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PERMITTEENAME/ADDRESS(/.eLrfrd*yArm /t .rlwl/D(fG t) <br />NAME <br />ADDRESS <br />:a T F, L H f '- HLAAY 1 -1 <br />"ER r G f <br />FACILITY 1W`(O MINE, <br />LOCATION ^ ER L t_3 E <br />.I_Y D. :SANDERS, VP OF Of <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) C!R <br />PERMIT NUMBER ascHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR M DAY YEAR MO DAY t" <br />FROM TO <br />NOTE: Read kwtruttlorw Wore eon <br />Form Approved <br />OMB No 2040-0004 <br />corm, <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOU NCY SAMPLE <br /> <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT _ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> P <br /> ERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> P <br />M <br /> ER <br />IT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT <br />NAME/1 ITLE PRINCIP L EXECUTIVE OFFICER I n^'t` ° ran. ty o I.. that uh 6o uwwnl and all.ltachmomis were <br /> <br />Prepared under my direction or mpeerlNon In accorder m with a system designed <br />to as - th <br />t <br />ualifi <br />d TELEPHONE DATE <br />/? a <br />q <br />e <br />personnel property gather and evaluate the Infe nanon <br />i <br /> <br />.-y L /, ! 7 <br />(. <br />/ sabmllled. Based nn my Inquiry at the person or perwr„ who manate the ly tem <br />or thosr penmu directly responslbk For gathering the information. the Information <br />submitted Is <br />to the best or m <br />knowl <br />d <br />d <br />/ . <br />y <br />ge an <br />e <br />belief. true, accvnte. and romPkle. <br />i am aware that then am significant Penalties roe submltttn <br />fabl <br />Infor <br />ti <br />EIONAT <br />R <br />O <br />P <br />I <br /> g <br />e <br />ma <br />on, <br />I V <br />F <br />R <br />E <br />NCIPAL EXECUTIVE <br />TYPED OR PRINTED nchWintt the ponlblllly of fine and Imprisonment ror knowing toleUmm OFFICER OR AUTHORIZED AGENT A NUMBER <br />A CO <br />YEAR <br />MO <br />DAY <br />nnaaalCUTG •ur% CYOI •WaTjnlU OF ANY V101 •TIAWC 10 F- -M ?••?..L ___._ ?___ DE <br />'4HR PRECIP EVENT IS CLAIMED. IF CLAIM APPROVFG <br />EPA Form 3320-1 (Rev 3/99) Previous edr ions may be used This Isa-4-pan fOTR1 PAGE OF