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PERMITTEE NAMEJADDRESS n _.. FodhryN&.?Loratlos ((D(fwvw? - r' r I Y ED <br />NAME tb v?- <br />ADDRESS LiA 46J SEP 3 0200 <br />IA +. 11.? <br />FACILITY E 140 2 MINE DIV15,u11 ul Kectarnabon <br />l _ g ao safety <br />LOCATION I A <br />I t 4M ?. r FAR JR , M Z NF- MGR <br />NATIONAL POLLUTANT DISCHAAGE ELIMINATION SYSTEM INPDE$l <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />?l?,?-o&3Form Approved. <br />C OMB No 2040-0004 <br />F -- E I NAL <br />SRiMINE WTR TO DEER <br />NOTE: Read instructions before completing this form. <br />METER <br />P <br />R QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br />of <br />A <br />A EX TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />:< t rN•, ' <br />:'lr <br /> REQUIREMENT . <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> r.-.I T <br /> PERMIT <br />- <br /> REQUIREMENT ', <br /> SAMPLE <br /> MEASUREMENT <br /> 1 L!" UtIc t <br /> PERMIT ., .. _ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br />' <br /> REQUIREMENT ;C1C7?, I iX <br />DA I L'T ' iIJ(? i f <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />:. <br />L IN I(A <br />:Y <br /> REQUIREMENT x r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT „ . <br /> REQUIREMENT -:.'-DA ?``•" DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT _ <br />REQUIREMENT <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER ' """' " " a"a Iy ° law that thh dorvment ¦nd eu atlwhmnrty wen TELEPHONE <br />prepared under my dlrwtion a wperHalon In -,-Isn" with • system destgned DATE <br />to cart that ii-Nlled perwnnet propq y Seth- and rreluete th Informatle. <br />submitted. Bawd on my Inquiry of the person or persmut who menage the vynem, <br />- <br />ar those pr-voce dlrwily respon-dbk for gathering the Information, th Informatbn <br />submitted 1% to the bet or my knewhd ge and bew, true, accurate. and complete. <br />F PRINCIPAL EXECUTIVE <br />T <br /> 1 em aware that thrre are dgniflcant penattks for eubrnltting fate Information, SIGNA <br />URE O A AEA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED Including the pmeiblYty of fine and Imprisonment rw knowing rW941mm OFFICER OR AUTHORIZED AGENT CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lReferenc• dl attachments here/ tp np T r T 1 FNT IF (1_ A Y 1"1 AF?P <br />'? ROVEl) RY blC3C17, <br />This is a 4-pan form. PAGE OF <br />EPA Form 3320.1 (Rev 3199) Previous editions maybe used