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PERMITTEE NAME/ADDRESS f7milo bfneWryNose?La ourlare ifD(dW%w) <br />NAME <br />ADDRESS <br />BOX 483 <br />IA .0 <br />FACILITY :. E NO. t MINE <br />LOCATION :;?.J I A CO <br />i I I T &M <br />n n>=?:I= . 114 M T N1= <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDESJ <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUM8ER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YE9:?M-O DAY <br />8 I zi : .. FROM TO <br />M;4 <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUER MH) <br />F - FINAL DELI <br />DSC GH Or SR TO GUNNISOt l R i Vrk <br />NOTE: Read Inatructlon l bsfors COMPlst" this form. <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREpUEHCY <br />OF SAMPLE <br /> EX TYPE <br /> ?yI?Y?$ <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r ## 3t## #iFtt 4r#it _. Yrst3i# iE 1 ?>rEKLY . N<< r T <br /> REQUIREMENT MINIM! MA X I MUM <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ?=?I###it +???## #u <br />- REQUIREMENT DA AVG Dm I L r :`: X lt1 ' .-! <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #ft1F?t4(iF # REPORT REPORT NC1_ <br /> REQUIREMENT -.ODA DA I LY MX MON i <br /> SAMPLE <br /> MEASUREMENT <br />- <br /> <br /> PERMIT o10 6()0) I?tCE/ <br />Rf <br />?B <br /> REQUIREMENT 'jODA i-. ; DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,.... ON I a 1 :=r.. ;i3 <br /> REQUIREMENT MAX aEN i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT i?E' _.7Ar, <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT FORT <br />REQUIREMENT )R7R TR MAX <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER t «"' y under pe°a y- ° a" the[ thb document end all ellachments were TELEPHONE <br />prepared under my dlrrcllon or supervision in a rdenn with a system ddgred DATE <br />to nature that quallned Personnel properly gather and evaluate the Information <br />submitted. Band on my inquiry of the Person a persoets who manage the system <br />or thaw Persons dlrectly responelble for gathering the Information. the Infonrstloet <br />submllted Is. to the best of my knowledge and Wk. Inse. amrsle, and complete. <br />E OF PRINCIPAL EXECUTIVE <br />I <br />N - <br /> Ism ¦wan that then an slgNlksat Penalnn for submitting fade Inrornrnoa, S <br />O <br />ATVR A A <br />A <br /> <br /> <br />TYPED OR PRINTED ladding the Possibility of Ilse and Imprisonment for knowing vfolatlons. OFFICER OR AUTHORIZED AGENT <br />CODE NUMBER <br /> <br />YEAR <br /> <br />MO <br /> <br />Y <br />D <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference d/ attachments hare/ <br />jR PPcrjp r-t)EINIT 173 CL_AIAMFD IF CLAIM APPROVED BY WGCD. <br />PAGE OF <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used _ - ??15 i5 4 park form.