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FERMITTEE NAME/ADDRESS (Ine6?riaeWryN?wa Laearsaw (/DlQwws) <br />NAME <br />ADDRESS <br />' hug. lu/ <br />IG CO 81 <br />FACILITY P P FR MINE <br />LOCATION I G CO 81 <br />'{MOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHAROE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT ID MR) <br />PERMIT NUMBER ascHAROE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY Y AR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR JC ) <br />E - FINAL <br />POND #10 TO -JOHNSON <br />NOTE: Read klstructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCv <br /> <br />OF <br />SAMPLE <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />)` <br /> MEASUREMENT U <br /> PERMIT ;..k ,. REPORT <br />:#**# <br />T i REQUIREMENT i NST MAX - :? rIUI1 '4 <br /> <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />- <br />* y o Ir+ thrl thk dnevmenl end all auschmenb were <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER ' ""'ty under pen <br />prtpartd coder my direction or su per.hlon In accaMenrt with • system dtytrxd TELEPHONE <br />DATE <br />to assort that qualified personnel property gather and eeeluslt the Inforsnstlon <br />/• fubmltled. Based on my Inquiry of the person or persons who m sgt the rysirrm f,, <br />y <br />n those Penns directly respmWbk roc gathering the Infornotlow, the Inform uon ^? - - -- -' - <br />- <br />b <br />l <br />d h <br />su <br />m <br />lle <br />. to the best of my knowledge and belW. true. accumle. end complete. ? <br />' 1 ¦m swan that then are si <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />nificant <br />enalties for submitting rak. Inforenetw <br /> g <br />P <br />'. <br />d <br />l AREA <br />TYPED OR PRINTED In <br />ud <br />nt the porpblllty of fine and Imprisonment for knowing Nalatlom OFFICER OR AUTHORIZED AGENT ODE NU WISER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION Or ANY VIOLA I IONb fPraforence off aftacnmonts hero! <br />_ :-ABLE SOLIDS ! IMIT APPLIED FOR '=10YR,24HR PRECIP EVEI•,I- <br />DS MON I TOR I NG - I . B. 2 <br />EPA Form 3326.1 (Rev. 3199) Previous editions may be used '0040 / C,TTSa6 &4-palm-:form.