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PERMITTEE NAMEIADDRESS pweVA F rWgN..WL°cn,w. UOIO-O <br />NAME <br />ADDRESS <br />'1 FR r Q <br />FACILITY OWYO MINE <br />LOCATION ''-ER CO <br />'_LY D. SANDERS, VP Or 0! <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM NPDES/ <br />DISCHARGE MONITORING REPORT /DMR1 <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO LYE AR MO DAY <br />Form Approved <br />OMB No 2040-0004 <br />NOTE: Rood Irt•trvl tlom before comellaitlna this form <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FRE OFNCr SAMPLE <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 /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PE <br /> RMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT <br />" <br />NAMF/TiTLE PRINCIP L EXECUTIVE OFFICER do ftwnt and oil .ttachments wrrr <br />'nom" f " pen") ° law that j <br />prepared under my climllon or.uper.lsiow In accordant, wleh a system designed <br />t <br />ll <br />M <br />r <br />TELEPHONE <br />DATE <br />f / / t f I F o ?eum <br />qua <br />a <br />nod personnel pro" , gather and evaluate the tnforwutlon - <br /> <br /> <br /> <br />L { <br />:r <br />' <br />• <br />:?•? •- <br />' f°bmltled. Based on me Inquiry of the person or persons who manage the system, <br />or thou persons dimity reponsibk for gothednii the Information, the Worwallon <br /> <br />submllled b <br />to the best of m <br />knowled <br />nd - <br /> <br />r <br />.,- J <br />? y <br />? <br />? , .. <br />- y <br />. <br />ge a <br />betlef, true. actvralr, and complete <br />I am aware that there am slgnlfleaat penalties for mbmlltin <br />fate I <br />f <br />ti <br />SIGNAT <br />R <br />R <br />N J ( I I <br /> <br />TYPED OR PRINTED g <br />n <br />orma <br />on. <br />fnciuding the possibility of flne and Imprisonment for knowing vlol.uorn E OF P <br />I <br />U <br />CWAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />A NUMBER <br />YEAR <br />MO <br /> <br />f`AkA?ACUTC •Nn FYOI •NATION nF ANY VIOI <br />ATInNC ro.i_._...._ _u w.....1........_ L___I <br />CODE DAY <br />--•,r.yew,,•?.• - LIMIT fi.---.---.•- f-....._...,.,_._. :?HH PRECiI' EVENT IS CLAIMED. ii CLAIM APPROVED 13Y - <br />r. - WQ4; l? leas. <br />i..1T; 1 \'(i r-?i E I. A. <br />r: 5 Ai ; -l!r IOfE <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used <br />r Thib'is A 4=pail form PAGE <br />. OF