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PERMITTEE NAMEIADDRESS (ewe?6&,FarWryNw.?L«.tf.w (/DW- w+) <br />NAME <br />ADDRESS <br />d0x b3S <br />ERSET --0 s <br />FACILITY 11URN a_FK. & ELK CPV. MINES <br />LOCA71ON i'RS) FT CO $ <br />tr'tZ T rnripFU_ FYrr" V P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESi <br />DISCHARGE MONITORING REPORT Q R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY Y AR MO DAY <br />,3-1 FROM TO <br />Form Approved <br />MINOR OMB No. 2040-0004 <br />(SUBR MH) <br />F - FINAL <br />SURFACE RUNCO F TO HU13I3ARD Cf'° <br />NOTE: Read kwtrvctione Wore comploting 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 <br /> PERMIT <br /> REQUIREMENT T MUM, <br /> SAMPLE t <br /> MEASUREMENT <br />1 PERMIT r r > t - <br />:]_?r SAL i l: <br />? l i <br />rfJ-I - i;h; ? , REQUIREMENT Qrii t ri:•..? <br /> <br />- { s . i r? r;eYi <br />- <br />12t: 1 1 :...._ SAMPLE - .: . <br /> MEASUREMENT <br />!; PERMIT <br />ROE ) REQUIREMENT GA D??7L-V 'ix <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />AT _ L'. 'E sGCrF+ ;1`.. Drllt..r' h <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />i JjT "!l? <br />.L , REQUIREMENT <br /> SAMPLE <br />PLAN i MEASUREMENT <br />- PERMIT <br />GROSS VAL_ . REQUIREMENT '-30DA rte,' LEA' iL`. it <br />r+? SAMPLE _ ,. . <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT I <br />MEMTLE PRINCIPAL EXECUTIVE OFFICER ' renal, a r Pen. tT o Ir. that this dorumeM and all s1whments sere TELEPHONE DATE <br />pmparvd under any dlrrrllon or supsrnMost In accordance with a system designed <br />NA <br />to aware that qu.Nnrd personnel Properly ether and evaluate the Inforn slbn <br />a.bmstte4. Based on my Inquiry of the Person or persons who manage tlw system. <br />/ , ?• or those prrs-a dlrectb repomtble roe gathering the Information, the Info don 'r ..; a ! ,..1 ,.%--n -.= -I • . ,' r <br />-- <br />r., J <br />_ .. <br />a. mined is <br />to the bet -(-y knevyWp and belief <br />tens <br />arcvnte <br />and romplrte <br />( <br />1 <br />{ -- <br />, <br />. <br />. <br />, <br />. <br />, <br />G <br />SIGNATURE OF MINCNAL EXECUTEVE <br /> I am aware that there are signincant Penalties for mbrnltting raise information, AIEA <br /> <br />TYPED OR PRINTED <br />including the peadbill ty ornne and imprisonment For know Ing vlotatloet&. <br />OFFICER OR AUTHORIZED AGENT J <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIULA I IUN5 rRNgirence an •rrecnmenrs nora) <br />'--FABLE SOLIDS LMT APPLIED FOR •x=10, 24HR PRECIP EVENT; <br />i-MT.T '?rNY G;_ <br />EPA Form 3320-1 (Rev 3/941 Previous edibcns may be used ,u C. r: ,; T}115 I& A 4-part; tbrin. PAGE OF