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PERMITTEE NAME)ADDRESS(Y.&&FmAtyNw?Lar.ti-tfD(dlwvrm) <br />NAME <br />ADDRESS <br />U. BOX 535 <br />;MERSET CO 8 <br />FACILITY .JBORN CRK & ELK CRK MINES <br />LOCATION JIERSET CO B <br />AMES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (O R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />` <br />FROM YEAR M 0 TO Y AR MO DAY <br />Form Approved <br />OMB No. 2040-0004 <br />GU: r <br />NOTE: Read k»trvctiona before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. PREOUENCY <br />OF SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX 1 <br />ANALYSIS TYPE <br /> SAMPLE ;:.,. <br /> MEASUREMENT <br /> <br /> <br />PERMIT <br />. <br />1) V. U <br /> REQUIREMENT hi I [d T ! itj M MAXIMUM <br />)r I T? <br /> SAMPLE <br />-I •'• MEASUREMENT <br /> <br /> PERMIT :r ._ .:1 T t? ?A Ili <br /> REQUIREMENT 30DA AVG DA I t_ '•, MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />REQUIREMENT <br />30DA <br />DAILY (IX <br />MONTH'`. „. " .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT s s <br />30DA AVG b t <br />DAILY MX <br />i-IONT r _ N !CL J <br /> SAMPLE <br /> MEASUREMENT <br />' <br />. <br />?2 I C <br />UEN l PERMIT <br />REQUIREMENT ,1..,, .. ,. 1. Q <br />is NST MAX i•. <br />GENT, , <br /> SAMPLE <br />;J -REA i-ii_ MEASUREMENT <br /> <br />_; 0 1 0 O <br /> <br />':'DENT <br />I PERMIT <br /> <br />REQUIREMENT <br /> <br />SODA AVG <br /> <br />i,AILY MX : . •. - <br />_. <br />,- <br /> SAMPLE <br />-` OL.VED MEASUREMENT <br />r <br />PERMIT <br />REQUIREMENT RTR AVG i)AILY MX <br />NAME/T7TLE PRINCIPAL EXECUTIVE OFFICER I crony under penally o law that thh document and all attachmenu was TELEPHONE <br />prepared under my directlon or auper,i4cm In accordance with a system ddgned DATE <br />i <br />_ <br />-? <br />- to mum that tluallned personnel properly gather and eraluale the Information <br />submitted. attend on my 1"ulry or the person or penorr who manage the syorm. <br />or those persoro dlractly mporntble for gathering the lnformation, the Information _ <br />_ <br />- i - <br />- - A submitted le, to the but of my knowledge and belief, true, emnle, and complete. <br />I am aware that there an dgninean t penalties for wrbmlltIng War information. <br />SIGNATURE OF PRINCIPAL EXECUTIVE J ' <br />- <br />TYPED OR PRINTED Including the posdblHty of nne and Imprisonment roe knowing eiolauccl& OFFICER OR AUTHORIZED AOENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA I iON OF ANY VIULA I IUN5 IReterance N/ attachments herd) <br />_EABLE SOLIDS LMT APPL-TF"' FOR =10YR, 24HR PREC t ' <br />-- _ _ - - '1r. - <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. T?t 1 &4r form PAGE OF