|
FCRMITTLE NAMEIADDR[ff ()n[!Yd[
<br />Facility NanlrlLocarbn (f diJferrnfl
<br />ADOR[f[ u~-^vrser ~.`!-9-M-~'v~Y--L'RE-~K~~T,"''•a~-_-
<br />---zT-fi-3- uT-FV^~?ri+q---.4A~WCti--1'1-"o rP-'~`1-~--
<br />TsfG~rfU~fTII __~frl ~~__
<br />rwcrurr______
<br />LOCATION
<br />FT 7 N CT PG
<br />N ATIONI.L IOLLUTA NT DISCHARGE ELIMINATION SYSTEM (NPDE81
<br />DISCHARGE MONITORING REPORT /DMRI
<br />2 /6 ! l-!9
<br />n1 14 O nwwc
<br />-ERMIT NUM^ER L RuM.Ew
<br />MONITORING PERIOD
<br />YEAR MO~r DAY YE(A':R MO DAY
<br />FROM 9B I C TO 9d (Ia 3G
<br />(2011/ /1223/ /2613/J~ (2677/ /2829/ 130.111
<br />tS Z N O p Form Approved.
<br />(SUER NC)OMBfNo;20,¢0-0004. .
<br />F - FI YALApproval expires 6-30-91.
<br />1
<br />POST-MINING RUNOFF SEDI FOFD
<br />U fad In`structlons fora plstinp this form.
<br /> (i Card Only) OU ANTITY OR LOADING ( ~ rd Only) QUALITY OR CONCENTRATION Fq EDUENCr fiAM PLE
<br />PARAMETER t~-Si) (5161) (38-IJ) (1613) (Jr61) NO
<br />EX of TYPE
<br />(31-37) wNALrsls
<br /> AVERAGE MAXIMUM UNITB MINIMUM AVERAGE MA%IMUM UNIT6 6163) (6168) 169-7U)
<br />t'd 6AMPLE ###### ###### #IG>$iT$4Y ( Il)
<br /> MEASUREMENT
<br />G04G0 1 O G ~°-~PERAitT~~.~
<br />l
<br />7 ;'Z~e .. %Y,s ~' tf;#n ~16
<br />!
<br />~; m
<br />`~:«`x` R ~~°''
<br />„"
<br />e w°~-'fi
<br />~
<br />~
<br />~ a ;d'~'
<br />~ ~?°
<br />
<br />i T r n .i
<br />64uIREMt
<br />mY:,~^°.~^~~.`. r.
<br />'t( t° b.a4 -
<br />.3.a` F
<br />°
<br />,
<br />``Ik >`+dr wu..,.e?
<br />.
<br />'a.°.:°a'",. °
<br />,s
<br />..°",
<br />.«
<br />..']..:. >,;e
<br />af.A^:b"
<br />SOLIDS, SETTLEABLE 6AMPLE ##4### #0#LO# ( 25)
<br />
<br />MEASUREMENT „~
<br /> ...
<br />~~
<br />
<br />GOFJ t1S 1 O O
<br />.~~~'~PERWLT', `;
<br />:x,.~,,;fv ,*.
<br />~'!.
<br />s >)'
<br />-
<br />~
<br />OOI# y. y
<br />A j$I9
<br />K`~~
<br />~~° '.
<br />.}~1~~
<br />+
<br />'T
<br />`"
<br />~
<br />>'Ei
<br />m ..
<br />~~
<br />~a
<br />L fl C T C 1 :REOUIREM ^N 7-
<br />?`~'. >,. v~.e -r. N
<br />ffi'; :'~ ~' "is`!i'.,~~ e
<br />y°,~
<br />:dl<'w;s'
<br />s - .. ~*?-.°^B "b°s ¢ .
<br />-
<br />ks 1A
<br />° "~ " .a Q ,w
<br />.
<br />°Eif
<br />s x ~ .ta
<br />f &°~ ., a
<br />OIL ANG GREASE 6AMPLE ###### r,;##~:## >~##### #z###al ( I9) .
<br /> MEAfiUREMEHT
<br />FAEOY EYTR-GRAY MET
<br />
<br />G0556 1 0 0
<br />w s Ala °
<br />~«.<r`cRMI~~~: s
<br />L' n .
<br />p.~
<br />Y 9.
<br />$$~e
<br />
<br />#
<br />^a <aF
<br />~8~tl
<br />, .~ e .. ^,.~°,
<br />~~°`
<br />F° a ^
<br />~Y+~ °
<br />'
<br />eli`i ~
<br />ifs s°
<br />~ ..-
<br />~'~><<
<br />°
<br />GR~
<br />.
<br /> "NEQUIR EM ENT; ~ew
<br />~~ k<" a + R m
<br />_
<br />~> +~,.,:
<br />,,+, ,
<br />a
<br />.sM~?, . `
<br />.
<br />e ;
<br />=
<br />n ~°d
<br />^ c r• 7 ,
<br />,
<br />~
<br />t3 °Q
<br />
<br />~ ~ Q
<br />#+F`. r t ,
<br />, .
<br />FL04, Ih CONDUIT OR 6AMPLE ~ ( ~•3) #####A ###### ;Y {cur,: >}#
<br />THRU ThEAT17ENT PLAN MEA9u REMENr
<br />~~ll
<br />5uQ50 1 Q Q „ yy .. ..ir:
<br />NT
<br />M
<br />RE p^,f
<br />^S'i >s.<ss, r1,.~.r~y.p.y~q , , ,
<br />Y.`f°
<br />~
<br />`
<br />'P
<br />i ...~ ..q ,.,@E,~p~
<br />r ~L~
<br />lr~wruu >y'°
<br />~ 'P
<br />~*~e
<br />~ °.y[.. ~,}~~ In °Ie
<br />~~
<br />~a
<br />r~~
<br />rYFGT: ,.
<br />~~°~ rk;~,e•
<br />~ S`{Qff^^ntq~. «~
<br />~~~
<br /> E
<br />QLHRE
<br />~
<br />' ro
<br />~!
<br />eh
<br />°
<br />H :
<br />e4«d` <
<br />n?E
<br />~ s'~a
<br />~
<br />°
<br />~° ~
<br />T
<br />~,
<br />{` P R I a°
<br />~
<br />~ rr j ^
<br />r°
<br />a 9
<br />.dv~^n
<br />. +O.V.V
<br />SOLIDS, TOTAL ###### LrS T}Y1#'J #r}#### /
<br />1`~~
<br />GI
<br />S
<br />SOLYEU MEASUREMENT
<br />~
<br />t
<br />7U295
<br />1 0 0
<br />:'x4ERy1T'i~^&
<br />~
<br />N
<br />~'~ 9b
<br />' ?~
<br />~ ss~
<br />A`s
<br />
<br />~
<br />##~
<br />oxr~tl~°.... .+
<br />~c~ii#A.
<br />.
<br />~ 8
<br />
<br />~ !!E~
<br />yq :wax' e;'*x w
<br />~
<br />A~~a
<br />s~°p
<br />
<br />°°8
<br />°
<br />^Ff 'r
<br />-~
<br />~
<br />x ~«°.pda~:
<br />°
<br />gig
<br />
<br />P rI C • T !` D 7pS
<br />.RBfjUiREN 8
<br />''~ ~i ~ °'~; n~Pk a.
<br />"`)°£ y~
<br />Vri~°..
<br />t° .. ~,
<br />. ,,ys'-~°
<br />Ym~ -?ea. ~ eo
<br />9
<br />~ w+^.
<br />~ $9
<br />.
<br />n8 ~v „
<br />a
<br />~ 6~6 ,
<br />8} I
<br />OIL AND GREASE 6AMPLE ###4## ( 9u) ##u#4# ###### uG##t:t _
<br /> MEA6UREMENT
<br />Y I S U A L ' ' ' ^~
<br />- Y
<br />' 9
<br />~ ~ ®~
<br />~
<br />i' &°S
<br />Xr
<br />6406b 1 G 0 ~. 1m.
<br />s.~'z° e wee
<br />~ s$,PERM,? <~... ~, g
<br />m-„,>, ' ~ R~
<br />•;
<br />-,~
<br />' ES=1 ~
<br />8a}1~(+i $.$ aW,@
<br />,N~~~» ~. .rb a
<br />4~
<br />4 ~yq
<br />;
<br />s~1(P#*: y fS
<br />+X°~a
<br />N
<br />p
<br />,
<br />,~~~'
<br />° ##r, ~F
<br />a~ a
<br />r
<br />;t~~* ~
<br />~
<br />~"~k~}!}
<br />
<br />
<br />P7 CC
<br />Re0UIR8APENT',
<br />..;'Fr^.C"E'~f.x.
<br />
<br />(.'e„~ °
<br />~
<br />
<br />n~.n
<br />.e ;7~r°,
<br />„~4fa,w ~
<br />b
<br />41a'F..16° A
<br />.
<br />~j>^ x.:.°
<br />.A..ce RA°°a..aF,~Kffi
<br />
<br />Yr. ~
<br />
<br />~°° , ~
<br />
<br />.'»a„s 7,°,.
<br /> SAMPLE
<br /> MEAfiUREMEHT
<br /> . e L
<br />BP,ER~M'1T~.' i?
<br />
<br />'
<br />& r se {ea,„
<br />.. m e3
<br />~~
<br />~c ~T L; ,.i`N °
<br />g~
<br />y~
<br />~~
<br />r
<br />Y ,. :°.+., ° ..,_ .
<br />~ °a rs z° ~ a ~Ai
<br />>n,` € ai"
<br />~ ?F« s 1`'>.w
<br />f ~a"
<br />ps~s °r±
<br />,.
<br />-
<br />a a•«'a'< ~; P.,.,~a.
<br />3~m
<br />a g°+
<br />° ~ A'in,e
<br />E'Y ~5
<br />ye~ . ..
<br />¢ s.°,
<br />A ~yya
<br />^
<br />~ . h.. .,q
<br />?:i °"z5„
<br />~°
<br />d?4
<br />
<br />'R
<br />EQu1R
<br />Era
<br />8NT
<br />~ ~
<br />r
<br />~ s
<br />e
<br />`
<br />~~ p
<br />~
<br />$~
<br />,y
<br />°
<br />"^ ;`t«%`a's
<br />:~
<br />~ ~
<br />b e
<br />y
<br />R
<br />~ma°..' ,
<br />~, ~
<br />a
<br />'
<br />< $' ~6
<br />$a° m
<br />"
<br />,f'
<br />S a
<br />3
<br />: !ti a
<br /> ~
<br />w :~. <
<br />.rJ P:~.d~<9 ,
<br />.
<br />., ~ _
<br />,
<br />_
<br />a .
<br />NAM ENTITLE PRINOIPAL EXECUTIVE OFFICER I CCRTIFY unOER PEnALTr OF uw THAT I NAVE PEwSpnAUr LEA~~r1ED
<br />A TELEPHONE D A T E
<br /> ANO r.M FLY0.4q WRN THE NfFORY/.T10N SUBMITTED HEREIN \ND B
<br />SED
<br />
<br />^ ON MY INQUIRY OF TNOSC INOIVIDWLS IMMEDIITELY RESPONSIBLE Fpi
<br />OBTAINING THE INFORMATIONr. I BELIEVC THE SUBMITTED INFORMATION
<br />L
<br />x
<br />1~)
<br />~
<br />`~~~~
<br />~C
<br />s IS TPUE ACCURATE AND COMPLETE I AM PWARC THAT TNER[ AqE SIG
<br />NIIICANi PENALTIES FOR SUBMITTMG FALSE MFORMATION INCLUgNG G
<br />.
<br />3 I
<br />~
<br />O
<br />iwE P
<br />Tr OF Fm
<br />AND IMPP50NM[nT SEE If USC f 1001 AND
<br />SS 9 ~¢~'A/
<br />oI p
<br />~
<br />/0
<br />J~
<br /> IBIU
<br />O
<br />E
<br />1
<br />4 SIGNATURE OF PRINCIPAL EXECUTIVE (- ! T O
<br />
<br />TYPED OR PRINTED JJ USC
<br />13
<br />9 .Prminr. uMrr IArv sl.mba mv• nrldr /.n.a uP e. LRUu
<br />o.W... mavmum.mynu.mm~~I ~.(ArmenEm..mM1. and i.ro...
<br />OFFICER OR AUTHORIZED AGENT
<br />ARA
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONfi IRr/rrrnrr all mmahmenls hrrr)
<br />SETTLEA6LE SOLI US LIt'I'P MILL BE t:;.IVLD FOR 11v-YF, 24-FiR FAtiCZP EVk:NT-SEE I.A.1, PG IY, FOA REOUIRENENTS.
<br />4ATkLY SAMPLZNG INSTfiUCTIONS-I.C.9, PG IX. 3U DAY AVG IS dIGHEST MONTHLY AYG LUAING P£A.IOC REPOF.TEC.
<br />EPA Form 3320.1(Rw. i~l9)Pnvloua editions may bB USed. IREFLwcES EFA FORM T-ao WNICM MAY NOT ^[UflD.I FwcL or
<br />OO1G5/940u12-1B3B 1
<br />
|