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PERMITTEE NAME/ADDRESS ihuludr Faeiliti \mnr/14witriaa if Affrreml <br />NAME <br />ADDRESS - ! ? NE <br />..r-.? r•.. !'?!'•'.1- d ROAD 120 <br />FACILITY C: ,-IAL MINE <br />LOCATION Ef UIS ?I <br />•t REDETyKI, i^iiaE cNG71 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />J = YEAR MO DAY YEAR MO. DAY <br />FROM TO <br />:FE -. <br /> <br />NOTE: Read Instructions before Completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE " <br /> MEASUREMENT <br /> PERMIT - t # ?= z v cr c , <br /> REQUIREMENT <br /> SAMPLE <br /> l <br /> MEASUREMENT <br /> PERMIT <br /> i <br />lii_IV Cj5S '•J,L.t:1 REQUIREMENT t' <br />?f <br /> SAMPLE :- - ; <br /> MEASUREMENT ,I <br />s PERMIT :.. h IrY• . _ .. I 7- <br />,_ <br />; REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT '_ . U <br /> <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />?I ) PERMIT L, + - ,. <br />-F W 7r- <br /> REQUIREMENT 'ODA <br /> SAMPLE s r -A. 14 N' pr <br />n <br />- <br /> MEASUREMENT <br /> PERMIT z ?I <br /> REQUIREMENT <br />NAMElrITLE PRINCIPAL EXECUTIVE OFFICER 1--lif, md,r p n:dn n1 Inn dial 11d, d,n'un,rn, :.n 1 :dl :a,.n l,n„ nt. rrr <br />p,epanvl undr. , . ,hn•rtiun ..r aq>, n Winn in :u i unl <br />.n.r .•n6 a ...Irm d,it;mvl TELEPHONE DATE <br />•? . <br />to a..u rr Ihal quNhfird p,•nonnrl pngw•th tiuth,r and r.alm11r Ihr infornuhon <br />' r <br />r /1 EA.1 !I- .. J u <br />{!. ( .uhmiltrd. Ra.rd ..n m. hup,in of Ihr I,r non or perm, wbn muna>;r for ,.,4•m. _ - <br />:.9 - - - ?? f( l <br />/ ur Ih.nr Iwnon. dire. d. re.p. n,.ible L,r yalhrnnl; the u,rnrmudun. Ihr inGrtu1.tinu !? <br />•--?•? ? ?-?""'?-?-,?,?/ /? , <br /> <br />v,hm in ,d n. I., the tr•a ul m. L,,-Ovdee : nit In hrf. trne, ua nnur. and cnmplrtc p c? <br /> 111.1 1--1 SIGNATURE OF PRINCIPAL EXECUTIVE 6 <br /> <br />TYPED OR PRINTED <br />Ihr f;n. md Imprn.,n.mm rnr in,! --tm <br />OFFICER OR AUTHORIZED AGENT <br />EA NUMBER <br />DE <br />YEAR <br />MO <br />DAY <br />L.UMIVICIV I J AIVU CArLANA I Ivry Ur ANT VIULA I IUI`IJ (rierere"ce an drtdc"i-nVnl5 "ere/ <br />. Cio EVENT SUBJECT TD BURDEN OF PROOF RFOUIREMENTr ;;.I <br />I-0 THE UIVISIC)N ' -THIN rf?i <br />PAGE rOF <br />T11iti t '? -?A1t-I?f?C111. <br />EPA Form 3320-1 (Rev 3:'99) Previous editions may be used 000.":