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PERMITTEE NAME/ADDRESS (7-A-& Farsbry vmm?Lerdlaw (/DteG.w.? ??????? NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME _ RR DISCHARGE MONITORING REPORT /DMRJ <br />ADDRESS <br />L- j". -fti..S MAY 2 PERMIT NUMBER DISCHARGE NUMBER <br />', .?1+1 I A . <br />FACILITY : -lh! I E NO. 2 MIME DIYiS!on'°' KeclametiOAa MONITORING PERIOD <br />Mining and Safety YEAR I MO DA YE R O _DbYLJ <br />LOCATtW DIN I A C 0 3:- FROM TO <br />ILLIAM A. BEAR JR.. MINE rl," <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />tSUBR MH) <br />F - FINAL <br />SR/MINE 4 <br />NOTE: Reed Wistructlone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE r <br /> MEASUREMENT <br /> PERMIT <br />6. 5 <br />_• ?r REQUIREMENT MINII'iU ' MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />; <br />777 <br />- REQUIREMENT 30DA AVG DA ' =- NX MONTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 'r !NlUt/ <br /> REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT <br />6QQQ <br />7-7 <br />?. <br /> REQUIREMENT 7A A',":, DAILY MX ?NTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT J . . <br /> REQUIREMENT INIST MAX (--,ENT <br /> SAMPLE <br />iJ MEASUREMENT <br />0 PERMIT <br />!>RU •`_:? REQUIREMENT r? • . AILY MX <br />_ _. <br />?. SAMPLE <br />MEASUREMENT <br />aj <br /> <br />PERMIT <br />REQUIREMENT JST MAX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I nnr y under pen, ty a i.w that this doromene and .u .uacnmrnu veers TELEPHONE <br />a DATE <br />prepared under my dlrecllon or miter? <br />low In sccordann with • syslem designed <br />to as.un that quallned personnel properly gather and eeNvale the Inrormallon <br />rbmllled. Bred on my Inquiry of the person or persons who manage the system, <br />or those persons dimity responsible for gathering the information, the Informatlon - <br />submllted br, to the best of my knowledge and beW. Irv*, occvnle, and complete. <br />1 am Swan that then are sigtdncant penalMe for submlldng rain Inrormatlon <br />SIONATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED . <br />Inck ding the podblilly of Arse and Imprisonment for knowing Aolatlon . OFFICER OR AUTHORIZED AOEP(T REA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference eN ettachmenta herd <br />Fc?FCTP FVFPfT TC TF CLATM APPROVED, 2Y WC+r=T:. <br />P F: <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used '07c This 1S a 4-part form. PAGE OF