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PERMITTEE NAME/ADDRESS prarb6iwrbryNa.JL wwt« (/DW ooa,) <br />NAME <br />ADDRESS <br />bi-)X id7 <br />-'iAIG CO 81 <br />FACILITY -.RAPPER MINE <br />LOCATION R. I G C O B 1 <br />"YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCNAROE ELIMINATION SYSTEM NPOESI <br />DISCHARGE MONITORING REPORT /D RI <br />PERMIT NUMBER DMCNARQE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO I i1. IT : <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />(SUBR •1C) <br />F - FINAL MOFA1 <br />POND #10 ? H <br />NOTE: Rand Instructforilit beftx• r.nmolatina thlb form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> <br />..- SAMPLE i <br />lr+.? MEASUREMENT <br /> PERMIT # I(# k## REPORT 4#x r #4[ # )NC -/ i :•:.Ji <br /> REQUIREMENT INST MAX :=C) t•'ONTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> 11 PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ' PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEfffME PRINCIPAL EXECUTIVE OFFICER t cenr y under penally law that thh document and all ¦tt-hrnents were <br />under my direction or su <br />prepared ) per.hlon In accordance with a syattm designee <br /> <br />j <br />TELEPHONE <br />DATE <br />/ , - <br />' to asun that qualified personnel Properly galAer and evaluate the Infonnotlan <br />/ - <br />_ <br />• submitted. Bawd on my inquiry of the penes or persona; who manage the ayalem, % <br />_ or thole peraem directly responsible for gathering the Informallea, the Information -- <br />/- <br />/ <br />. <.r/. sobmtlled b, to the bet *(my tnowMdto and biller, Init. wcvrate, and complete. <br />; <br />. I ¦m aware that then on dgnincaat peealtles for wbmllting War Inrornrtlon. SIGNATURE OF PRINCWAL EXECUTIVE / <br />ED OR PRINTED Including the porbldly of Ilm and Im <br />risonm <br />nt f <br />k <br />wi <br />W <br />tl AREA <br />TYP p <br />e <br />or <br />no <br />ng v <br />a <br />orn OFFICER OR AUTNORIZED AGENT CODE NUMBER YEAR MO DAY <br />N LIMITS WILL BE WAIVED, ,BLE SOLIDS LIMIT APPLIED FOR <=10YR,24HR PRECIP EVENT- <br />Pf -f- ." .'?Ff'i -)EfR i f -.;'1T rL? T?' - <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used OO G?8 / v'PiiL??s aj4-paCorrn. PAGE OF/?