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PERMITTEE NAME/ADDRESS(7-,6&FeeWryNa.?Leeoti-tfD(OW w) <br />NAME <br />ADDRESS <br />Q. LUX 5?i5 <br />I iERSET CO E <br />FACILITY i•1I30RN CRK & ELK CRK MINE: <br />LOCATION NIERSET CO E <br />,MES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHAAOE ELIMINATION SYSTEM /INPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY J I YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 r <br />;? 1 I'auF. <br />t SUBP 1 ; <br />F - FINAL <br />SURF ACE RUNOFF TO ELK CREEK e <br />NOTE: Read instructlorn before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX J <br />ANALYSIS TYPE <br /> SAMPLE <br />MEASUREMENT + <br />h • C <br /> <br /> PERMIT <br />= F<'- <br />REQUIREMENT <br />MINIM <br />'..;`? <br /> <br />MAXIMUM <br /> SAMPLE <br />MEASUREMENT <br />% <br />/. <br /> <br />PERMIT -1o ill it -R, <br />L UEN ` ) REQUIREMENT 30DA r=•'iG DAILY MX ftCtNTf <br /> SAMPLE <br />MEASUREMENT , <br /> <br /> PERMIT - - <br />- = REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT -? <br /> <br /> PERMIT s: - T' s ,c ;c r suou l _ ,., <br /> REQUIREMENT :30DA AVI:' DAILY MX MONTH <br /> <br /> SAMPLE <br />MEASUREMENT <br /> <br />s12 1 0 PERMIT t, <br />?N i REQUIREMENT INST MAX ! - <br />li' <br />"FRt SAMPLE <br />MEASUREMENT u..a .. <br /> PERMIT <br />?% '•'_ REQUIREMENT :SODA AV(; DAILY MX ` . MONTH <br /> SAMPLE <br />MEASUREMENT <br />1 .? • J <br />1 / ,: ' <br /> <br />PERMIT = - <br />'-REQUIREMENT :9PTR AVG ;IAILY MX <br /> <br />ndf er pens ,y o law that this document and au attachments were TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' K^"y ° <br />DATE <br />prepared alder my dlrecllon or super+tslon In accordance with a syslem designed <br />- - to asaaR that qualified personnel le opMy gather and evaluate the Information <br />submitted <br />Based on m <br />In <br />uir <br />of the <br />enn <br />t a <br />wh <br />t <br />. <br />y <br />q <br />y <br />p <br />r <br />persons <br />o manage <br />he system, <br />or than persons directly resporrdbk ror gathertnag the Information, the Information <br />submitted Is, to the bat of my knowledge and belief. true, accvnte. and mmpkte <br />" 1 am aware that them am dgnlfleant pertaltfa for submitting false Informedoei <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED . <br />InAuding the possibility or nne and tmpelsonment for knowing eiolatlaa OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA I IUN Ur Arf T VIVA I IVNb fmorerence on errecnmenrs nere/ s <br />EAPLE SOLIDS LMT APPL. T ED FOR <"-1 QYR, 24 HR ('RFC I? F?JFN!T; <br />r_- PP 4- <br />EPA Form 3320-I (Rev. 3199) Previous editions may be used. - TJI19 IS:8:4-P;t.lgrrn PAGE OF