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Form Approved <br />PERMITTEE NAMEIADDRESS (Lem Fseo$y N..WL«ati n t/D #6-wu) NATIONAL POLLUTANT DISCHAAOE ELIMINATION SYSTEM /IIVPDES) OMB No 2040.0004 <br />NAME DISCHARGE MONITORING REPORT WMRI r..:;Ir <br />ADDRESS i! <br />L L}A 4 o.?i PERMIT NUMBER DISCHARGE NUMBER i F INAL DEi <br />AI A !) SCGH OF SR TO GUNN I SON RIVER <br />FAC Lr Y l E NO. 2 MINE MONITORING PERIOD <br />LOCATION J I A CO 814, <br />FROM Y AR 0 DA YEAR MO DAY <br />TO <br />__L I AM A. DEAR JR , MINE MGR NOTE: Read kwtrucdorw before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##it tr' K## e.;: ,? i-,- r <br /> REQUIREMENT M I Pd 1 ht i' i MAXIMUM <br /> SAMPLE -- --- <br /> MEASUREMENT <br /> <br /> PERMIT a#ii## tt :ir#tt#ss 5 70 I 1 ,. ------ <br /> REQUIREMENT :30DA W/O DA 't_ r I'?X MONTHi <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT +E#'.rts iE fi ## fi , #### _ It.: <br />rlili REQUIREMENT :. PA AV(3 DAILY MX MONTH <br />I- SAMPLE <br />Fr-' MEASUREMENT <br /> PERMIT ##1IiF## "> a, rti? ttttitiE# •:i(.)UU 8000 <br />.?: <br />. REQUIREMENT f, AUG DAILY MX :"ION H- <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT is tt x # ?t tc# n # s. , >F?t tf it #)E p u tE t O <br />~ _ i <br />ALi; REQUIREMENT INST MAX <br /> SAMPLE <br />:- MEASUREMENT <br /> <br />1 0 0 PERMIT PEPOPT REPORT <br />_., <br />;. <br />GROS•'_ REQUIREMENT ',,',-;A AVC• ?_,A I LY MX <br />- <br />- <br />,77C <br />r SAMPLE <br /> MEASUREMENT <br /> I <br /> PERMIT <br />LJK r <br /> REQUIREMENT t MAX <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFlCER ' Ce^"M ° ` Pen' ry ° r.. lnat u lr d--.1 and aU attachrmntj ere TELEPHONE DATE <br /> prepared under my dlr-9- - mperMlorr In accordance .11h a system delgrwd <br /> to galore that q? ell lyd perwnnel It We Ay Lather and evaluate the Inrermallon <br />b <br />ltl <br />d <br />Sw <br />d <br />m <br />In <br />ulr <br />of th <br />h <br /> q <br />su <br />m <br />e <br />. <br />e <br />" <br />f <br />M <br />e Person or persom. <br />o manage the efftem• <br />or those Perverts dlreeflf respordble for galhMng the Infornutlon, the Informathm <br /> <br />"• <br /> submltled K to the best of my krr elwdge and belief. Ime, acc mle, and musplele. <br /> <br />- - <br />I ...... that Them are lgrdlIcanl penalftes for submllting War Inrermatlon. <br />EIONATURE OF PRINCIPAL EXECUTIVE _ <br />- <br />- <br />'-? <br />TYPED OR PRINTED Ind ding the p,adblillr of Ilm and Impri-mem ror k-Irig rlolatlom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />a.vmmcn t J ^NU CAr LAFV^ I rvn fn.r.r Inc. wr .r....nnr.nw rr.r.r <br />iiP, PRECIP EVENT IS CLAIMED. TF CLATM APPROVED BY WOC'D, <br />--SEF 1 <br />- -?-=--- + ;?i?•=ice-; ^ ? - <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used This 1S, a 4-part, f gin. PAGE OF