|
PERMITTEE NAME/ADDRESS Qnclude FaciGry Name/LOCafion fDi$erenq
<br />NAME
<br />L'•LUE '90UNTAIN ENERGY, INC
<br />ADDRESSJEiERADO MINE
<br />3b0~ COUNTY ROAD 69
<br />RANGLV ~ ; 81 h4F1
<br />FACILITY
<br />LOCATION
<br />..i. rrr ino r_c. -r
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM fNPDESI
<br />DISCHARGE MONITORING REPORT (DMR)
<br />rnnn -n ,nom
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ? TO ('
<br />Form Approved.
<br />OMB No. 2040-0004
<br />MINOR
<br />(SUBF?. NW?
<br />- F i raAL "f ,
<br />RFC-1 LL:ADf?UT TO RI-~ :%~.SH
<br />~nr fd[) DISCHARGE ICY ~ '+'~'+-
<br />NOTE: Read Instructions betor Completing this form.
<br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOVENC SAMPLE
<br /> EX OF TYPE
<br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 'w~~/S
<br />F1 SAMPLE if r. it~it it tt tr it iFtt iF >r it ~t Kara ..-.
<br /> MEASUREMENT
<br />!U4U0 i ~ 1 PERMIT ~*iw+F*. *±##*# ~a ~ +r*x# . Q W EIiLYI NSITI.'
<br />:1-FLUENT GtcUS5 VA UE R>z.Q~11REMEN7 #~~ _
<br />~ •~ ' t
<br />?OL : DS, TOT AL SAMPLE ih#ir#+t# ## IrtF## tt##itnit 1
<br />;; lc,f,ENDED MEASUREMENT
<br />,(=53U 1 U 0 x'~'F+~AMI1T ~''" +
<br />~ ait ~{FiF16 '.'~ O CE/ Ab
<br />F FI. UETJT~ 6R065 VALUE R~QUIRECJ7I=NT ' ~
<br />' `tl L~' #.rf~ •r^'~ -
<br />~+l'7L.IDS, BETTLEADLc SAMPLE is it ird'+I'++' aatitatit# itttitait it " t
<br /> MEASUREMENT
<br />10545 O O ~~P6(iMl'f ~ ~fi#- as '~vF~ ~ ' 1~~'T ~~ REPORT ~
<br />Ef A};~
<br />;
<br />~F-F"Ll1FfJT GROSS VALUE AE`pUIREMENT Fu "I •" !;,~r_~- .p## IL.Y . ~
<br />--
<br />7i1. b. GREASE SAMPLE ii##tFiti4 #+~tc#+bte ~iei~aat~ iFaiea~*'* :'
<br /> MEASUREMENT
<br />)O°56 1 O 0 PtlliNilT ~ ;;#MlMibMlF: AFi-i6#~~7V''<.* ait iFMi6#IF# ,,: .~k1k1k$iF# 0 C 'fT~ .E
<br />~.F FLUENT GROSS ALU REi)I~IRE~IEN~ - .~,F:, q-r
<br />P.OFV, TOTAL SAMPLE it it#ir iF# ai•uir ir+r :n.n#ituiF J.';;
<br />( AS FE) MEASUREMENT
<br />tl 1 045 1 O Q EFiMIT`
<br />P iFlbit### ##atlk~t# # i• c s#RiM#M~;' . . d O Q E/ A$-
<br />t..F I_VI: R ,' V ,
<br />REQUIREMENT .. " *.~ ~. -
<br />
<br />-i_OW- IN~ CONDU i'i OR SAMPLE p3) #####ik tta i,o= ~- ,- ~•s-~p-~;:
<br />f;R'J iREAT•'1Li CJT PLANT MEASUREMENT
<br />
<br />,0050 1 G O "'PERMIT
<br />~
<br />." wi~a#au a+tXitihif ie ~ =-s W K1:.YI TAN
<br />-6 I I T R -c REQUIREMENT ..~,,,.. '
<br />r +. -~ .-.+=,, ,, ~#
<br />'!IL AN)v GRE=HSE SAMPLE ~~irnair 94) itnil#r~~ ..-. - ,. ,i+;r
<br />" I5t'Al MEASUREMENT
<br />1~,Gr.6 / G O -.PEA t ..-
<br />'
<br />t -Sal ~-*'I6`f~kiF~F ~a~Ta#a at##a~## # ?++~ I3-
<br />:cFI_U NT V - AEOUIREMENT; `° :'.-r r,
<br />.
<br />, = ~#~
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certify untler penalty of law that thle document and all anechments were
<br />si
<br />ned
<br />N
<br />i
<br />i
<br />d
<br />M
<br />l
<br />d
<br />di
<br />ti TELEPHONE DATE
<br />~ g
<br />on or super
<br />n accor
<br />ance w
<br />a sye
<br />em
<br />e
<br />prepared untler my
<br />rec
<br />S
<br />on
<br />//`
<br />~
<br />S~ ~ ~/
<br />I rSfBG~ Ip azsure that qualified personnel properly gather end evaluate the inlonnation
<br />h
<br />t _
<br />i ~
<br />~-
<br />~
<br />'
<br />_
<br />,a am,
<br />e sya
<br />aubmitletl. Bazed on my Inquiry N the person or parsons who marege t ~
<br />~
<br />-
<br /> the iMOnnation
<br />or those persons tlireNy responsible br gathering the IMOrmpaon A -f
<br />J
<br />F
<br />F ,
<br />and complete
<br />knowled
<br />e antl beliap we
<br />accurate
<br />ined is
<br />to the best of m
<br />b ' ' ' ' '
<br />j, r
<br />n .
<br />y
<br />g
<br />,
<br />,
<br />,
<br />su
<br />m
<br />r
<br />lse inl
<br />r
<br />n
<br />l
<br />lti
<br />f
<br />b
<br />in
<br />t
<br />ti
<br />i
<br />tli SIGNATURE OF PRINCIPAL EXECUTIYE ', -: 7 ~ Z ~ ~ G
<br />Y fc
<br />
<br />TYPEDO RINTED cen
<br />pena
<br />su
<br />m
<br />mg
<br />a
<br />o
<br />ma
<br />o
<br />'
<br />lam aware that ihero are s
<br />gn
<br />es
<br />o
<br />inclutlin the ssloill of fine and .m risonment for knowin violalione. OFFICER OR AUTHORIZED AGENT A
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here)
<br />l'O$ °•. TOTAL IRON LIMITS viIl_L BE WAIVED, ANU StiTLEAL-.I_E u.)L :~~~; '. ;itt' ~-.~-~f': ~,~, ~"i~: - t'wl<, ~kHR PRLC it k'.'CR..i
<br />SEE I. A 2, PG V, FOR F2E~UIREMENTS. OIL ?,. G~?EA9E REPfIR? ING-!~i.=_E f; .. ./f I .._, rF~l_'. ~AfgPL_1NG
<br />THIS IS A 4-PART FORM PAGE OF
<br />A 99 4io iti may be used. OO I ,;U ~ -,1;,_ rc..'c -. ; ;) 1 h I
<br />
|