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FERMMME NAMEJADDRESS(In.&& rMryNwJL«rfer(/D?..emq <br />NAME <br />ADDRESS <br />CIA CO 814 <br />FACILITY 'E NO. 2 MINE <br />LOCATION JI A CC) 814 <br />_LIAM A. HEAR JR.) MINE MG <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INPOESI <br />DISCHARGE MONITORING REPORT IDAIR) <br />PERMIT NUMBER ksc GE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY I Y D AX <br />FROM TO <br />Form Approved. <br />OMB No. 2040.0004 <br />MINC?t', <br />(SUBR MH) <br />F - FINAL 1 ?>=L ra <br />WWTF TO DEER TRAIL DIT'-H <br />NOTE: Read kwtrut tiaw before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT c <br /> PERMIT . _ <br /> REQUIREMENT 'ODA AVG DAI _ <br /> SAMPLE <br /> MEASUREMENT - <br /> <br /> PERMIT <br />;'J 1 REQUIREMENT I NS I MAX <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT 30AA AVi; !`?X7DGEUA tIC,NTH <br /> <br /> SAMPLE <br />= MEASUREMENT <br /> <br /> PERMIT <br />_tyt ! REQUIREMENT ' !X51 MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />I r.rtttr u r pent t) or I.. that thh docv mint and all ettechm b .em <br />TELEPHONE <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER <br />d <br />d <br />di <br />1 <br />1 <br />I <br />DATE <br />Pmpem <br />.. or suF i. <br />on <br />u <br />rr mT <br />mr1 <br />n emorden .Ith • system ddlned <br />to court that queMfled Personnel Pro" y tether and eteluate the Infor"Woon <br />submitted. noted on my inquiry or the pemon or pemoeo who menatt the system, <br />or those <br />ersons dlrwIl <br />r- <br />onstblr For <br />thert <br />th <br />Inr <br />meuo. <br />th. Inf <br />ti <br />p <br />y <br />p <br />p <br />nE <br />e <br />or <br />, <br />orma <br />on <br />subm tied Is, to the best of my kno,,Wte end brilef. true, errumte. end complete. _ <br />wi-t <br />I em t-.m that them e <br />- tics for <br />b-mi. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />si <br />r <br />h t <br />r <br />tM <br />_ g <br />m <br />I <br />su <br />` <br />. <br />n <br />orme <br />^, A1EA <br /> <br />TYPED OR PRINTED <br />the poww1blBty of 11- .nd tmprtxtnm.^t roc l^r..I^g .td.uo.. <br />OFFICER OR AUTHORIZED AGENT j <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference Nt attachments here) <br />INSTRUCTIONS - I. C. 10, PG. 10 <br />EPA Form 3320-1 (Rev 3799) Previous editions may be used OQ:34 L, T1bS is a 4-pmt form. PAGE OF