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PERMITTEE NAME/ADDRESS.(7mb,*Fwrohry Ns@WL«Amowi/DW-l <br />NAME <br />ADDRESS _ <br /> _=KER CO E31 <br /> __OWYO MINE <br />FACILITY 1 <br /> 0 91 <br />:K ER 1 <br />LOCATION I_L_Y D. SANDERS, VP OF OP'-'-- <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT /OAfR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR M DAY YEAR D <br />FROM t TO :> I <br />Form Approved. <br />OMB No 2040-0004 <br />NOTE: Reed ketruetiar boforo completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO FREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE 5 j <br /> MEASUREMENT Rt( c <br /> PERMIT -i A AVG DAILY MX <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 /> REOUIREMENT <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 />NAMEffITLE PRINCIPAL EXECUTIVE OFFICER t cert'ir under Pen' t] law that this daeumeM and an Wt? hments wen T TELEPHONE <br />a <br />dir <br />ction or su <br />e-Won In accordance with ¦ s <br />stem desi <br />ned <br />d <br />d <br />, DATE <br />p <br />y <br />Prepare <br />un <br />er <br />m <br />e <br />g <br />? <br />to assure the qualified personnel proWy gather and tvWate the Inf-11.0 J" <br />• <br />j <br />% _ <br />of the persar x persons who manage the system <br />ubmitted <br />Bared on m <br />In <br />uir <br />, <br />. <br />y <br />q <br />y <br />s <br />r 1 or those peraan directly reeponsibk fix gathering the information, the Infornutlon - . J ?? ( ?? (? ? } ?D <br />- <br />.. <br />) /? <br />lete <br />bmtlted Ik t <br />the beat of ms It w. d <br />e and beW <br />true <br />accurate <br />and com <br />/ <br />1 <br />? <br />g <br />. <br />, <br />. <br />p <br />. <br />m <br />o <br />, tit! ?s t l <br />?- /Ilk J <br />SIGNATURE OF ?A1MCWAL EXECUTIVE <br />- I am aware that there an significant penaitles for rub-Iffing false Informatlon, A A <br /> inc4udint the possibility of nne and Imprisonment for knowing eteialloln OFFICER OR AUTHORIZED AGENT COOS NUMKR YEAR MO =AY <br />TYPED ??? <br />? ,_f+r l 1=?+• ? r A • • • •• - - <br />COMMENTS AND EXPLANATION vP ANY VIULA,IIvni a Irreyetre ecl no Irrxwnrrmnf7 norm; -_rLyK mall >. r cvr__rf i L,-2 <br />rI 4? 'i`_?':.JPl.:Mtl t1 S -• rFr 1 . A ?, r! i Fi 1R nuPDFl`i ov P-?rioF• <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used Th15 IS a 4-part form PAGE OF