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uru it G6 NAM UAUUhCJ.1 t/nCdUde ] NATIONAL POLLUTAN--ISCHARGE ELIMINATION SYSTEM(NPDES) <br /> FxilltyNamdtocnno erenU �" '- DISCHA ONITORING REPORT(DMR) <br /> NAME J!E, L coLL—CQ-- (Rucu Ail (1-I (17-19) F — FINAL <br /> AooaEss 13p _4q �E ` C000002-- 00 A S?ORISfiATEB, SPOIL' SPRG E MINE <br /> pT ■e+ e y e^` /��� PERMIT NUMBER ' DISCHARGE NUMBER <br /> FACILITY -- -- MONITORING PERIOD <br /> ------— —-- --- -- YEAR MO DAY YEAR MO DAY <br /> LOCATION_________ _ FROM TO MINOR M NT RS <br /> TTN: DENIMS STEVENSON PRESIDE T (20-21) (22-23) (24-25) (26-27) (28-29) (30-31) NOTE:Read instructions before completing this form. <br /> (3 Card Only) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION FREQUENCY <br /> NO. SAMPLE <br /> PARAMETER (46 J3) (54 61) (38 43) (46 J3) (54-61) EX OF TYPE <br /> (32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> (61-63 (64-68) /69-70J <br /> SAMPLEMEASUREMENT # ### # j`r# # t✓ i �� a I E�ab <br /> • <br /> 1 0 o T �a�a$###;+', # ### ### s4,5 ;. ;;.### #ins- 900 )ZLI RAB <br /> k?FLIJENT <br /> 0 PERMIT � • <br /> GROSS V�lLQP. REOUIREMENr ;; +,,. '�, :,; :####. UM ; '` MAXII4UM`" SQ <br /> E1yDEDOTAL SAMPLEMEASUREMENT0 1 0 0 PERMIT !! ## #�e ## # # # ? i# #�',; 35;'`� • �, 70 q- CB/`,GRAB <br /> FFLUV REQUIREMENT- i1`r^tmiMAIL"AV DA LY«'f r' r <br /> MONTH <br /> OLIDS, SETTLEABLE SAMPLE <br /> MEASUREMENT( - <br /> 0545 O 0 0 PERMIT 4 ######' # ###> ###; c # ## w,. F?01#####: OPTIONAL ICE/; RAB <br /> o REQUIREMENT i> j,: � .+ ` ## t s it. =Y <br /> OIL AND GREASE SAMPLE <br /> HOW EXTR—GRAT METH MEASUREMENT, <br /> IR, <br /> 556 1. 0 0 PERMIT � 'tom###�## #�###; ###_ rt% # � : Si%i,��#-ar#%� , 10 ,� f. EEKLX RAB <br /> REQUIREMENT; <br /> IaOS, TOTAL SAMPLE ###### #### # # ##(AS FE) MEASUREMENT ,z;�'' O• O• (ram(. O ( 3a <br /> 104 S 1 0 0 PERMIT , ,� ######' :x'######'. ### ######'! 3,5:.Ye:Y%; 7.0 1 <br /> REQUIREMENT . <br /> cr- F <br /> FLOW, IN CONDUIT OR ' SAMPLE n <br /> U TREATMENT PLANT <br /> MEASUREMENT ©� oO 6. / 0 <br /> So 1 0 0 PERMIT, REPORT ".B9POBT. I BSTAN <br /> REQUIREMENT.+ } `„• i 5 W ��' A "` ;+;:s ` "'' ' `+ - <br /> x �. <br /> SOLIDS, TOTAL SAMPLE <br /> DISSOLVED MEASUREMENT 31K40 I 3G 7-0.b <br /> 0295 1 0 0 PERMIT # ####' ######; ### ## �DI#Y: #####' REPORT• ,• THLI RAB <br /> REOUIREMENI( 1 t',i'- t ' .''1` ` 1' ti .i <br /> :i. <br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED TELEPHONE DATE <br /> AND AM FAM LIAR WITH THE INFORMATION SUBMITTED HEREIN;AND BASED <br /> {I tip '7 u n ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br /> 7. OBTAINING THE INFORMATION. 1 BELIEVE THE SUBMITTED INFORMATION <br /> ' IS TRUE, ACCURATE AND COMPLETE.I AM AWARE THAT THERE ARE SIG- <br /> NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING p <br /> V d, THE POSSIBILITY OF FINE AND IMPRISONMENT.SEE 13 U.S.C. 1' 1001 AND SIGNATURE OF PRINCIPAL CUTIVE �O..Z 77 <br /> 33 U.S.C. 1 1319.(Pendtla-under there statutes may Include/Ina up to $101000 <br /> TYPED OR PRINTED and ormuimamimpriwmentolbownn6 months and 3ycars.) OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS(Rejemnceall ottachmenuhere) <br /> OIL AND GREASE; SEE, FOOTNOTE F/. - O--MUST REPORT IF EXEMPTIONS CLAIMED. TSS !LUST BE REPORTED AT ALL <br /> TRIES• <br /> EPA Form 3320-1(Rev.9-88)Prev/ous editlons may be used. (REPLACES EPA FORM T•40 WHICH MAY NOT BE USED.) PAGE OF <br /> 00023/100589-1744 1 <br />