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PERMITTEE NAMEJADDRESS47w.itArwtt#yNa.!dLeearon4(DO6wv) . <br />NAME <br />ADDRESS <br />,: KEP CO E <br />FACILITY "-CWYO MINE <br />LOCATION '7KER CG E <br />LLY D. L ANDS W1 , VP Or IMF <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT /D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YE R MO DAY LYE641 M Y <br />FROM t TO <br />Form Approved <br />OMB No 2040-0004 <br />L I I'J L x'11_ <br />?LILCH A SEDI POND/G000 61"GE C:R <br />1 ? <br />NOTE: Rood Irntrucdone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br /> <br />E M'OUENCr <br /> <br />OF <br />SAMPLE <br /> X ANAtrsts TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />M X <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br />NAMEfT1TLE PRI CiPAI EXECUTIVE OFFICER t remit) r rr pen. ty i. L. that thlt document and dl et.rhmrnre were <br />p"pond under my dirrrtlon or uper.taton in u,,rds,u, with a System deagnrd <br />j <br />TELEPHONE <br />DATE <br />A <br />f to Thur. tha yr.nned p.r,onn.+ proprny plhn .nd renwut the Into...non <br />i i.- <br /> <br /> <br />r? <br />? <br />! - - <br />/ j oubrdtted. Based on my Inqu <br />ry or the parson or per.ore who nr.rt.tt wt t,Irm. <br />or Those person, dfreeuy mpotdb a for gathering the Inror,n.uon. the fnrornruon <br />c"+7 y t ' ' = <br />?/ <br />J <br />• ! i•. 9? - i f ?i z <br />_ <br />- <br />. oubmltred h, to the best of me knowledge and benef. IrVe..tcvrste. and complNt. <br />1 ...ware that Them am 51t.01-t pen.lnri for wbMtrlnt fat: Information SIGNATURE OF PRINCIPAL EXECUTIVE % <br /> , A A <br />TYPED OR PRINTED Incfuding the possibility of floc and Imprl.onrrwnt for k-Irit Ool.tler OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />C <br />ODE <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (ReJirrencit, ell ortachments here) p PREC T FN EVENT IS CLAIMED. IT' CLAIM APPRO <br />EMENTS - I. A. 21 F -?-P J!%) T, ?.. <br />LJIY <br />iF L L:VU- -I I 1 :..7 <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used -' '1'RiS TS"a "4-part fbnw PAGE OF