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PERMITTEE NAME/ADDRESS rlerle,fr Fru'dgt %anm2,vannn tf Dijjerrmi <br />NAME ",' <br />0 I <br />ADDRESS i NE <br />',)141Y ROAD 120 <br />FSP ERUS CID <br />FACILITY -NG COAL MINE <br />LOCATION..;r_SPERUS C; U <br />.)AN RET)ETZKI, MINE ENGINE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />26 <br />MONITORING PERIOD <br />26 FROM YEAR MO DAY TO YEAR MO DAY I ; <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br /> <br />>< <br />EX OF <br />TYPE <br /> ANALYSIS <br /> <br />. AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE > -:. <br />) <br />e L74 <br />s <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT r1P.k ;h{Th' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE r.? <br /> MEASUREMENT } <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT I ) <br /> PERMIT I^/ <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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I r.'rtif, nmlrr p-Al, of law Ih.,t thi.d,?nmrm and .dl auaelttnrm. wrr,' - - TELEPHONE DATE <br /> n• <br />:urd un I-- ,hnrdiw . or <br />. i.mn in <br />rmdancr "ill- .,,t,au dr•i <br />-d <br />u <br /> p <br />p <br />. <br />1 <br />ar <br />g ? <br />/ <br /> <br />* - .• Q <br />- r <br />? •i <br />lu e..urr Ilril ,pt.d,ri,r) per-mwl pngw•r1, C.dhrr and r, el u.dr 16v inGrn,auun <br />- <br />_? ` <br />' / .ubmirt,d. It-d,a, ru, I wfuin d fit, p,aeon ,.r penon. who mmupr tlte...trm. <br /> ,.r Ih.,.c rknrvm. din, Ilp re.pon,ihlr fnr $!atherinK the informaUnn, Ihr in(nrmntiwn <br /> .ubmitkd i., b, thr 1-1 of m, W,owhvll;e and tk-lirf. true. a.cur tr. and eumlddr, <br />' <br /> w <br />ub <br />I <br />th <br />th <br />r <br />t <br />dti <br />. Ir <br />itli <br />l <br />li <br />ir <br />' <br />f <br />k SIGNATURE OF PRINCIPAL EXECUTIVE - - ? I <br /> <br /> <br />TYPED OR PRINTED ,o. a <br />are <br />ere a <br />e %ivn <br />r <br />, <br />n <br />m <br />ng <br />ormn <br />on, <br />at <br />k <br />an <br />p,mi <br />a <br />e m <br />m Iwbo L iii,- , i fit. ,r rinr and itn ri.o unem 6,r An+,win ! t n. <br />r+^ '+ P e •^:, <br />OFFICER OR AUTHORIZED AGENT <br />AREA NUMBER <br />CODE <br />YEAR <br />MO <br />DAY <br />l,VmrvICrv IA Arvu tAt LAINA 1IVn Vr AvjT VIVLA I IVIVJ (rfelerellce all <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used, <br />I:nmenls Here/ <br />h: PRECIP EVENT SUBJECT TO BI.IPi:.FN OF PRCtL'I?= REQUIREMENTS IN <br />BE r-ED TO THE DIVISICIN WITHIN 4EJ IHOt.)RE?a. <br />00044. fIrF?%tE? #-la is?it3rm.