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PERM ME NAME/ADDRESS(I-t&*F--*#YNartt?Leearlan(/D(dWvw) <br />NAME <br />ADDRESS <br />y _ <br />r•i i_ 1 I i. I, T i <br />AER CO E <br />FACILITY OWYO MINE <br />LOCATION -M`EP CD E <br />•:L'_Y D. SANL"E.F " VF) OF OF <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPOESI <br />DISCHARGE MONITORING REPORT (O R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MQj DAY YEAR O DAY - <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />NO. <br />E <br /> <br />EX <br /> <br />EREOUENCr <br />OF <br /> <br />SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />(J <br />/ <br />(?? L_ <br />` C?i : <br />(•-._: ?, <br /> MEASUREMENT / <br /> PERMIT <br />vA AVG <br />DA I L Y <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 />NAM /TITLE PRINCIPAL E UTfVE OFFICER p'n"y ° t'w they this doeveTeni and all eit"hments were TELEPHONE <br />prepared under my ditecllon or supereisloet In accord- with • eyelet" deigned ?• / ; , <br />h <br />I DATE <br />e <br />nrwtnallon / <br />_ f to amm that qualified per ttnel properly gslber end evaluate t <br />"""tied. Bawd on my inquiry of the person or person who manage the systtm. <br /> <br />i <br />! t ? or (hose prrwrn dtrecly resporMble for gathering the informatlow, the {nrorrruttion <br />' I <br />i <br />t <br />(? <br />f l <br />%? f ?• / ? <br />/C_ _ submllt.d Is. w the best or my knowiedge and be*el. lrre. seeemle. and eompkie. <br />j :'? <br />t ff <br />OF PRINCt?AL EXECUTIVE <br />U <br /> I ¦m owan that there ere slgnirkani penottles for mbmrinng ratite inronnarlon. aIONAT <br />RE <br />TYPED OR PRINTIED Inckoding The porbluly or Mm and impr+.onmenl for knowing ernieun- OFFICER OR AUTHORIZED AGENT ?pDf NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOL ATIONS/Rs/erencds//srtschmentsher•] ?n PRFC-TP EVENT IS (1LAIMEZ•,. ZF CLAIM APQROV=(? ISY WOCD. <br />-t} - SEE I. A. 221 <br />;•: G' RECT.; ONLY T 'F <br />EPA Form '3320-1 (Rev 3199) Previous editions may be used ' i -t This is? zpan form. 'AGE OF