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FERMITTEE NAME/ADDRESS uts"F.rwryN??Ler.new(/v(06mrW) <br />NAME <br />ADDRESS <br />J. BOX 5J5l <br />MERSET CO 81434 <br />FACILITY -:*,r4BORN CRK 4u. ELK CRK MINES <br />LOCATION ;'IERSET CO 81434 <br />•.MES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT ID R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y R MO DAY YEAA MO DAY <br />FROM TO <br />Form Approved <br />OMS No 2040-4004 <br />MINOR <br />(SUBR <br />F - FIN i. <br />SURF RUNOFF T O N. FK GUNI S f. <br />r <br />NOTE: Read Imtruetione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br />EX FREOOUFNCY SAMPLE <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> --- <br /> <br />PERMIT 71F <br />- <br />r <br />. <br />11714 <br />u i CJ` REQUIREMENT MINIMUM MAXIMUM MONTH <br />- SAMPLE <br /> MEASUREMENT <br /> <br />:.C PERMIT r.. _ 77CEP/ <br />r.:: _t1EN f REQUIREMENT 30DA A'J;' rJfl I . ', " X MONT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - ?' <br />J.. 'i REQUIREMENT 30DA AV( DAILY MX MONTH <br /> SAMPLE , <br /> MEASUREMENT <br /> <br /> PERMIT juQu r 4:W <br />U>_(J k,':- REQUIREMENT 30DA AVG DAII-" MX MONTH ! <br />ANL) c,N _ SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT r .. t4 1 1 r4 <br />t. <br /> REQUIREMENT AX GENT <br />- SAMPLE <br /> MEASUREMENT <br /> <br />CO 1 C O PERMIT <br />LUG - l 7SS V. REQUIREMENT ' iODA AVG DAILY MX <br />- P!` : iTh <br /> SAMPLE <br />UAL MEASUREMENT <br /> <br />t, PERMIT <br />REFUR I <br />'W'W '97 -k Is' it- <br /> <br />a: <br /> <br />. <br /> REQUIREMENT INST MAX MONT' <br />NAME1T1TLE PRINCIPAL EXECUTIVE OFFICER 1 mnuy e r Pen„ y o few that this document end all euachments were <br />pmpared under my dlBRIO. eup-AAin acodance with ¦ lyrte o ddgrwd <br /> <br />TELEPHONE <br /> <br />DATE <br /> to ,afore that 9--n-d personnel pro",Iy gather and e•eluete the inrmmnLion <br />submitted. Bred on my inquiry of the Person or persons who manage the system, <br /> <br />-- . <br /> <br />? or than persons directly mspon dWe for gathering the lnformetfon, the Inforsnellon ' {. - I i -• +' _ - <br />- submitted Is, to the best of my knowledge end belief, true, accurele, and complete. <br />I am swam Ebel there ere slgnirwant penalt{n for submitting false Infornrtoa, <br />AIGNATUNE OF PRINCWAL EXECUTIVE <br />'-, <br />TYPED PRINTED tnefuding the possibility of fine and Imprtsonreent for knowing eiolatonu OFFICER OR AUTHORIZED AGENT p A NUMBER <br />COOP YEAR MO DAY <br />COMMENTS ANI) [ArL^m^ u rvre yr sere s e t-- r rvuw tnwrervirflus, w, snerwnnmw rrsr erg <br />^) T i- _EABLE SOLIDS LMT APPLIES FOR 1.0YR, 24NR PREt_ ?P F•VrNT; <br />DER-SEE 1. A <br />t , ?: - <br />Ttlia a 4- art <br />1 (Rev 3199) Previous editions maybe used. r;t_•, 7 L J f PAGE OF <br />EPA Form 3320rm.