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PERMITTEE NAMEIADDRESS QrLi Frr4ryNa/Lrarlm I/D~rwu) <br />NAME BOiIIa RESOURCES LI!1ITE D <br />ADDRESS 80YIE NO 1 E NO I 'f1E`T MZNES <br />P.O. BOT lU&0 <br />PAONIA CO 9142.'. <br />FACnm BOGIE RESDUP.~F.S LIHITED <br />LocnnoN <br />PARAMETER <br />l37-371 <br />OIL AND GREASE: <br />VISUAL <br />84066 1 0 0 <br />Cw•d Only/ QU <br />l~6531 <br />AVERAGE <br />saa :aa <br />+x~s9:~ <br />NT <br />I, <br />NATIONAL POLLUTANT OtSOHARGE ELIMINATION SYSTEM l1VPCf$l - ;: ~ FOf11fF APPfOVed. <br />DISCHARGE MONITORINO,REPORT l~MRI ~ 040,.-Q t , <br />r7asi n-1s1 PAREIliI 6REA TO 5 <br />s1 f IEu' ~ <br />R (BURR fC) 1 <br />PERMIT NUMBER ascNAnGE NUMBER F- F I I A L 4 <br />MONITORING PERIOD Y.I N D fl ,~~ <br />YEAR MO DAV YEAR MO DAY __ <br />FRGM 0') 10 1 TD 00 2 YCa N~ SISCNARC~F) ) ~ a=~ I' <br />!76711 l77-231 l7L751 126-Y71 118-791 130-311 NOTE: •• In•tEUCtlafr un EdRIPMtMp thw form. <br />TY OR LOADING !s and Ony/ QUANTITY OR CONCENTRATION NO. FReDUdcr SAMPLE <br />lye-611 !38.15 16b3 51-sil OF <br />_ -' EX ANKYSIS TYPE <br />MAXIMUM UNITS MINIMUM AVERAGLP MAXIMUM U <br /> ( 9y) a,#;:s+x aaoalna a:aaaa <br />.. ....:.: ~:y>. ...::. <br />:,.......:~:: <br />::.:r:.::.~~ ::............. ::: <br /> <br /> ...... <br /> <br />:'';':.::.PERMI.T :'.~':.: ~ ~ ~ :. ~ ~ ': ... .:. <br />.. ...: <br />~REQU.IREMENT ~ '~ ~ " ~ ~~ ' <br />:. ... ... <br />SAMPLE <br />• MEASUREMENT <br />:.. <br />;REQUIRENIENT:~ ~.. .'.: .. ...: ~:... ~ ' : .. ~ :.' ~ . .. <br /> :.. .::_ <br /> <br />NAMErt1TLE PRIN ~ pAL EXECVTNE OFFICER 1 CERTIFY UNOEA PENALTY OF lAW TNAT I NAVE PERSONKIY EXAMINED AND <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON <br />JJ MY INQUIRY Of TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />///~p e4 OBTNNINO THE INFORMATION, I BFLEVE THE SUBMITTED INfORMATION IS <br />TRUE, ACCURATE AND COMPLETE. I AM AWARE TNAT THERE ME <br />SIDNIROAN7 PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING <br />I / P <br />Qh THE POSSIBILITY OF RNE ANO IMPRISONMENT. SEE 1B U.S.C. 1 1001 AND 33 i TELEPHONE <br /> <br /> <br /> <br /> <br />' <br />F %IIN <br />EXECUTNE ~- DATE <br /> <br /> <br /> <br /> <br /> <br />/ / ~ <br />{.~R <br />C. I raA.re.. ule.- VI.r, m•rN. rrrr irANF r.,., ro ro s rG,ooo <br />E t af• <br />u <br />S <br />c bIONATUfIE O <br />CIPAL AEA <br />TrP u ~~~ . <br />. <br />. <br />. <br />.nermuilrvn lNyisrnwtt clan.Frlemonaard6Fwa.l <br />OFFICER OB AUTHORIZED AGENT <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND'EXPLANATION OF ANY VIOLATIONS !R•Ixnc• s!l rtt•chmsnm h•fel <br />SETTLEABLB 50LIDS LZNIT APPLIES OALY IP <=1D7R,24HP. PRECIf EYF.NT IS CLAIt1ED. IFICLAI!I APPROYP.D 9Y 4~CD, <br />TSS E If10N LIlIITS NILL MO2 BE APPLIED 20 REPORTED IIEASUBEMENTS-SEE I.A.2, PG 4, FOR BURDEN DP PROF <br />A , - - 1 P • it ~ ~ ~ R CE M C A s 00090/971606-1541 PAGE zoF <br />1, <br />i <br />1 <br />:''1 <br />~, <br />~f <br />