Laserfiche WebLink
PERMITTEE NAME/ADDRESS pndude Fardin• NamriGooarion ifDifjerent/ <br />NAME CYPRUS EMPIRE CDRPORATIDN <br />ADDRESSEAGLE MINE COMPLEX <br />P. D. DOX e,B <br />CRAIG G'0 t11G~6 <br />FACILITY <br />LOCATION <br />ATTN: AGEORGE E. VAJDA, V. P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING gEPORT (DMRJ <br />000034142 022 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM v ac va I•'~TO v ~ -~+ <br />Form Approved. <br />M I NDR OMB No. 2040-0004 <br />S SLIRR NW ) <br />F - FINAL MOFAT <br />SPOILS SP WTRa<SEEP/WILLIAMS FK <br />~+'r NO DISCHARGE I _I #~~ <br />NOTE: Read Instructions before completing This form. <br /> QUANTITY OR LOADIN QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER EX of TYPE <br /> AVERAGE MAXIMUM .S MINIMUM AVERAGE MAXIMUM UNITS AfJACVSIs <br />`SU 5. I SAMPLE ~ . '~~ o- u xyr x 7 r ,,( ( <br />~/IT <br />2A13 <br />DISSOLVED MEASUREMENT ~Gi7O IC'(x~ Y~ - (~ <br /> <br />70295 1 O O PERMIT *## <br />EFFLUENT GROSS 'JALUE ;REQUIREMENT #~## ~~~+° ~RTR AVG t#iTR MAX MG/L <br /> SAMPLE <br /> MEASUREMENT <br /> AERMIT r + '+ <br /> REOU(RIrMENT } ~ }~ <br /> , . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />' <br />f <br /> REQUIREMENT G <br />": i~+¢' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "' <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT " <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT A' <br />-y ; ' : <br />;- " ~ - <br /> REOUIREMENT ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT " <br />~~'~ <br /> REQUIREMENT ~ - '" <br />,w <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certity under penalty of law chat mrs tlocumem antl all adachmems were <br />~ TELEPHONE DATE <br />t f <br />t <br />' preparatl under my direction or supervison in accordance with a system designed <br />to assurelhal uaLried eraonnel rp d alherantlevaluatethelntoimaL°n <br />9 P P Pe Y9 <br />/^ i 1 / <br />/r <br />/J <br />~ qj0-g7~-27I2 <br />icuard <br />l~~? <br />% submilled. Based on my inquiry of the person or persons who manage the system, ' <br />n <br />-' / ~~ <br />e <br />V <br /> <br />n <br />the mlormatlon <br />or (nose persons tlvectly responsible br gathering the lnlprmaUOn [te <br />A <br />Q~ <br />~ e <br />~/ <br />F r , <br />V I YDtI RIFfI t I • "~a.'18~P r . <br />k <br />l ~ <br /> nowledge and oebe <br />, true. accurate, end complete. <br />suomihetl is , ro the best of my <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED I am aware Ihal mere are signeicanl penalties for submitting false information, OFFICER OR AUTHORIZED AGENT AR <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> includm the ossmAi of line and im risonmern for knowin violations. <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS (Reverence all aaacnmenfs Here <br />FLOW t_IMIT APPLIES TO COMBINED FLOW FRGM 00 022 & 024. OIl_ °< GREASE GRAB SAMPLE ANALYSIS RE4VIREP IF <br />VISIDLE SHEEN IS ODSERVED. ~RTRLY SAMPLING INSTRUCTIONS-I. C. B, PG X. <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. 00 1 99/0004LTy~IS IS_A„°4yPART FORM PAGE 1 OF <br />