Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Include Facili(vNamr/Locarion ijDiBermr) <br />NAME <br />L'1_!.lE MOUNTAIN EhlERGY, INC <br />ADDRESSilESERAF;I? MINE <br />36U7 CC]VNTY ROAD 6:~ <br />FACILITYPANGL`( CCI k31n4t3 <br />LOCATION <br />A ~T'!: .1F'?'F iL )RR FRT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESJ Form ApprOVed. <br />DISCHARGE MONITORING REPORT (DMRJ OMB ND. 2040-0004 <br />M I N('F' <br />r-•. ~n r 3UBR fJW ; <br />PERMIT NUMBER DISCHARGE NUMBER e- _ F- i NAL Ft B l P I 1 <br />MONITORING PERIOD RA-] (oAnrn!-r TC RED WP.SH <br />YEAR MO DAY YEAR MO DAY _ <br />FROM QO 07 O1 TO OO :!7 31 **+` NO DISC HAR6~1~- i ~I *.p.~ <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYS/s <br />3GL: 5-DAY SAMPLE #*~##* *n*#*:+ *#;t**x ]~~> <br />~•n, DE^ (- r MEASUREMENT <br />)0~ ! '] 1 O O PERMIT 7FiFthtiE~: ,^~~'„ # ** ~ liP9F~fil;~k 0 5 CFI, A8 <br />_FFL.'.'F:hJT GF:USS.'JALUE flEQUI(JEMENT - .. - ~ #*# "" .C%L <br />'FI SAMPLE ###*#* ###### *#*tt,-.x. IL'7 <br /> MEASUREMENT <br />'0~=,_:; r) 1 ~-.:'~EPMIj'- `. =~a,l <br />~iF *~F~~ralgF''i~ *~ ~ <br />~ - xwF~ira-ia C) 4,) EKk.V NSTYU <br />'F"t! ~ iJF GROSS VALUE REQUIREMENT , <br />- ~ .Ra+l. . <br />.- <br />M <br />'Ol_TI)S TQT.4L SAMPLE #**##+t *-7ri`##~- x#*rt#a <br />VE:''F=NDfC MEASUREMENT <br />)O` ?!i O O = PERMIT- -" '9}iFi~l~3~1F llK~ih~blli` -- #* ,- ~iiN~k~-~ 3 - O C~+at A~~s <br />F~LUEhJF Gi?OSS VALUE REQUIREMENT #*-~ - A A Y M. ~'t- <br />JI: ... ,=REAEE SAMPLE *itn#a# *##:~## #~ur#n# *rt ~.~~++ ,~•7 <br /> MEASUREMENT <br />0`, ,•, ] c: 0 .PERNI)Y. _'iF~M~1-~ t#'#i!' iF . *-x it.M~iF~r* a**#~# O C 'rN RAGS <br />.FI I ~~!EN~L GR055 VALUE REQUIREMENT ~ ~ .p*# IN MAX ' <br />R^I!~ T('TAL. SAMPLE #*##*-# *~*###~ *~##*+y.y ' <br />,Gc FE) MEASUREMENT <br />)]0''S .1 O O ~--PERMI7 - `#~raF~~t.r--- ~ ~N'IF"Ni(:'niF-' ++a #i>,x~~i-*>+a .9 O D Cll. ~tA~~ <br />T` I _.".=NT Gu'78S VALUE REQUIREMENT .p* µ <br />'T_Cb~. 1PJ C(JNBUIT i;R SAMPLE 03) tr#~r~-~~. *A~-k,~- ,_F<.~ .. <br />H'~,'~ I ~~F i.AT"MLNT PLANT MEASUREMENT <br />i0f?:'i, (! O •~~PERMIT REPORT RE~!O~7`" `' 'I`~~-ri•aat ~a#### ####aF# -ri -:~,. ~,I~;,y NS7AN <br />:FI-!.-VENT GROSS VALUE REQUIREMENT D Fr • <br />.HL_':R;.hJc: TL'TAL SAMPLE ****** ~(~**t~## a#~u*s~n xazt~;~_ !',; <br />ES+ Q' I~,I MEASUREMENT <br />:'7J•~„- 1 ~`) O ..' ~pERMtT` - ~ '~#Ail~IP'M.' ~ :--~i[!~M'MlFY ~- .px --•Yi!i!#iF• HHFF~t#t 9 <br />~ <br />~~~~ <br />~~ <br />r <br />.F%i.-~ I::hff GRL1..S VALUE REQUIREMENT ~ ~-~# 'T f•; <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Ceniry untler penalty of law Nat Nis tlowment entl all anacnmems were <br />tlirection or supervision in ecconiance with a system tlesl <br />reparetl under m <br />netl TELEPHONE DATE <br />__ <br />~ p <br />y <br />g <br />~~~~~~ ~r'~ L. to assure Nat qualiAeE personnel properly pallier entl evaluate llle information __ <br /> subminetl. gazed on my inquiry of the person or persons who menage Me system, _ j <br />J <br />-~ or those persons tliraNy responsible for gathering the Irllormation, the Information -' - <br />F-ir . E„/- submitted is <br />to the best pl my knowledge entl babel <br />hue <br />accurate <br />entl complete ~' <br />' G' ~ ~' L <br />~ , , <br />, <br />. <br />. <br />, <br />I am aware that there are si <br />enalties for submitVn <br />false inormation <br />ndicent SIGNATURE OF PRINCIPAL EXECUTIVE a ~f Y j t t o<+ / - <br /> <br />TYPED OR PRINTED g <br />p <br />g <br />' <br />inclutlin the ossibili pl line entl Im risonmem for knowin violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerernce all attachments here) <br />(?IL ?~ GREASE REPORTING-SEE I. li 1. F PG VII I~HTRLV S:aP1P1_ING JNSTRUCT.U!V'~-J :. C- FG :dJ <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE <br />00105!00022-1516 1 <br />