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-[RMITT[E MAME/ADDRCa! (/ndYdC <br />FRrdiry NR/nr/LRrr/bn if different/ <br />~+T'+~`fT x ~F _ <br />wonnrn -N£I-'_r~31=~8-!:--C-F.-s~}(~S-~y-f-~--- <br />yRI hO+C C%N/`Y Dr` OnD Y <br />-~~ - T ~T7 T i~~-/'.-r--h-clr--zTV7-rv_ .r- <br />PwcarrT~ _ <br />._ <br />LocwrloN <br />\'PTUr .7TM CTl1V-C <br />N ATIONwL rOLLUT qNT OI]CNARG[ CLIM IMw TIOM SYSTEM /NPDE.SI <br />DISCHARGE MONITORING REPORT /DMRI <br />1-I6 ! <br /> <br />n ~ r <br />r, n <br />~ <br /> PERMIT NUMBlp olsc NAwcE xuMrER <br /> 1 <br /> MONITOF.2.~I PERIOD <br /> YEAR MO OAY YEAR MO OAY <br />FROM 98 G4 O1 '° 9b Oti 30 <br /> IIpJZl1 /ZL271 /TaQ JI 17617/ 118791 /7 71/ <br />MIN 0 h Form Approved. <br />(S U d A W C )~MBFK°"~r~0-0004. <br />F- F I N A LApprova~exp(res 6-30-91. <br />pOST-MINING RUNOFF ;.EDI FO?.J <br />~~~ NG UISCNARG~ ~/,/ '~~~' <br />NOTE: Road instruetlons hs~ora'ILlfhl~letinB this form. <br /> (7 Card Only) OU ANTITY OR LO G (4 CRIB OnIY) QUALITY OR CONCENTRATION FR EOU ENCY SAMPLE <br />PARAMETER (Ib-J7) (J161) (78•J) (rbdl) (Jr~l) ND• <br />EX of <br />wN ALVSIS <br />TYPE <br />(37-37) AVERAGE MA%IMUM <br />NITS MINIMUM AVERAGE MA%IMUM UNITS <br />62bd) <br />(6148) <br />169-70) <br />~t{ SAMPLE CSCO'?~CI O~/rC (I%/ +'Y Y,: CI:x fj YT ( Ii) <br /> MEASUREMENT <br /> <br />LJ4C0 1 G G <br />°".PERMkF9e <br />' <br />a <br />vA~V <br />4>k it <br />'r'$^~'.`•~ <br />: <br />' ,p~ <br />•>~,-.''g~?R~a tl <br />; <br />~'I. ~y <br />,.~:Y s~~`^.°weu~4 °k., .g <br />~,,y ~„°ME <br />~° ~I <br />p~°.tl+s~< <br />' <br /> REgUIREN ENT . <br />;+ <br />T: - <br />...•, e, ° ~,.. <br /> <br /> <br />50LID5 <br />S%TTLEABL° SAMPLE o~+x4t•t: >aAlO~~i ~ ( 25) <br />, MEASUREMENT <br /> <br />GQ545 1 ~ V <br />•R pPERIdITC~ <br />7 <br />' <br />~ <br />,,,~ <br />'~~ <br />~V~~ <br />~8;'~>~ <br />~ <br />'~I <br />I ~'~~ <br /> <br /> <br />- <br />~$r <br />.•::. <br />*~ 3~` <br />< <br />. <br />rt era. <br /> <br />°. <br />Ar <br />.~ <br />e~[ <br />» ~t ,~f <br />~di <br />~Y <br /> <br />~ <br /> q EOUIpEM Er' <br />T <br />a~ 'k e x ,. <br />° "& AW. `. .> ;$ ~'(p <br />R!.~y~ <br />°°'#. x "k'~' i y °c~.R~F k I! i ,. <br />., <br />. <br />. <br />• <br />r. .. .^ ...« • , <br />,~n~ <br />, <br />4 T T ed% Y' <br />° yi <br />' <br />ULL ANG GREASE SAMPLE O+:bOC+x AOIp>bC4 ax+ao#~ #xlaooa ( 1q) <br /> MEASUREMENT <br />FRECN E1iTA-GRAY HET <br /> <br />0055b 1 D 0 <br />4 `~PERMITr l <br /> <br />m <br />` .. b,~ <br />~ i?+I?-''~rlo. <br />° Y H <br />~I,dl4a+izE`: <br /> <br />>xut: <br />f a2e.m R <br />aiA~ <br />~a <br />a {y° <br />zaFtta <br />`' <br />& Y`bQ'~a g a~„Lb~ <br />;m.a y°~=°;> a <br />° <br />Ix <br /> <br />~ r~; <br />~~a r° <br /> <br />#~ <br />~ ° <br />' <br /> =REOUm REM.ENT~ <br />°Ea . ' <br />•` <br />°P~~ <br />p° <br />° , <br />a <br />^'s° <br />y~ a .2t <br />e <br />~°~ <br />` <br />C .T GC r a S a,pr$ <br />•ttg <br />L <br />'. = <br />Y6 , <br /> <br />FLOC IN CONDUIT OR <br />• <br />!AMPLE <br />MEASUREMENT <br />A~ ® <br />'YV <br />(~V n <br />, <br />['r\ <br />K <br />' Y1 {lyf>,:# <br />>}~~iTLA# - <br />~p\xT}'bA ... <br />TNAU TREATMENT PLAN <br /> <br />sooso 1 0 0 <br />°aPERV1IT <br />'~ °_ <br />~ _ <br /> <br />`;~~co~s~ <br /> <br />~p~~a~ra \ <br />/ ° ° <br /> <br />;~>#~ <br />~e <br />~'at <br />~m';?t~~?Fa~ eb <br />'¢ x xa <br />";~; <br /> <br />aaaa <br />[° <br />°~°~ <br /> <br />~ ~• ~. <br />-s+!~°' 1. <br />~~ <br /> ENT. <br />:`RERWREM <br />a , <br />, <br />~ eX. <br />° <br />°' <br />'. .vy •'~e+'~r.« <br />ceR <br />*' <br />'b <br />a ~ . ~.< ,~;y <br />C P T C I 1 " , r g <br />p as 4£. <br />o- <br />e 6 <br />. <br />u <br />. °. .. <br />° .Yti . <br /> <br />SOLIDS <br />TOTAL <br />SAMPLE <br />~4>;E:,rt>} <br />,po;«>n~x <br />~xo=t.,'< <br />('9) <br />` . <br />, MEASUREMENT <br /> <br />G195 1 Q O =~`'.:vERMA~.m" ~ . <br />~'4>~/0 *;~~ <br />H '^'~~(' I~ <br />°' <br />w~ <br />° <br />¢'~ : <br />>}~+Y ~~. k't <br />~;~. <br />~ <br />~ ~ <br />° yy{{. <br />I~'~~ <br />° <br />R~ <br />` <br /> <br />a <br />~"~ <br />p. <br />~ <br />° <br />` <br />~ <br />„ ~`" <br />r :! <br />. r <br />~n. <br />° <br />/ pHOUiREM.811T <br /> <br />~ . <br /> <br />~ $ <br />$ . <br />. <br />., <br />e <br />R <br />4 , . <br />. <br />., <br />a _ <br />~ ~ <br />~ <br />$ ,.y <br />eg <br />+a <br />< <br />~ <br />~ <br /> <br />r- <br />!}g' <br />a <br />( <br />° <br />I!FIMM <br />~ <br />'4 <br />' `~ <br /> <br />~ f~l <br /> <br />d <br />~ <br />L I ' T A T I ~ °` &'m k' e <br />~ <br />' & a .. ~I Y S c <br />4 <br />a . <br />° c e 4~nR ., , <br />• <br />+ <br /> -.. .. <br />OIL AND GREASE !AMPLE ##P4+Gb ( y4) SOT:'},Y S: ~r.O ifOrl iG lyp>X {r4 <br /> MEABUREM ENT <br />VISUAL <br /> <br />64066 1 0 0 <br />:,~ ~>;5 a~ <br /><''~IPERMIr~"" <br />~ <br /> <br />~#~l" <br /> <br />`er <br />,°;~ ~`X°=' <br />a <br /> <br />Ej=1 V A I <br /> <br />`°'IFif`I~i#1~~ta ° <br /> <br />p~Bid6~:A~11!~`~ y <br /><^`!x• kex~~ <br />a> <br />`~ ~ ~ <br />"~ <br />Po <br />~ <br />m <br /> <br /> <br />Y ~' <br />r,; <br /> <br />'q <br />•°} <br />~°°~ <br />a <br />~ <br />L'Cl~~b. -w 9'a<f <br />p$^R <br />~il< <br /> REGUIRCM ENTi a a <br />,I >e$ ~ <br />' <br />"° <br />1 ..:'e° <br />a . <br />, <br />.,p° <br />r• <br />,- <br />~x~•~:~ne <br />° <br />w' <br />a w« <br />~'&» ~A~ <br />~~~ <br />a•e Im r e •e -n tea. <br />¢ a ~ <br />°,« ..~. <br /> 9AMPLE _ <br />• <br /> MEASUREMENT <br />.. „s...' ,.4 , m, ~r ."• •. •;,«'< e~ .~ a~.~^ , ... ,,¢'m .. •', g:g~^s . $I~°r'~x`>°~,e Q'*° <a'~ <br />>~ ~PER!A6T- 1~ & r P`,yi F '& a s 3 «~i <"`', a'°6m ~ s "' <br />a f ,~. <br />tee s <br />° <br />..° <br /><~ <br />. <br />, <br />. <br />a~a <br />~ <br />< <br />5 'ot <br />; <br />3 ~ <br />~ <br />~ ' ~ » ~' Ag',~.g'~`' s <br />s~ ~a <br />s <br />C <br />~ <br />' <br />, <br />T ~ <br />~ <br />t 3 <br />_ <br />. <br />1 <br />. <br />< <br />., <br />, <br />n .i" <br />~ Fa <br />R-a <br />y3 <br />IREOUfR MtN'f <br />k ~~ »~ / a '°a .'°~x_ °~h'ti•' e='"?'p - <br />3 ~"'€~Y <br />~ <br />~ E e' <br />' <br />Gi <br />E <br />' <br />~ ° i°. <br />+:w„ <br />.'. <br />~ <br />) <br />w <br />. <br />.^ <br />,-a .-..s :3, <br />. <br />4 <br />~ <br />° ~ <br />~ <br />TELEPHONE <br />uw Txwr ~ NAVE PERSONwur EAAMwED <br />I cEFiIFr unDER rcxALTV oF <br />NAME/TITLE PRINCIML EXECUTIVE OFFICER D A T E <br />AND wM FAMILIAq WITH TNC INFORMATION SUBMITTCD HEREIN AND B•SED <br />ON MY INQUIRY OF TNryE INpVIDUALS IMMEDIATCLY gESP°NSIBLE FCMI <br />J ~ ~/1// OBTAINING THE INEOIIMAT101 I BELIEVE THE SUBMITTED INFORMATION <br />c` IS TRUE ACCURATE ANO CGMIPLETE I AM AWARE THAT TNCRE ARE 51G L <br />H61UNT PENALTIES FOR SVBMITTING FALSE INFORMATION INCLLOING O ,/L ,/ <br />rsl • L TNC P0551BIUTY OF FINE AND IMPR50NMCNT 5[[ IB USC 1 1001 ANO IGNATURE OF PRINCIPAL EXECUTIVE / ZQS-¢~o~ <br />P~ <br />1 <br />. <br />• n use 5 nre IP.nalrw ulWr. IAr.• .mmv. no nrlutlr /Inr.. vu xI lln Mxl <br />A <br />AREA <br />M <br />DAY <br />TYPED OR PRINTED . md.i.mr.I <br />a•d~.. mannlwilmP.uwmnnr.,/A.uuwnfim..nr OFFICER OR AUTHORIZED AGENT HUMBER YEAR <br />COMMENT AND E%PLANATION OF ANV VIOLATIONS (Hr/rrrnrr ull ulmrnmrnll nerd <br />SET7LEA6LE SOLICS LICIT ':ILL BE WAIVED FOh ~1C-YR, 24-HR PdECIP EVEVi-Sr.c I.A.2, FG IY, FOR REQUIRE."ENTS. <br />QHThLY SAMPLING I45TAUCTIUNS-I.C.9, PG IX. 3G JAY AYG IS HIGHEST MONTHLY AYG DURING PERIOD REPORTED. <br />EPA Form 272D-1(RW. D•88)P/~Na/9 Pditions may 6B USed. (REPLAC[![PA F°RM r-.o wNlcN Mwr NOr ![u![D.l PwG[ of <br />00085~/94G412-1R38 1 <br />