Laserfiche WebLink
PERMITTEE NAME/ADDRESS~(lnclude Fgciliry/Jamdlocgeon jDi$erarQ <br />NAME - <br />ADDRESSSLUE MOUNTAIt;I T=NERGY, T_NC. <br />DE5ERP,D^ MINE <br />360-7 COUNTY ROAD 69 <br />FACILITYR ANC-LY CD ~16'iH <br />LOCATION , <br />NATIONALPOLL(JTAMDISCHARGE EDMINATONSYSTEM (NPOESJ Form ApprOVed. <br />• DISCHARGE MONRORING REPORT (OMR) OMB NO. 2040-0004 <br />MTNUR <br />`'"P~FiM1T LIhTBER DI G NUMBER (SVDR I':!d ) <br />F -- }-INP.L RDL-AI~: <br />MONITORING PERIOD P;)Hiib StJMF~ 4S'CHRG '~ i ~ RED WASH <br />YEAR MO DAY YEAR MO DAY _ <br />FROM r,n ~ n TO nn n ~f ### Nf7 1J T4 SG11ARG~ i Ar I ### <br />NOTE- Rea Instructions afore eomDletinD this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX OF TYPE <br /> AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNITS Awv'>SIS <br />;H SAMPLE .x-##### #it it-### +Y-###iF it t i :-, <br /> MEASUREMENT <br />)0400 i O 0 ## ~ ''~` <br />~ ~, <br />' <br />) <br /> i , <br />~ <br />.r , ~ on~r n ,~ n ' = ~ i <br />30LID'~i, TOTAL ###1tiF# #####~- ty! <br /> MEASUREMENT <br />~USF'END>_D <br />)0530 1 O O ## t"` °~, <br />..,i~~J~::~r <br />, - -, r ~ ~1 <br />LRON, TUT AL #a#### ###### ( 19) <br />- MEASUREMENT <br />(AS FE) <br />]IU45 1 O O ## , ~ ~ <br /> <br />. ~ • <br />~ <br />)IL. AND GREASE SAMPLE +f##### ###at## ##at##~. #x-*##t ( 19) <br /> MEASUREMENT <br /> <br />)3582 i 0 O <br />*~ ,~ <br />c`m <br />~ <br />3ai <br />~ >a~`x+3' <br />' <br />,,, <br />'~:; <br />_CLI :I r T 1 Jy S kY: <br />^TF rt (: 'I .t:. <br />'LOW, IN CONDUIT OR SAMPLE ( O'~> #*t+### #,r##an ff4a#ita <br /> MEASUREMENT <br />fHRU TkI:A"iMFNT PLANT <br />0050 O C •? ~~t~Fi} " S`?fjl~t+l[~aFek 7P U'~a "r' <br />{ <br /> <br />lIL AND f;!'tLASE SAMPLE ###### ( 94) ###### #####* #~~::aa <br />- MEASUREMENT <br />.'ISUAL. <br />~ <br />- 4066 1 O b S=1 }F4Yi <br />` ~r;;.r <br />, r •r n , it <br />~ - .~ i,,; .. . -... 4' - nr, a ,. , 'a ... .. <br />- ~ _ ~ SAMPLE <br /> MEASUREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I Cerlily under pana6y of law duc mV dowment entl ell agegnmerM ware TELEPHONE DATE <br /> prepared under my diredton or supervision in eaordente wIN a system tleslgned <br />y /~/ / /~ /~-f'~ <br />S~ ~// C <br />!/n « ` to naaure tMt qualified pereonnel properly greher end walueta the inbmiation <br />Bored on my Inquky o1 the person w persons who menage Na system <br />eubmMed <br />r ' <br />. , <br />. / ~ ~ <br />J <br /> or Uaca persortt Olrxey rmponelble for gethedng the keomimlon, the Inlomatlon <br />- <br />' submRletl k , W the Oast b my knovdedge end bdlel, mre, eccurme, end complete. SIGNA~IIRE OF PRINCIPAL EXECUTIVE 9: , <br />r' `~ ' <br />O3 ~ <br />~' ' <br />TYPED PRINTED 1 em aware Nat there ere algntficam penelbe9 br aubmironp hlae Inbmatlon, <br />Including the ooesiNlity olfine end lmpdeonmem for knowing violations. OFFICER OR AUTHORIZED AGENT rnnc NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ae(erence all allachments here) <br />IF NO DISCHARGE OCCURS. REPORT "NO DISCHAP.GE" ON DMR. OIL &. GREASE -- SEL- I. li 1. v. (:vAR. k~R,. Y ~.'-dhpLIlFv <br />IPJSTRLFCTIONS - I. C. 8. p. XI. <br />EPA Form X320.1 (REV 3/99) Previous editions may be used. THIS IS A 4-PART FORM PAGE OF <br />00281J0002~'2-1516 l <br />