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PERMITTEE NAME)ADDRESS(Ymh,&faeWryNnw?Lo wi-#/D(Qwerw) <br />NAME <br />ADDRESS ?. <br />u. BOX 535 <br />jMERSET Cr 81 <br />FACILrTY .;ZORN CRK & ELK CRK MINES <br />LOCATION MERSET CO 81 <br />AMES T. COOPFR, FXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SURF <br />SURF RUNOFF TO N FK. G- JNES R <br />NOTE: Reed Instructions before completing this fwm. <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 # t# b. 5 #### # ?? 9. O <br /> REQUIREMENT M I N I {°IE_s{^ MAXI MUM <br /> SAMPLE ; ... <br /> MEASUREMENT <br /> PERMIT ####,'• ##### ###### 7J '•!JC: <br /> REQUIREMENT :IAA GAILY hiCiidTl <br />_. •+: SAMPLE <br /> MEASUREMENT <br />0 PERMIT '!##### ###### ###s6## REPORT (REPORT i_'RAB <br />r GRr ?> REQUIREMENT 30DA AVG DAILY MX MONTH <br />)T!` i- SAMPLE <br />t AS t MEASUREMENT <br />S 1 rJ PERMIT .#3F### ####IE# ####'t 3rjdQ '.'00 NCE/ GRAB <br />UENT GROI>' REQUIREMENT 30DA iIL•Y HX i'•iT <br />AND GREASE SAMPLE <br /> MEASUREMENT <br />1 O PERMIT ## ### *###4 -.s #### t 10 '.3N1 I { (: i . ?D <br />i-i';T GRO G REQUIREMENT INST MAX GENT <br />TN C OND0 I T SAMPLE <br />- EATMENT P: MEASUREMENT <br /> PERMIT :77-:PORT REPORT N' . . <br /> REQUIREMENT -.iUA A`JG DAILY Mr( ;-- <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT 'i ?!#IF### #dFwsi :< ### ## :1'•:'rt <br />REQUIREMENT i i XT MA ti Mot i , <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I only • r pen. ty o law that Uh document and all attachments .ere <br />TELEPHONE <br />DATE <br />prepared under my dlrectbn or super.lsion min accordance with a "em, designed <br />to wort that quaNn d pertonnet property gather and eraluate the Inrnrmatlon <br />itt <br />m <br />I <br />i <br />wh <br />' <br />b <br />d <br />B <br />d <br />f at <br />th <br />- <br />ry o <br />m <br />re <br />on <br />y <br />nqu <br />e person or peraom <br />o monate <br />su <br />e <br />. <br />e syalem. <br />lbf <br />r <br />d <br />l <br />t <br />ri <br />- ??? r <br />-" - <br />er lhoae peraoro <br />irect <br />y responz <br />e <br />or ga <br />he <br />ng the Informatlow. the IMOrmatbn <br />- <br />- - <br />' submllled Is. W the beat or my know4dge and better. true. oemrste• and complete. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />.r.. <br /> 1 am aware that there are sigrJfleint penalties For submitting rate Inror-odon• ARE <br />TYPED OR PRINTED lncludlrrg the Possibility of fine and imprisonment For knowing rloiatlo OFFICER OR AUTHORIZED AGENT CODE MUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aN attachments here) <br />SOLIDS LMT APPLIED F04 ?RE?R PRFC;r' -VF IT; <br />i =VENT -S I` :. PP 4-.-r <br />HOIN <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used - 15,1 4- OfrT1. ~'PAGE OF <br />C7`j