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PERMITTEE NAMEJADDRESS (tneMJr FwribryN..?t.oertow ((Dt&we) NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTUA INPDESI <br />NAME DISCHARGE MONITORING REPORT /O R) <br />ADDRESS <br />BOX 463 PERMIT NUMBER DISCHARGE NuMeEn <br />41A LIJ 814; <br />FACILITY 'E NO. 2 MINE MONITORING PERIOD <br />LOCATION •1 I A CO 814- -"+ FROM YEAR 0 DA TO YE R MO D Y <br />_LIAM A. HEAR JR. , MINE MGM <br />Form Approved. <br />OMB No. 20404XM <br />( SUBP :,)H <br />F - FINAL L,'LLIA <br />WWTF TO DEER TRAIL DITCH <br />NOTE: Read iristrucdorts before eomplatlnp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION ND, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . • - _ :; <br />:f1?i` ' REQUIREMENT JC; :;AI I. Y Mx ")OUS <br /> <br />SAMPLE s <br /> MEASUREMENT v! <br /> PERMIT - <br /> REQUIREMENT INST MAX <br /> <br />- - SAMPLE <br />MEASUREMENT <br />?7 1 PERMIT r -I in <br /> REQUIREMENT GRTR AVG GRTR MAX <br /> SAMPLE <br />`i <br /> MEASUREMENT <br /> PERMIT .. _. <br /> REQUIREMENT 30DA AV-'-; J1X7DGE0A MONTH <br />- - SAMPLE <br /> MEASUREMENT c <br />- PERMIT <br />RGt REQUIREMENT MST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' cert'Iy ° pen' ty ° I,- that th <br />dlrero <br />o <br />d <br />d b 6ocument and au attachments wen <br />er*lel <br />n In accordance with a s <br />stems desi <br />ned TELEPHONE DATE <br /> y <br />g <br />er my <br />on <br />r sup <br />o <br />preper, <br />ru <br /> to aware that gttollned prn nel properly Lather and emaluale the Worn oth:m <br />Board on my inquiry of the person w persons who manase the system, <br />..benched <br />- <br /> . 1 <br /> w thole persons directly responsible for gathering the Information, the Intorwutlon ` - . <br /> best of m <br />knewleci <br />e and beW <br />tyre <br />a mie <br />and com <br />lete <br />d kt <br />t <br />th <br />b <br />lh <br /> y <br />t <br />. <br />, <br />, <br />p <br />. <br />, <br />o <br />e <br />sa <br />m <br />e <br />NATURE OF PRINCg?AL EXECUTIVE <br /> I am aware that then art slignirkanr penalties for submitting fain Informatbn, SIG AREA <br />TYPED OR PRINTED Inefuding the pmalblilty of f1m and lmprimmIroent roc knowing riolalfons. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fRefefonco 0 attachments hots) <br />- <br />• I <br />71 <br />; t;, : , i ? ?S A. 4-pawl rm. PAGE OF <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used