Laserfiche WebLink
PERMfTTEE NAME(ADDRESS (Include F <br />NAME uciliry Name/GOCntion iJOBerenq <br />__ NATONALPOLLUTANTDISCHARGEEUMINATIONSYSTEM(NPDES) Fofm roved. <br />APP <br />M I )~ H :: C ~ [ 4 ;' • . <br />; , DISCHARGE MONITORING REPORT: (OMR3s OMB No. 2040-0004 y <br />ADDRESSNOkT1' T1fOr!p50N CFEfK MINES ) ^ <br />^ o <br />u01 - <br />'k': <br />~ Approval expires 051-98 , <br /> ; <br />rn nllo n <br />. <br />r ~ {Si)R9 yr.~ <br />27oL' ~OhP+.';> GaIY~', SUITF. 101 PERMIT NUMBER 15cIiAaGENUMRER F - FINAL PI"'H <br />FACILffY ~s ((ANC J9h:'.l CD H1505 MONITORING PERIOD f:"PON[f. YET TF.STTDiG FOR 0~7A <br />LOCATION, <br />1.1 t4oUN'1E 1 <br />~ YEAR MO D ~ YEAR MO DAY ~~ <br />-_ <br />• CO HIG2J FROM 79 9Q 0 0 RtdA <br />06 0 <br />"~ D <br />SCfl RGF r,.: <br />^: <br />1 I <br />ATTN: J. E. tii'i ~'1 ~ r^v~I LI ING ENC. ~ <br />!zo-zp l2 <br />/ l3a31) <br />1 lzaz !zs-27) tze~zs : Rea Instru 9 <br />~ <br />P <br />ons before'DOm letin this form. <br />' PARAMETER (3 Card Ony) QUANTITY OR LOADING ani Onty) QUANTITY OR CONC TRATION NO. FAEOUENC SAMPLE <br /> 46-53 (54-61) 38-45 (46-53) (54-611 EX OF TYPE <br /> (32-37) AVERAGE MAXIMUM <br />~~ S <br />MINIMUM <br />AVERAGE, <br />MAXIMUM <br />UNITS <br />Iszml avALrsls <br />(6aee/ <br />6370 <br /> +EFFEC~T STAIR? TGA.Y SAMPLE .... F~.`ton q,p{y~;;y:r ~~..y#+C ( ~)) <br /> NR pj7~pHALES MEASUREMENT • <br /> CP6C 5 0 1 PERM Y: ~[~ ,~IMk~R'~ ~~ ;ca ("}A##+t4 <br />._ ER- z - <br /> SEE CU!;ME'NTS RF.LOii EOUIRE ~ ~ - <br />, #tr0 , .^NT <br />' SAMPLE <br />SAMPLE <br />MEASUREMENT <br /> <br />~ I <br />i <br />8E4 I <br />~ Il'~ <br />' i=, <br />SAMPLE <br />MEASUREMENT <br />*f ?~RMtT ` <br />~ • <br />~iEn~Q°°13IEiEMENT ~• <br />SAMPLE <br />MEASUREMENT 1 <br /> <br />0~2U[f)EMENT ' <br />SAMPLE <br />MEASUREMENT <br />' ~Pfifi6l11"t . ~ '° <br />S~ U~71{{ N~ .~~ <br />SAMPLE <br />MEAS <br />U <br />REMENT _ _ _ <br />~ <br />g <br />k~, f, . <br />O <br /> <br />~• t ` <br /> <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICEp I CERTIFY UNDEfl PENALTY OF IAW,TI-IAT 1 HAVE PERSONALLY EXAMINED AND TELEPHONE DATE <br />AM FAMILIAR WITH THE INFORMATIOLI SUBMITTED HEREIN; AND BASED ON MY <br />INQUIRY OF THOSE INDNIDUALS'IMMEDIATELV RESPONSIBLE FOR OBTAINING <br />THE INFORMATION, 1 BEUEVE~ THE SUBMRTED INFORMATION IS TRUE, <br />J ' ~• ~~~ ACCURATE AND COMPLETE. AM AWARE THAT THERE ARE SIGNIFIGNT <br />~~~~ PENALTIES FOR SUBMITTING FALSB INFORMATION, INCLUDING THE <br />'fi'r ~? I _ POSSIBILITY OF FINE AND IMPRISONMEM. SEE 18 U.B.C. § 1001 AND 33 U.S.C. $IGNATU E OF PRINCIPAL EXECUTIVE Q i D <br />§ 1318. (Ponem'es untler Ihese srennas mey inclutle tines up ro 510,000 entl a OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED maximum impnsonmem ol6ehuEen6monthe entl5yeers.) NUMBER YEAR MO DAY <br />COMMENTS AND IXPLANATION OF ANY VIOLATIONS (Relerence all BNachMenLS here) <br />5En I.8.5 FOR ?EST PROCEDURE.. RPT R85ULt5 JF L~Tfl~LITY DfR7YlTIONS 3~ ^':EFFZC?^, GR~'lYT9 '~ REPRODUCTION <br />DENIYATIONS AS ^TO%ICIPi^. RPT COYEST i EPPL AT YRICH STATiSTICALLT "I:NIF ~TFF ?ET4E°N TL'ST 6 CONTROL <br />A~o~m 33~Y1 (8=95)~ Pr`evlous eaiTlons~ ma`y nol ~Se used. ~ ~ ~' (REPL~ICES"~PA O[iM ~01NH~CRIINAY NOT BE USEd.) ~ ~ ~"• L + ~ rr v' ,4G. 11 L <br />y ~ 0001151990211-1033 1 <br />