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PERMITTEE NAME/ADDRESS (Include Facilig. Name/Location if Different) <br />NAME <br />ADDRESS MA!"'R MINE <br />- <br />P. 0. FAW" z39 <br />FACILITY CU 8127-26 <br />LOCATION <br />t?,T1'Tn.i• {:?"-'f"}£?frS=" 'tl G%f_{. x T'?.Kia:. .lf. .I'• rAk fvi,RSs <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 4 ?1 01- 011 TO t-,t? Of CCi <br />Form Approved. <br />OMB No. 2040-0004 <br />4111 i ?Jc!F .E tr4 <br />rOWD .9./TN-1-53 TO NW.TZ <br />:. n P413 <br />AInTC• D-A 1..?.?. ..?:.. Ls. .1. al.: s_ <br /> <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS ? ANALYSIS TYPE <br /> SAMPLE dr W ..( w° :c <.- t ?.r Ss :r w ( !2) <br /> MEASUREMENT <br />Q 0 PERMIT <br />b 3 <br />'r 9' - <br />E 1"r I .C 7 'T a NO.SS CIA) J. %. REQUIREMENT ? 'rlE 2S a <br />:I»=f=:_. SAMPLE iW n r 2s S: #I'.i?rY:d"'r #w itr ( ?'a y <br /> MEASUREMENT <br />k710Fz9e!5 i 0 t`+ PERMIT i.; cP rk N f•.: x t j ..I, a ! a ,;: <br /> <br />EFFLUENT GROSS <br />REQUIREMENT . <br />OutG?'? t=' 3 SAMPLE t:°k?isdr S'.EiE3fi'. i Nr'r?=lztr 3FkE} F Lr7 <br /> MEASUREMENT <br />02562 t PERMIT ... + 4. t. •:... a tit •`: , .. # e : ry, .:r <br />!= FL U!::NT GRO< O VALUE. , REQUIREMENT a .N }fr ? 1 t <br />}= d {fit.;{ s IN C I'i3}') y C SAMPLE t) <br />THRU TREATMENT MEASUREMENT <br /> <br />5 : {l _ _E <br />PERMIT _- <br />!_.i"'..: ; ;' <br />?..... t : #'° . <br />.::• r. j., a,?•.: <br />•.. f. : -t--. :: <br />a ,r-<': #..: ?,. <br />•? •i~•ir <br />t ? t ?' rt, <br />- <br /> <br />i'2 fvV;C Lt y„ <br />EFFLUENT' <br />REQUIREMENT <br />3:4 <br />NOD <br />?? t s {E.a? 1?s l SAMPLE f b• 1 f:.•.ri; p y? y ;.c s R N <br />V I SUAL MEASUREMENT <br />64`<.66:3 <br />S OSS VA"WI PERMIT <br />REQUIREMENT ....:$c•?. r:,, tx s ;a` i <br />i a r^c <br />y p , ..1<.;.. '.•#'i' . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were TELEPHONE DATE <br /> <br /> <br />A. 1-,^unson <br />Richard <br />V? <br />P <br />id <br />t prepared under my direction or supervision in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the information <br />submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons directly responsible for gathering the information, the information <br />C@ <br />res <br />en <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br /> <br />I <br />h <br />h L <br />$ GNATURE OF PRINCIPAL EXECUTIVE Ary <br />% r 0 <br />?j r 23-av338 <br />09 <br />0rq <br />/ <br /> <br />®r8 <br />1 <br />TYPED OR PRINTED <br />1%f%RAAAC\IT0 AK1r% CV[2I AAI AT A\I Ae AI.IV \IIAI am aware t <br />at t <br />ere are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />AT.^Klr <br />OFFICER OR AUTHORIZED AGENT <br />AREA CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />FLIRI -.. k. J ._ F? -Hr! ;Pr..5..•SP 2.4 EN1 S6!' .. a.. k>rt ?r}fin} +?V -.r+}T ? 11.tt?4 31 ??i:.4S }*r i_^" ?F•??e.) ? <br />PART L D. TO t, J <br />jh <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. PAGE <br />4 r ? T?'js; is ;a-A-pat, firm.