Laserfiche WebLink
y° <br />f PERMffTEE NAME/ADDRESS (/ntlude Ean(iry NampJLocaNon iJDi$nenq NATIO AL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESJ Form ApprOVad. <br />~ <br />NAME ~ <br />DISCHARGE MONITORING REPORT (DMA) OMB Nc. 2040-0004 '-' <br />PITTSBU <br />RQ E 'tIDNAY COkL MINING MINOR n <br />. <br />ADDRESSEDNA AINE nn»aoa nn (SGBR NY) <br />PERMIT NUMBER <br />ISCHAR <br />UMBER <br /> <br />D <br />GE N <br />P. p. BOY 6514 <br />F - FINAL <br />, <br />~ FACILITY tNGLEY00D CD 90155-b519 MONITORING PERIOD DSCHG TO KOLL DITCflt3/TROUT CR <br />LOCATION ~ ~ YEAR MO DAY YEAR MO DAY _ <br />FROM 11 O1 TO 00 11 30 :~oa ND DISCHARGE ( ~ a~x# <br />A T T N: DAVID L. LONG, M I N C $ U P T a NOTE: Read Instructions before'L3mpleting this form. <br /> - QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />~ PARAMETER - EX TYPE <br /> - ~ <br /> ' -AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALyS(S <br /> MF,fiCURY, TOTAL <br />(A 4 M$'.) - SAMPLE <br />MEASUREMENT '~#a#At# <br />~ #aa##n as#### <br />L D. (iW~ <br />LD• DaD <br />( 1 I) <br />' <br />~r <br /> <br />' <br />719D0 1 1 0 ~ <br />~ <br />### <br />~ <br />td ,~, ~~ e <br />~ <br /> <br />CFpLUEHT GROSS YALU <br />}~,, <br />c dal y'`" `7'"' ~ <br />r ~';~ rj <br />###? <br />`~ "'dg~? <br />~: <br />~ <br />M /1. , <br />~, <br />~ <br />i <br /> t'LON .SAMPLE <br />MEASUREIv~NT~ <br />, ~ <br />O. 7 ( 03) <br />_ ####aa as#### ~~yF #[: 4; fi. <br />~ ~ <br />/" <br />j -, ' <br />i <br /> 14D/b S D U ~ ##Y ti ~. <br />.~ UPSTREAM l7JNITOHING~ ~" MGa :« ~s ~.fi`~.~" ~ a;~#e ~=' i ~'~x <br /> DILUTION FACTOR SAMPLE ~ /~ ~ ( lU). ###### a##### #t:#>,:,~# { <br /> - . MEASUREMENT Q ~3 ~- ~ ' <br /> t i <br /> dJUY! 1 1 U i ATIO ### '' <br /> ::FFLUENT GROSS VALU ~ s ~ " ~h" <br /> <br />I ~-~ ~`,~ ~~" _~" <br />~,' <br />~ #f:#a <br />;.. { <br />I <br /> JLL AND GREASE 'SAMPLE ,-.>xaaaa ( 9+1) p0*ao# #####a ;:aa~## ~( <br /> <br />Y I $ U A L- ~ <br />MEASUREMENT <br />~ <br />f!J ,c=1 ,~ <br />' uDbb 1 0 0 'r <br />" <br />~ ES=t <br />Y <br />~ <br />~ a>~~ <br />t.~ EFPLUENT GROSS VALUE ~ y~-^ <br />S.kr~ ;~ i N0=0 "' r~'~ _ <br />~ <br />' r `;i~a' <br />~= Y.t.-:Y <br />~ SAMPLE <br />, f`, <br />MEASUREMENT <br />(' <br />~ <br />. ~ .SAMPLE, ~ , <br /> - _ _~ ~ MEASCI_REMENT' . ': - ~ - \ - <br />I <br />M' <br />i ;.'~' ~" r: r ', ~ <br />~ <br />.v <br />j <br /> t ; <br />3 <br /> SAMPLE <br /> MEASUREMENT <br /> ~~~ - tom. <br />~ <br />p :~)-~ ~ <br />~ <br />• <br />n~ :~~ <br />~ ; ~ <br />T• <br />' <br />~ <br /> ~ <br />Af N, 1.. Ya•d• -a 5 e <br />Zh. ,~... <br />dI V I <br />~ <br />a <br /> NAMEITITLE PRINCIPAL EXECUYNE OFFICER I Certiry under penalty of law that this document entl all a[lachmenb were <br />d <br />d <br />l <br />i TELEPHONE DATE <br /> <br />~tqr.~~• nT'P.A.CIt~ prepare <br />un <br />er my tl <br />recl <br />0n or supervision in acwrtlance with a system designed <br />bassura Nelqualified personnel properly gather and avNUate the inbrmelion <br /> submitted. Based on my inquiry pi the person or persons who menage the system, O l <br /> or those parsons direclly responsible for geNering the inl0rmation, the inbnnalion ~ ~y <br /> r-~ <br />~1GJICOAIALM'rAL-G6~~ ' <br />submrttao is, to the best of my knowledge end belies, true, a«urate, and complgte._ <br />h <br />' <br />SIGNA URE OF PRINCIPAL EXECUTIVE <br />~~ <br />~ "L{~~" <br />ate <br />I Z <br />l , <br />' <br /> <br />TVPED OR PRINTED lam aware t <br />atfiera era eignificarn pana111ee for submil[mg false lnbrmation~ ,{;, : <br />Includin the ossibiii oI fine and Im risonment lOr knpwin vioiaaons. - ~ OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAV ',{ <br /> <br />~ <br />COMMENTS AND EXPLANATIONOF ANY VIOLATIONS (Relerence all attachments here) ~-~'~~ ~ <br />' <br />TSS TOTAL IRON LIMITS BILL dE NAIYED, AND SETTLEABL°.50LIDS LIMIT APPLIED FOF. <=10YR, 2wH8 PRECIP EYr:HT ' <br />E,,.-SEE I.A.2, P >tI FOR DETAILS. QRTRLY SAMPLING INSTRUCTIONS - I. C. 9. lt~THOD DETECTION LIMITS - I.F.2. k~ <br />EdA Korm'334b=~ (R ~} ~ {$ew di Ion may 6e se ~ <br />P~ ~ORM~ ~ G'E(~ ~ ~OF~ <br />` ~ <br />- <br />M <br />y, <br />,,,, <br />~ <br />.,,.. ,~ _ <br />o 0 0 oii <br />12 3 3 <br />M. - . r ~. .. ..~. <br />