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PERMITTEE NAMEIADDRESS (Include Facility Name/Localion if Different) <br />NAME P I . T `_11` JP G- & MI <br />,in!r`?''Y 3AL. M;iC?+IIC! <br />` ADDRESS EDNA MINE <br />r <br />s ESE-- 3 r ; r. <br />E, 270': <br />ENGL r1?;tJl"i :':O UU) <br />FACILITY <br />t -LOCATION P,,AK r J 804 <br />ATTW STFI°F I FACH, F,Ri 1~"-,-JV ENGINE'E'R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES <br />DISCHARGE MONITORING REPORT (DMR) <br />_000: 2636,, 007 A <br />PERMIT-NUMBER DISCHARGE NUMBER <br />I MONITORING PERIOD f, <br />FROM <br />TO <br />Form Approved., <br />OMB No. 2040-0004 <br />MINOR <br />r <br />(SUBR JC) ` <br />F -• F I StiAL. ROUTT s <br />DSCHG TO KOL.I. 01nH#3/TR0UT CR <br /># # NO DISCHARGE I ?1 410-# <br />NOTE: Read Instructions before completi4 this forma <br />?> <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY ORiCONCENTRATION . <br />NO <br />FREQ41NCY SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVER GE MAXIMUM UNITS MINIMUM AVE$AG MAXIMUM UNITS <br />3i SAMPLE #?f ttL#tF {E it#### <br />4^2 <br />4 #3j ## <br />11 ( 1 <br />lTJ <br /> . <br />- <br /> <br />400 1 it 0 PERMIT ## iFi6if iF#f¢•' #ie k 43, <br />irriE# <br />?, <br /> <br />,FLUP-NT drP01S5,o VAL_LIE REQUIREMENT "- ### <br />1'} <br />t A'XIMUM <br /> <br />x <br />.. , <br />. <br />L 1 ;(. SAMPLE x t it t k t?# t' #4r: ; 1 5 S f' I Q? C^ <br />,?A <br />2n I <br />g <br />PEfOr C' MEASUREMENT <br /> PERMIT ?r?tfr #tc?lFifr?i '. 41 4?' trr, $ , <br />r- <br />L IEt?I GRr056 V <br />ALtx REQUIREMENT r •k iE <br />MX 7T7 av <br />MG/ L <br />I <br />I P's" F,FT"1`11. E A 0L EE' SAMPLE ?k: i ## ? ? R ### x x r. t ? tt <br />`? t ?? ) <br />3? <br />;.a> MEASUREMENT <br />t 1 D . I . 1 tit/ r <br />r?.,? 5 I t"' >) PERMIT t ? # *#it#? ,_ iii •? {EiEaG .d?`# [t ,? ., <br />FFLUENT fw) -NACU <br />O'S S REQUIREMENT ', o-tr# 3_ ,DA `aPiTI` I'iX ML 4L ; <br />ON <br />SAMPLE <br />i ?::'#ti # <br /> <br /> <br />• <br />- <br /> <br /> <br /> <br />? <br /> <br />< 2.0 <br /> <br /> <br />i c <br /> <br /> <br />C <br />? TAL, RE:COYERABL,E MEASUREMENT . <br /> PERMIT <br />LUE1?1`# 5?11'CTC1r? VALUE REQUIREMENT ##tF#F at1 i[LY UC1'L <br />NOANE E:: SAMPLE # u #if # <br />I # a ##tr k #iF k t-t: <br />! 3? <br />° <br />1 <br />?.? 3 <br />QS <br />? <br />C 7EPV7IAL;:.'_' L)I,550L V MEASUREMENT ' . ? } <br />1 1 a o P)." PERMIT #iFtf *, irittr;ttitif - ?€#tf #p?1 . T` : <br />FLUENT =1;0 a Sr'ALU REQUIREMENT *#if# VA <br />. L <br />. - <br />owl I I C"'4' LJ'[T OR SAMPLE E C?? iF##?!t# ??+- iF # k fr#3i z ' <br />?" <br />HRU TRH fi, t h;Eh;T t?t,A1t MEASUREMENT <br />}r„ s ,.3. PEflMIT a <br />FLUENT _%1rU?aS 'c?ALi3 REQUIREMENT D <br />3 ?1?FI `Y..MX P#t?D ?, :? ?`.. <br />•?` ?f3tdc# <br />d AP?iD GRE`++•e,5;E SAMPLE T <br />/J 1 174 I <br />SLIAL MEASUREMENT S <br />U6c?s 4` = i PERIT 1? ES ?.2 ?iF iF <br />" iP# E <br />NT :sP13S 'v <br />L?3 <br />L ,REQUIREMEIJI IST MIA? ND-E3 <br />?a <br />} #iE <br />of t <br />P'1 r <br />11 <br />E ?r:??i <br />AMEMTLE PRINCIPAL EXECUTIVE OFFICER I certify u lerpenahy o la. that this document and an attachments were <br />n or s <br />d <br />d <br />i <br />i <br />r' m <br />li <br />i <br />c <br />d <br />t <br />d <br />i <br />d <br />' <br />di <br />ith a <br />TELEPHONE <br />DATE <br />VIP <br /> <br /> <br />- <br />• pare <br />o <br />uperv <br />s <br />on <br />n ac <br />or <br />e <br />y <br />ance w <br />sys <br />em <br />es <br />gne <br />ue' <br />re( <br />to <br />g rsonnel properly gather and evaluate the information <br />submitted. assure that qualified <br />oiry of the person or persons who manare the system <br /> <br />//^^ <br />(1 <br /> <br />#? t <br />Y ` <br />, <br />or thos <br />pgFsons directly sponsible for gathering the informationithe information . <br />,ter,., <br /> <br /> <br />` I <br />' <br /> <br />submitted is, to the best p, r knowledge and belief, true, accurate, and complete. <br />T <br />m <br />w <br />that th <br />'i <br />itjc <br />t <br />ltie <br />b <br />itti <br />f <br />lse i <br />f <br />ti <br />n <br />f <br /> <br /> <br /> <br />IG ATgRE OF PRI IPA"' <br />CUTIVE <br /> <br />- i`?T, <br />A: <br /> <br />" a <br />a <br />are <br />ere at <br />n <br />an <br />pena <br />m <br />ng <br />a <br />n <br />orma <br />o <br />, <br />or su <br />s <br />n <br />i <br />- <br />d <br />$ssi <br />ri <br />t <br />io OFFICER OR AUT RIZE AGENT AREA <br />MBER <br /> <br />Y - <br />TYPED DR <br />PRINTED n toe L <br />i <br />clud <br />biiity lfie an <br />imp <br />sonmen <br />for knowing v <br />lations. <br />g p OD NU <br />EAR <br />M O <br />DAY <br />l3MMENT5 ANLI EXPLANAIIVN U1' ANY VIULANUN, (HererenCl°,(mi ariaCnments nere) W <br />WTTtWEAB1..E SMIDS L.;.IMIT WILL BE WA EL? FOR 10YRr 24HR FREC IP EVEN i -- SEt L,. A. 3, PG. 4r FOR REGUIREMENTS. <br />tTF2L.Y "aAT?ff' ANG INSTRUCTION$ - I. C, ?0, PG. 9, <br />L. <br />PAGE <br />PA Form 3320-1 (Rev. 3/99) Previous editions may be used. "241 /OWOI *PSS 5mnll. LOF