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PERMITTEE NA ME/ADDRESS (7we 6& Fodkry Va.WLorarfar t/DO6 wn) <br />NAME <br />ADDRESS _ " i•:? <br />BOX 535 <br />SOMERSET CO 814: <br />FACILITY <-. ••.,;BORN CRK R ELK CRK MINES <br />LOCATION "?ERSET CO 814: <br />+MFc T r•I1fl1=T=F7. FY1=P 11 P <br />NATIONAL POLLUTANT DISCHAAGE ELIMINATION SYSTEM NPOESI <br />DISCHARGE MONITORING REPORT /DAR) <br />PERMIT NUMBER DISCHAAGE NUMSEM <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-QP04 <br />MINOR <br />(SUBR r <br />F - FI <br />RUNOFi <br />NOTE: Read ktatructlons befoire complatk?p this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT it it It TP# - ? :f 6. S ###+?it# 9.0 NC E ! NS I Tl <br /> REQUIREMENT <br />MINIMM- <br />MAX M <br />MOf`dTF <br /> SAMPLE _ ,. :.. , <br /> MEASUREMENT <br />1 PERMIT # ?# it #ifatFatfF it###fi :f i 0 'hiiEI Tl r'•..'- <br />;r <br />JLvT REQUIREMENT <br />DAILY <br />MO i`•i'r ! <br />:'t ?•, = T _ SAMPLE <br /> MEASUREMENT <br /> PERMIT # at 3f :r ;t # #IS >f#at ;i t REPORT REPORT NCEi <br /> REQUIREMENT ' <br />; <br />• <br />7[l c, 300A AVG DAILY MX - <br />MOl <br />T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 3000 6000 TN-CE R.-, i' <br />,. REQUIREMENT 30 DA AV DAILY Nk MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t: ,. :., ,• ... i°tt r tQ .:;•I?I1 'l.e`?I? <br /> REQUIREMENT <br />ft+3` . <br />:)NDU i SAMPLE <br />MENT P, MEASUREMENT <br />_ 0 0 PERMIT <br />REQUIREMENT REPORT <br />' REPORT ::dCi=i I(a Tk <br />_ DENT GROS " V ,.)DA r <br />• ? 1 Y MX MON T ! <br />At-,!D GREASE SAMPLE <br />µl MEASUREMENT <br /> PERMIT #-: REPORT <br />_ REQUIREMENT FIST MAX F1Oh4 .- <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER I C clay under prna tr iaw teat this document and all .11-hments were TELEPHONE DATE <br /> prepared under my dlr lion or supervision In accordance with a "setae designed <br /> to assure that qu&Nr d personnel property gather and evWwal, the Information <br />- <br /> vbmitted. Board on my inquiry orate person a persar who asanage (he "stem, <br /> or those persons directly responsible for ptheOng the Inferrrtatloa. the Information <br />r / / <br />i ? ? <br />y' - submitted Is, to the best of ms knowledge and betlef• true. aaurslr. and complete. <br />i •... rare that there am sitninc.nt penattlre rnr rubnetnn <br />r1Fw tntormation <br />(SIGNATURE OF PRINCI?AL EXECUTIVE / <br />• ' <br /> t <br />. ARE <br />TYPED OR PRINTED n iu :inn the P-11,111tr of fl- I ,P,r n -j ror knowlnr .tot.t)orn OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relorence ell aKachmenh hare/ <br />r F ^' F =;OE._ID5 L*T ^ •aPl_IFD FOR =10YR c 4HR P RF17,Ta r e•,r.t.,, <br /> <br /> <br />EPA Form 3320-1 (Rev 3199) Previous editions maybe used JLi`i: ?,_ , ,` "S k.4--W form. PAGE OF