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PERMITTEE NAME/ADDRESS(7on"FarWryNw?Leerlen((D(Qbwr) <br />NAME <br />ADDRESS <br />FACILITY R ND. 3 -MINE <br />LOCATION !E;{SET l CJ <br />,NIEL E BEAR, PRESIDENT <br />NATIONAL POLLUTANT OISCHMIGE ELIMINATION SYSTEM (NPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />NOTE: Reed InetrucNons before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOVENCY SAMPLE <br /> <br />X OF <br /> E ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT -:AX IMUM <br /> <br /> SAMPLE <br /> MEASUREMENT r' <br /> PERMIT a F r <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT - DAILY <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT T (v3 j ; iri <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ORTR iV. _• _ ILY <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT * ;- :- <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 oeruly under penalty o I.w that thh dontmenl and all ¦11whln ents were <br />TELEPHONE <br />DATE <br /> prepared under my direction or supen4don In arcord.nce with . .J11tm dnfgned <br /> to Aare that quaMlled personnel properly, gather ¦nd evaluate the Information <br />b <br />B <br />i <br />f th <br />d <br />I <br /> lee <br />ry o <br />su <br />mltled. <br />on my <br />nqu <br />e person m persons who manate the system, <br /> or those persons directly mponlble for gathering the Information, The Information ' <br /> submitted h• to the bast of mr Lno sledge and belief, true, atrumle, and complete <br /> I am.wee. trat the, - eIrnlM-1 p-111, for ruhrwiting Leta informen- SIONATURE OF PRINCfPAL EXECUT" -" - <br /> n <br />J <br />TYPED OR PRINTED dtnr lh ,'-wNW, nr <br />oe - <br />f.npnxtn- ro, k-r. of . ,i.,:.. OFFICER OR AUTHORIZED AOENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ad attachments here) <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. <br />3HFS-f MONTAL Y AVERAGF DURING PERIOD REPORTEI <br />form. PACE OF