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PERMITTEE NAME/AEDRESSp..U&f l•fryKo--/L *"-(fDWknw) <br />NAME <br />ADDRESS <br />,';TE HIGHWAY 13 <br />Cu S <br />FACILITY MINE <br />LOCATION E R C 0 E <br />_LY D. SANDERS, VP OF OP <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (rNPDESI <br />DISCHARGE MONITORING REPORT /DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />M I r=1. OMB No 2040-0004 <br />F - FINAL Mij <br />HAIL LOOP POND/WILSON CREEK <br />NOTE: Read kwtructlorw boforo completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> OF <br /> EX ANALYSIS <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br />NAM PRINCIPAL EX i1TIVE OFFICER t m"dy " rr, pen. 1 o t.. th.1 th i dx""'e"t and a° ""`n'""'? "'e TELEPHONE DATE <br /> prepared under my mmcUmn or wpr r.tyon In accord.nm wltn ..y,temdeslgoed <br />\ E 17-11 / - F to mum that qu.ttned prraonn.1 property gather and rraluate the Infocinatton <br />l <br />H <br />h <br />h <br />_ <br /> <br />/ <br />1! f <br />` rubm <br />lted <br />e perwn or pen w <br />aaM on my inquiry *(t <br />o manage the f]slrm. <br />thme dtredl ble for athertn the Informatt <br />or <br />Defsmre y redM? i g on, the Information <br /> <br /> <br />/ <br /> <br />O < <br /> <br />(J <br />i r •.? ?` i : -7 (? / i -'I : • : <br />yE ' • wbmltled IS, to the belt of my Ono-ltAge and belief. true. accurate. and complete. ` <br />- <br /> .m .w.m that them am signincarm pmaltks rof wbredtung faker inrormatlon SIGNATURE OF PRINCIPAL F XE CUTM <br /> , <br />In <br />dbtnt <br />rnm <br />d Im <br />l <br />i A <br />TYPED PRINTED <br />c pm <br />y o <br />an <br />pr <br />I xtud <br />og <br />sonnwni roc knowing etdatio m <br />OFFICER OR AUTHORIZED AGENT <br /> <br />NUMBER <br />CODE E <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Referonca ad attachments here] <br />R F'REC?P EVENT I5 CLAIMED. '}" CLAI. ;V; <br />EASUREMENTS - SEE I. A. 2. <br />Ut"TIOr& pi r - -F z <br />EPA Form 3320-I (Rev 3199) Previous editions may be used r, _' :-" %'MiS is-a 4=pan form. AGE OF