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PERMITTEE NAME/ADDRESSR•ebiFodkrrNw.?L eii-(/D(dWwnU <br />NAME <br />ADDRESS <br />BOX A18:j <br />INIA i.;O 814.2 <br />FACILITY ; I E NO. -? MINE <br />LOCATION !V 1 A 0 8142 <br />_ LL-IAM A. BEAR JR. MINE i iGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT /DMRI <br />I I <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />III Li <br />I NAL <br />Form Approved- <br />OMfS No 2040-0004 <br />NOTE: Read kNtructlone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />E OF <br /> X ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />- REQUIREMENT <br />;v <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 11,.Z. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . _s r, st i. iVLE/ <br /> REQUIREMENT <br />MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -.P. ",Tj <br /> REQUIREMENT ?iTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -;.'- r .. <br /> REQUIREMENT , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT EP OR <br />x u y- a <br />1 ?. <br />i. C•: _ . t <br /> REQUIREMENT "„". , I LY Mx <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT 77 <br />REQUIREMENT <br />t rerstly . .pen. ty o .. th.I thh dorvmrnI and au .tt.rnmrnu .ere <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />prepared -der my dlrecilon or supr-Wcm In .crord.ore with . System deflEned <br />to n - that q-1111wd personnel prgw ly gather send esahr.le the Inferm.lbn <br />sebmltted. bused en my Inquiry of the person or persons who m.n.te the system, <br />or those prevers directly resporWbk for Iatherlrsg the Information, the Inrormation <br />submlited Is. to the best of my knowledge and bebrf• Irw, sevvrste..nd complete. <br />I ¦..w.re that mere ¦re sirMfkast penNHes for submlitlnl rater information <br />SIGNATURE OF PRINCIPAL EXECUTNT <br /> . <br />i <br />d <br />TYPED OR PRINTED Ind.dlnl the possib <br />lity of flee an <br />Imprtsonment for knowing eidattom OFFICER OR AUTHORIZEO AGENT CAE NUMSER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aN attachments here/ <br />EPA Form 3320-1 (Rev 3!99) Previous editions may he used This iS 8 4-part form, PAGE OF