br />y <br />o <br />ge <br />an <br />e <br />e <br />, <br />re, accura <br />e. <br />ro <br />p <br />e <br />_ su <br />e <br />e <br />e- <br />[b <br />si <br />dfk <br />t <br />lti <br />f <br />b <br />tili <br />SIGNATURE OF PRINCIPAL EXECUTIVE - "- <br />- / I <br />t th <br />f <br />f <br />ti <br /> am aware <br />ere are <br />g <br />pena <br />es <br />a <br />an <br />or w <br />en <br />ng <br />alse In <br />orma <br />on, <br />TYPED OR PRINTED Including the pondblllty of Am sad Imprisonment for knowing fWsuom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Roferonce IOM attachments hare) <br />'11 P SOLIDS LIMIT APPL IFn >; QP =IOYR, 24HR PREC <br />_ NITORING - '' - :,LASE - SEE I <br />?. r - i ?-+t'r ,?"??i??r't----?-'s?: n?,'.' _? rr?n •:1c?n?z-r:". <br />EPA Form 3320.1 (Rev. 3/99) Previous editions may be used. jpis-JS a 4-p"rm. PAGE OF <br />1