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r PERM11.tEE NAMEIADDRESS,/nrhrdr I aiditt Aamr9an•utinn,f Di frrrnlr <br />NAME _ tl <br />ADDRESS - NE <br />-?- ?-,UUNTY RIOAD 120 <br />3F'ERUB <br />FACILITY * r rJAL MINE <br />LOCATION 3P F-R US Co <br />'?N REDETZKI, MINE ENGINE, <br />Fnrrn Ar::.wa ` <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) • • - <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />216 <br />MONITORING PERIOD <br />12E YEAR MO DAY YE R MO a DAY <br />FROM TO <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREO <br />U <br />NCY SAMPLE <br /> EX O <br />F TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT < X i fi rr t. s N b. u , ; . <br /> REQUIREMENT <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT tr k si x 7 _, <:' <br />- ; i REQUIREMENT 7'JT: <br /> SAMPLE =+E#?r.r. +>-, .. <br /> <br /> MEASUREMENT I <br /> PERMIT <br />~ <br /> REQUIREMENT '? 7 s?tLrt r' ,'i; ; <br /> SAMPLE t' . 777777 <br /> MEASUREMENT <br /> PERMIT <br />VAL IJI REQUIREMENT M - <br />1 : SAMPLE ?- <br /> <br /> MEASUREMENT <br />= . PERMIT # <, # 711 usr -tr <br /> REQUIREMENT <br />,i GF, SAMPLE <br />', _ TRE!; Pi_Arl• MEASUREMENT <br /> PERMIT 45 <br />S Vr?.,.'. REQUIREMENT <br /> SAMPLE if # r - a• > <br /> MEASUREMENT <br /> PERMIT F 7- T. 7 <br /> REQUIREMENT I`1 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I,rrnr. rtndrr lwnalt ,Ala., mnt uo.d.xwnem and an altarhmrnl` "rr`' <br />n <br />a <br />d und <br />nn <br />hnrlw <br />r <br />u <br />r,, <br />i <br />in <br />c <br />rd <br />wilh <br />n- <br />-d <br />d <br />TELEPHONE <br />DATE <br />- - "• ?.r c. i? er <br />nn <br />o <br />p <br />p <br />v <br />, <br />m n <br />. <br />lx <br />. <br />a. <br />unre <br />a > <br />m <br />i-xin <br />In u.aln• Ilmt qu•,Idi. rl )w nuuuc1 sit, <br />prrl. •,;Ahcr and r. ahwtr Ihr in(arnwliun <br />.. <br />" .uhmNhd. l4u.cd •,,, m. inyuirl or Ihr Ix•noo ,rc tx•nnn. uha manacr Urr ...Irm. ??- - .-_-- - <br /> ar Ihu.r prnar,. d, c, Ily rr.ix.n.ilrlr fnr ythrnng the mfarmalinu. the infurm,amn -- <br /> ,uhuuurd t.. a, it,, t-1 of m, kuonlcdpe a 11,16f, true. a.uu.ue..md camphor. - -i o, <br />? <br />` =? I 12Z 1 <br /> <br />I urn aware dw Ihnr ?rv %i <br />nirwani <br />wn:dur. tar.ubnni ine faly mlarmulo'o <br />SIGNATURE OF PRINCIPAL EXECUTIVE ' <br /> <br />- ?-•? <br />TYPED OR PRINTED e <br />j <br />. <br />inchxhng 11n, p.,..il„la> tit rtor and itnpriu,nrnenl for kro,..in .inlunmr., OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />U VIVIMCry1J ANU tAVLANAI IUN Vr' ANT VIVLA IiUNZ) (Mererence an arracnmenfs neref <br />I "CIP EVENT SUBJECT 1.0 T3URD <br />-i TO THE DIVISICIN WITHIN a1; <br />EPA Form 3320-1 (Rev. 3.199) Previous edtlons may be used