|
~~
<br />•~ -~ ~..c..r~
<br />PERMITTEE NAME/ADDRESS 17nclude FaciliD~ Name2ocarion iJDiJJerent) NATIONAL POLLUTANT DISCHARGE EDMINATION SYSTEM (NPDES)
<br />NAME r-,T 7 n u Y rl rn ^ r rn !+ u ~ N r I _ ,,~~- DISCHARGE MONITORING REPORT (DMR;
<br />!]-I61 111- 9) • r v n o
<br />Form Approved, \
<br />OMB No. 20400004
<br />ADDRESS - -- ----- ---------, --._ _,, „r:,.. _ ... .. .. ~HV~.,.e~~.H~~~~~:,-„-moo
<br />COLU8Y0 MINE ".,::,:• rnnnnciwt ft.L~A a (yUBk Mkl)
<br />S/.fi STAYE HIGNwAf 13 tart,?="" PERMIT NUMBER DISCHARGE NUMBER p• _ FINAL tlOF
<br />ING PERIOD ~ TAYLOR POaD TO TAYLOR Cfl~$K
<br />~""F~r.k CO blbl{1 °'•''
<br />MONITO
<br />;
<br />R
<br />FACILITY
<br />'
<br />~~' ~~~'"_'<` YEAR '~~M,O : DAYS ' ~`~ • YEAR MO DAY
<br />LOCATION ~ ~~ ; ""
<br />°)'.'-~~ FROM of To". O1 C3 32 -`ice MO CISCILARG~ ~'~ '
<br />A T T .i : J . D . 8 A k 7 U N , G P)i L k~t'iw:: R Yzazl) (22=23 2 i r (?6 21) (28 29) (J0 J1) NOTE: Read Instructions tiefore" completing Ihis form.
<br /> ~(3 Gerd Only) QUAN TITY OR LOADING ~ ~Cartl Oniyj -y00ANTITY OR CONC ENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (4s-s3) (54-sT) lie-45) .. (4653)
<br />~
<br />, (s+-61)
<br />~ ~ ~ EX of TYPE
<br />(32-37)
<br />AVERAGE
<br />MAXIMUM-
<br />UNITS "
<br />'
<br />~'D•'<~
<br />MINIMUM "_';~~r~'.AVERAGE
<br />,~ b;, .~ I' ~
<br />MAXIMUM
<br />UNITS' ~
<br />
<br />f62GJ1 ANALYSIS
<br />
<br />(64-EBf
<br />
<br />(69-70
<br />OLL AND GREASF. SAMPLE cr~aa~ " 94) #aaar#11~#Y" x044#=x '~~~'~I;<r
<br />Y I _i U A L MEASUREMENT ;. -
<br />•
<br />FS11Obb 1 D U HERMIT .": ~~~} II
<br />~`
<br />~ I I 'I If;~
<br />I
<br />~
<br />fit L GXr# Ex°~ }', 'L X.
<br />` i.l~`~T.A'~
<br />~
<br />~
<br />k:FFLUENT GROSS YALUl uIaEMENT ==;
<br />' •
<br />r "
<br />~ il~ I } v ~~~, ,~~" ` •
<br /> SAMPLE ~ 31~ T,'r.." . .
<br />~ '"
<br /> MEASUREMENT ; N''y
<br /> ~~i~ERM1T 3}. ~ ': ~
<br />:.a
<br />• r ~ .
<br />t 1, F)
<br />'3
<br />'~ t
<br />I 'Si ~ .:;-".
<br />. f"r„
<br />~ ti ,L'~-'`
<br />Y
<br />`~ - na ~~:
<br />~.
<br /> lRE~QUIREMENT ~
<br />'~ ~ . ~
<br />. ~ M "-
<br />_ SAMPLE ~ .~js~~; ,,,.
<br />~! .. ~ ~.- .,
<br />~ MEASUREMENT ^~""~:
<br />µ;
<br />~ r .'
<br />,~~PER IT ~~:..
<br />~ .1 a k _. rkF } .r .,~k Y~ ~ ~S'"` .'.
<br />~ ,
<br />REO~`UIREMENT. '
<br />• - .7
<br />~
<br />~ - ~ ~ '
<br />~`~ ~
<br />t~ V i zt ~. •..j~:.-
<br /> ,.
<br />a
<br />.' , kci w..•w - -
<br />_ SAMPLE '-...:a
<br />~ :_i ..
<br />~ .~ _ L,
<br />~ m MEASUREMENT ' ar r,` .,
<br />
<br />~
<br />A~FERMIT
<br />~
<br />s z~`.
<br />`~ £ `r!~
<br />' ~° 'ix
<br />~ d~,~X?~15
<br />~ - -
<br />~+ T
<br />~„'°' ~ n-
<br />y;
<br />
<br />REQUIREMENT Y-
<br />xe'
<br />*
<br />~ -
<br />~~ ~
<br />~y`~
<br />;
<br />' _
<br />;
<br />-
<br />~ y
<br />_
<br />,
<br />: +.aa - , r
<br />,,.
<br />s ,
<br />.
<br />. _
<br /> SAMPLE
<br />~ MEASUREMENT i.{?,'".,.
<br />
<br />t(PERMIT`
<br />~ ~Wt
<br />~ I :r ~~ c
<br />':`~ ~
<br />" affix f~
<br />~
<br />~° ~'
<br /> REOPIIREMENT~ ,
<br />' . ~ as~T~ ~R
<br />r't~4r + i'
<br />F iya~rro
<br />3 Y` ~ e::
<br />
<br />.. ,
<br />cad .
<br />~ 1.
<br /> ' SAMPLE t8j ~:~: .
<br /> ME
<br />A
<br />SUREMENT ~:M. ~. '
<br /> •~
<br />,
<br />.,';;f,P.,ERMIT { { >ft~, ~' ~` a =i ~ x.i°~; ~ ..9 T .3 'ti, € ~ ~i i z
<br />~ w.r
<br />.
<br /> ~ ~' REQUIREMENT ~
<br />s(#£~ ,
<br />` " Tk + ,''".~;
<br />~" ~ ,Y
<br />
<br />' ,.
<br />_ .
<br />„5
<br />~t~ *
<br />:
<br />Y . A
<br /> ~ SAMPLE '~ ~, ~~
<br />~
<br /> ' MEASUREMENT '_'
<br /> xz.
<br />~~`-.,PERMIT--,
<br />+~r ff '~ ~f' '"d Ik"y.
<br />.v y.y, a y~.
<br />~
<br />~
<br />- ' v :it- ` '7
<br />`- .~ x
<br />' k x , v '
<br />',.
<br />g .ye
<br />~'fi~€
<br />~i ~~-'.
<br /> REQUIREMENT ~ r,~~ s -
<br />"
<br />~ .
<br />',~-~, .~~ ~
<br /> i f ~ _ ~ ; ~
<br /> NAME/fITL•E PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED ANO
<br />M F
<br />M
<br />LIAR
<br />R
<br />T
<br />F
<br />R '('rte. ' '
<br />' TELEPHONE DATE
<br /> A
<br />A
<br />I
<br />W
<br />H
<br />HE IN
<br />MATION SUBMITTED HEREIN; AND a45ED ON MY
<br />O
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING fix
<br />•'x: "~ i "
<br /> ' THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, _
<br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />PENA
<br />TIES
<br />OR SUBMLIT
<br />NG FA
<br />SE
<br />FORM
<br />T
<br />O
<br />C
<br />UD
<br />G T
<br />E
<br /> 1 `
<br />5 ,~ 1"1 (A f. Y\~! Icl L
<br />fi
<br />I
<br />L
<br />IN
<br />A
<br />I
<br />N, IN
<br />L
<br />IN
<br />H
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE to U S C. § t0D1 AND 33 U S.G
<br />SI MJ1ATURE OF PRINCIPAL EXECUTIVE
<br />`' ~1
<br />~ / i)
<br />~I .~U ' ) (. OU
<br />17 ~ II,,
<br />O`l /
<br />hl0
<br />
<br />TYPED OR PRINTED § 1318. (PerleRias untler Nese aretNes may Inclutle lines up ro SID,ODD entl or
<br />maximum ~mpnsonmem or beArxenemomhs entl5yeers.) ~ ~-~
<br />ISFFICER OR AUTHORIZED AGENT AR
<br />C D
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />A T.:
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (ReTerence ell attecnments Here)
<br />=~ETTLEANL)r SOLIpS LIRIT APPLIN.S Ot:LT IF G=1UTR,24RR PF.rCIP F.YF71T I$ CLAI!'!Ep. IF CLAIM APFRRYE:D~Bf IiQCB,
<br />TS5 E LRON LINITS PILL N17T BE APPLI4D TO RePCk°'F.d e!FASURE!IEKTS SEE I. A. 2, PG.'S FOR HUNDEM.,Q1~. ,itQOl,"
<br />. .a+..»v., a..r , R ',. 'e:p.PAGE ,,,' OF .ice.:.:
<br />EPA Form 3320.1 (08-95)'ePCevlous edlpons.may_not be used ~ ~ ~ ~ ...,(REPLACES EPA.FORM T-40 WHICH,MAY NOT BE USED.);;y,~,,,.,~..~.;.~,;~;~,L~~ ~- •
<br />' ~~ - - - _ ~ _.. .r __.....,_._.
<br />
|