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v <br />PERMITTEE NAME/ADDRESS (7nc(ude Fan(iry Nanel[ocanon jDi$ereny <br />NAME <br />ADDRESII~UE MOUNTAIN ENERGY, -INC. <br />SU~SL:RAI)O MINE <br />3607 CCVNTY ROAD 69 <br />FgCILITYR ANGLY CO 61648 <br />LOCATION <br />D T'-rni~ ~rcc ni innao'r <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMA) <br />.-r,r, -, ., -, <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM 4 TO 4 <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SVpR NW) <br />F - F~1NAL RBLAfJ <br />RA-9 L.OADOUT TO RED WASH <br />### NO DI~SCHARGL I~t ### <br />NOTE: Read nsfructions befor9~Ompleting this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION <br />~ NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER ys/S <br />~a <br />' AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS - <br />1H SAMPLE #####it ###### t.##### 12) <br /> MEASUREMENT <br />)04G0 1 Q I ~-~~P~~iMIT~ . ',,iF#+iMIfR;IF. ~~i~M~aFdF.` ## . 44 , <br />~ *#iNFdr~F . O i~ ~ 1'wV ~TU <br />N$ <br />?FFL.UENT GROSS VALUE AEOL!IAFRIENT. ~ - r't. #++# _ <br />I1,1 -l.' _ <br />y4L i DS, TOTAL SAMPLE ###### ###### ###### 1 ~? ; <br />iUS.:'END~U MEASUREMENT <br />o a' ; c I c o ...., ~~~cr-~= ~ : ; `~.+~ #~+i~ ~: ' ## `-~+~ ~ ~ ~ O ;~" its <br />cFFL'JENT GROSS VA~ VE R~`C1UIF3Ek~RT -''" "1 -' " r##+< -~ ~ A G/ . <br />OLIDS, SE1'TLEAIILE SAMPLE ###### ###### ###### 25) <br /> MEASUREMENT <br />O. O <br />)0545 t P 11) ':; , <br />~ ~ "~ ## Tlt(f6~k1&iF~F ^~i'EpC9RT REPORT ~l' <br />. <br />.FFL'JEtd'T GROSS VA VE <br />R~€F~ REM _ <br />~ ~'' y 1 <br />~~' '`...r-' <br />#+r# <br />-~ S <br />IL °! GREASE SAMPLE ###### u-##ik## #####tt ####:>•~ .9) <br /> MEASUREMENT <br />)os: s 1 0 0 " ~~' ~~RMfr =}' ~:' ~~~ ~+r <br />- ## ' :r.+t#r±~r~ . ~~~~ o ~' ~^ '; '~. q~` <br /> ~tEdlJtgEMEt~' _ ' <br />;FFLUENT GRO5S VALU ##~ <br />'Rrn„ TOTAL SAMPLE rt#t~### +t##### ###### 191 <br />(AS FE) MEASUREMENT <br />Y1G4S 1. 0 b :- 1' <br />~r <br />I~ft' - ', ~ ~ ## ~ itit•-~" E3' ~ , . 0 - ~-' :. <br />:F FLUENT GRO ~ VAL E ~ <br />, <br />REpU.IREM~NT .• ~~ #.p.# _ <br />"I_!Tt•+~ IN CONDUIT OR SAMPLE O~1 ###### ###n, ~ ###~-#,. <br />"I-IF'! 'REA?MENT' PLANT MEASUREMENT <br />>0T''7 ri 1 0 - O ~ ...PEtiMIT -~. ': -, i' <br />~ +`,~,~1 .'~'; ' ". 1iif~F~RAiF - A'JFiF~tit# +tiF iF#il•# # ## -''YY <br />' <br />' REbUIREM~NT ~ - r <br />E T <br />:FF <br />~ _ ##;~ <br />( IL FEND G'R1:A5E SAMPLE ###### 94i ###~x#~e ast##~t~n or.-tea#~n <br />tr IS~1AL MEASUREMENT <br />1?40`.-~ 1 D O -~-=PERM -~ - <br />•, <br />' ',-.'F..~'':~,.. , <br />r~-= -5=1 ..-dHtaEAE7F7F~ i6~tititg ~ ##ip3F#1F #~ $- <br />:}. F~_l;E T GP V R~QUIREM~NT= _ ### <br />NAME/TITLE PRINCIPAL EXECUYIVE OFFICER I CenAy antler penalty of law met this tlocument and all rmachmenLa were <br />vi <br />i <br />rtl <br />ith a <br />netl <br />d <br />tl <br />dl <br />Yi <br />I <br />t <br />tl TELEPHONE DATE <br />~ ~~~j~ ,,, ~~ on <br />an <br />er my <br />rec <br />on or super <br />s <br />n acm <br />ance w <br />rys <br />em <br />eag <br />prepare <br />to assure that quelifed personnel properly gather antl evaluate the inlonnation ~ - <br /> suomaletl. Basetl on my Inquiry of the parson or persona who marege the system, ~' i <br /> or those persons tlireclly responsible br gathering Ne iMOrmalion <br />the iMOnnetion <br />~~ L~ ~ ~" ' , <br />t of <br />wl <br />lief <br />rate <br />tl com <br />let <br />itt <br />d I <br />th <br />o <br />k <br />d <br />d b <br />w <br />a <br />b ~ 7 <br />y ' Z 3 <br /> , <br />, an <br />p <br />su <br />m <br />e <br />s, w <br />e <br />as <br />my <br />no <br />e <br />ge an <br />e <br />e, a <br />u <br />e. <br />t <br />i <br />f <br />l <br />i <br />l <br />h <br />iG <br />l <br />i <br />f <br />b <br />i <br />i <br />b SIGNATURE OF PRINCIPAL EXECUTIVE /~ ~ <br />zl <br />i ~ t <br />JS <br /> <br />TYPED OR PRINTED gn <br />CaM pena <br />ng <br />n <br />on, <br />am awaret <br />atthere ere s <br />t <br />es <br />or su <br />m <br />tt <br />a <br />se <br />orma <br />inclutlin the oss~bili altos and lm risonment for krwvnn violations. OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />T5S 8t TOTAL IRON LIMITS WILL DE WAIVED, AND SETTLEABLE SGLIDS LIMIT APPi_; ED FOF' <".=~10YR, 24HN PR? CIP EV?=NT- <br />5EE I. A. 2, PG V, FOR REQUIREMENTS. OIL & GREASE REPORTING-SEE I. D.1 r-, F'C 'JI''. 9RTRLV SAMf!_TNG <br />or 99 Lio iti may be used. THIS IS A 4•PART FORM PAGE OF <br />00157/00022'-15ib ] <br />