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PERMITTEE NAME/ADDRESS (Include Facility Name/Location iitDtfjerem) <br /> <br />NAME NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br /> <br />.I•';iw <br />i DISCHARGE MONITORING REPORT (DMR) OMB No. 2040.0004 <br /> <br />ADDRESS CAPBON )UNCTION MINE <br />? ^ ?'??' <br />^ '"'` F'i :: <br />!`J( 'JR <br /> <br />46 1, it rA;•; K ; I_?R ;;J a - ,w jr,; s • <br />'? ? <br />PERMIT NUMBER DISCHARGE NUMBER !St•lt;R GB' <br />Wi!;Fi iT?£ FALLS .•t... i ?.O'W <br />L F •- t= :[€?fAL LI~L.': <br />FACILITY <br />° ryl...?.?j?t i (1''t iii 17 <br />= MONITORING PERIOD SE-1 FUND T Cuti <br />,,{`St ifv .J? i i . li ''i Fri <br />i <br />LOCATION <br />" YEAR MO DAY YEAR MO DAY <br />L Ui Aiti(C © :; O 6.1.30J. FROM TO ~ r? , <br /> C 3 ' <br />r..?i FV,; t r.t * r.r <br />',P„ k` ' ISO S <br />. DEs ?r <br />64r' 'QNT ,. j. 0 `4 j?yy <br />: <br />L• J 4 ? } fi <br /> . NOTE: Read Instructions befor completing this form <br /> <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY . <br />SAMPLE <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />EX OF <br />ANALYSIS <br />TYPE <br />0, <br /> SAMP 1100 <br /> LE ?• # r # ? # : r <br />tF ## <br />( <br />12 <br /> <br />' <br /> MEASUREMENT <br /> c:' g7' PERMIT 3i ?i <br /> <br /> <br />_ <br />' <br />E F <br />sF### 3i=# # 3E ## sE 5 <br />F -7 . <br />G <br />'RAi <br /> ?t <br />UEN i f REQUIREMENT , <br /> <br /> <br />? <br />}1?ci <br /> <br />SAMP <br />LE IE <br />I€1 <br />UPI i-?=iXIa'fum S U <br />€?ILi?fTh <br />f <br /> ~ <br />?kiiaxit <br />=x •? #si <br />#r?i:#:-:: <br /> i;USPEN£rEI? MEASUREMENT <br /> <br /> r' 0 <br />= <br />F" <br />~ PERMIT <br />RE <br />U its ?# l# # ;t##### ?r <br />^ 4 WZCEf RAC <br /> t <br /> <br />NT $ <br />V?5 U <br />E <br />L Q <br />IREMENT <br /> <br />tgfr;Q li <br /> <br />30DA AVG <br /> <br />DA I L Y X <br /> <br />f <br />7,rL <br /> <br />TFICINTH <br /> ?L'. <br />._ ,. <br />D <br />t ti. ,i LE SAMPLE • <br />. <br /> <br />MEASUREMENT ) I <br /> 'f? r: <br /> • ;'j t i <br /> <br />' <br />' <br />PERMIT <br />##### <br />#,#># <br /># # <br />### # <br />REPORT <br />wICE! <br />RAi? <br /> F` <br />. <br />;EN T GRO;S VALU REQUIREMENT # -a ?r it <br /> <br />I,. AND GYAE1: <br />SAMPLE <br />#:E##;i <br />#:3#?,. <br />#?3°## F; Y l+i;! /L <br />f.:ct €?tC)NT. <br /> MEASUREMENT <br /> 0-%5- <br /> F;2 :' PERMIT #ij# i14 # F ? x d #4i ### ##' <br /># ¢ <br />l? <br />ONTI€v <br />'•RAS <br /> EFFLUENT GROSS VALU. REQUIREMENT .- #. <br /> <br />1?1 I'r 1' `v ( L: •i '+'? .6 T OR <br />SAMPLE <br />( 03) INST MAX €"Gi L GENT <br /> <br />`':-HRU TREATMENT PLAN <br />MEASUREMENT ## C #3i # # si•? # ? ? <br /> ' <br />: <br />? <br /> QG <br />? <br />•G !; ? <br />EFFL DENT" GROSS VALUE PERMIT <br />REQUIREMENT REPORT <br />t REPORT #### ?##?tBF tt ###### ?#? 'QNTIN <br />NT CClRD <br /> 3G <br />srA AVG DAILY MX <br /> fL1 <br />? <br />T(i <br />SAMPLE <br />•#?£ <br />s <br /> _ <br /># <br /> U I w SOL V E D MEASUREMENT <br /> 25 <br /> 1 PERMIT # i#### 3£ ' # it #ix##? REPORT REPORT ' TRLY 'RAB <br /> <br />_j E. <br />EFFLUENT GROSS VALI REQUIREMENT <br />3DI}A ateCi <br />F'cwIL <br />Y MX <br />MG/ L <br /> GRS:FA : SAMPLE ,. <br /> L <br /> VISUAL MEASUREMENT <br /> ?' <br /> :7' <br />?fii%• :`.' ^F <br />EFFLUENT CROSS VALU PERMIT <br />REQUIREMENT ii <br />*# <br />REPORT ', <br />' <br />, <br />ES=i <br />###ii## <br />st# #r ¢ <br />###### <br />## <br />T <br />WICE/ <br />VISUAL <br /> : r r <br />? NST <br />fA X ?as?G <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE O <br />FFICER <br />I certify under p enalty of law that this document and all attachments were i !t ?NTj s <br /> ?,w? 5% I <br />`? rR.Tg•+ a prepared under my direction or supervision in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the information N E DAT E <br /> je-`??'? -N&M . F <br />aA submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons directl <br />res <br />onsibl <br />f <br />h <br />h <br />i <br />i <br /> y <br />p <br />e <br />or gat <br />ng t <br />er <br />e <br />nformation, the information <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that there are s <br />ifi <br />t <br />l <br />f <br />A <br /> TYPED OR PRINTED ign <br />can <br />pena <br />uas <br />or submitting false information, <br />i <br />l <br />i <br /> nc <br />ud <br />ng the possibility of fine and imprisonment for knowing violations. <br /> <br />C <br />OMMENTS AND EXPLANATION OF ANY VIOL <br />ATIONS (Reference all attachments here) R YEAR MO DAY <br />;,? F:"!"' i...lZr"12LE . CL 71?' 3 1_. E i.•'. ;' t- A 'ED FOR 10--YR, <br />24 HR PRECEIF' EVENT; .S a,JECT TO BURDEN OF PROOF RE'W <br />1 <br />Ri_t' iE[ <br />1 <br />TS <br />_ <br />PART I. B. b. ANY ADDXTI'0i"3AL Di-TA SHALL i!=• '.SUPPLIED TO 1-1-iE D VI ?THIN 4S , 0 <br />, u. - <br />i <br />? <br />i?l <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. <br /> PAGE OF