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PERMITTEE NAMEIADDRESS(7.A i .ro,,N..?Lae.nan(/D(QG.wrq <br />NAME <br />ADDRESS <br />RSET co 8 <br />FACILITY ORN CRK & ELK CRK MINES <br />LOCATION RSE•r co B <br />•'ES T. CnriPPF7. FYFr V P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOESI <br />DISCHARGE MONITORING REPORT (O RI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM iTO <br />E <br />SE11 <br />?i <br />-1 TC. to--A ?_...?--- `-•- - --y - <br />Form Appro ra.: <br />OMB No 2G4 j-0004 <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREO <br />UENCY SAMPLE <br /> O <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT itir3t ir# It#?t st = O NC / I <br /> REQUIREMENT 11-4 I MUM <br />Fri MAX I MIUM r'•0NT ?- <br /> SAMPLE <br />=- MEASUREMENT <br /> <br /> PERMIT Itil IF## #rI##1F ii r iY!#;!## 35 <br />IN <br /> <br />C <br />E/ <br /> <br /> <br />i.<;i: <br />r. <br /> REQUIREMENT :; LirtA A`,%is Ii+w l L r I`i 4 f IOPi i <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT #It### #is#### Y i #4F### R)=-PORT REPORT- ir-IC E/ 'A, <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##!F### ##IF### #? 3ti### 300 ?DOG fdC / <br /> REQUIREMENT 'ODA Atl <br />.- DAI <br />Y ' <br /> i L <br />MX 3 <br />iOPdT' <br />n SAMPLE <br /> MEASUREMENT <br />1 <br /> PERMIT #### # t### - .... t 10 <br /> REQUIREMENT INST MAX <br />T v SAMPLE , <br />I'- MEASUREMENT <br /> <br /> PERMIT REPORT REPORT <br />x#=} <br />x•ir# <br />####at <br />! <br />I` <br />Rte, ?•. 1 REQUIREMENT JCIDA AVG Do:iILY NX . <br />' <br /> iiJl <br />STr- <br />?R SAMPLE <br /> MEASUREMENT <br /> <br /> P : ##!F#?1 <br /> ERMIT REPORT <br />### - <br />: ## <br />#it# <br /> REQUIREMENT _ !.jc r MQ X <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ° er penalty ° law that tMs document and all .tiwh-t' wen <br />prepared and" my d'ncllon a suprrehlon In aceordane with .. <br />tern de.t <br />a TELEPHONE DATE <br />' " <br />ine <br />t <br />t <br />r <br />. o aeure <br />hat qualfMd penonnei properly gather and evaluate the Inrornatlon <br /> submitted. laced on my Inquiry of the person or person, ah, manage the."ten. <br /> <br /> <br />. <br />? or thaw perwm directly resporedble for gathering the information, the Infornatlon <br /> <br />submitted Is <br />to the best °! m <br />wl <br />k <br />d _ _ <br /> <br />n •? <br />+ . <br />. <br />y <br />, <br />' , <br />y <br />no <br />e <br />ge and betel, trot. accu "ale. and complete. <br />1 am aware that there." dgrdrlcaat penaltlea for wbmitti <br />f <br />t <br />. I <br />f <br />t - <br />SI <br />NAT <br />P <br />I <br />X ? ? <br />- •, <br />TYPED OR PRINTED <br />rnal./CAMie Ali^ CYDt auaTlAhl nC ?hIV VIlll ng <br />a <br />s <br />n <br />orna <br />$m. <br />Inrh+ding the Possibility of nne and ImPrt,onment for knowing vW.Uiim& <br />ATIn Lic /D-l..--- -Y G <br />URE OF <br />R <br />NCIPAL E <br />ECUTIVE <br />OFFICER OR AUTHORIZED AGENT A A NUMBER <br />CODE YEAR MO DAY <br />LIMITS WILL BE 1^ - -JL' SiETTLEABL-E SOLIDS LMT APPI--TFD FnF? --=IOYR, 7-+H nF;rr-TP ?• r_?.(-, <br />EPA Form 3320.1 (Rev. 3'99) Previous editions may be used. This is a.4-part /Orm. PAGE OF