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REP16105
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REP16105
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Entry Properties
Last modified
8/24/2016 11:45:30 PM
Creation date
11/27/2007 1:47:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
Report
Doc Date
4/16/1993
Doc Name
1992 ARR Exhibit 3 PART 2
Permit Index Doc Type
ANNUAL RECLAMATION REPORT
Media Type
D
Archive
No
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ICRMITT[[ MAaA~{' OR[[1 //IICIude <br />Facility Namr/L1nY1~ ~fJarnq <br />NAM[-i.l'l. I./V!1 y=(!nl (`n'.Lj'_l..l~-_---_ <br />---.L1f~..tiCL------- ~sZll.~ll- <br />rwclLlrT -____-----_-__-- <br />LOCATION ____--_ <br />rr).c 111 •unflu r. arvrd;.)l <br />Nwn Dn wE Fo LLOTww 'KHwwD[ EuMmwnoN avsT[M (NYDL)1 <br />DISCHARG'. )NITORING REPORT IDMRI <br />1 /d 1~ <br />(: 1711,1 r; r'P I.:' ] <br />PERMIT NUMBER ma<Hwwcr ww.rw <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO OAY <br />iwOM .Ju ,I V TO ~ 1 1. j .-I) <br />/101/1 /11111 l1i.171 /16 / 11H.191 ! 0~ 11 <br />t T `..J r Form Approveo . <br />{.iUt1": ti N) 110Nf1'Mo. 2040-0004 <br />r - t'I Yil 1. E%plres 9.30.91 <br />L11+!1[111: SL:UL !'1,110 'I'ii d1L'.i:1;1 1: 1. <br />,NOTE: Read inttruLKiont baforl gmpletinp thi3 form. <br /> (J Card Only) QUANTITY OR LOAbIHG 11 Cord Only) QUALITY OR CONCENTRATION rREOU[n<V BAMPLE <br />PARAM[T[R (1671) (71611 IJ8I7) (16JJ) 13161) NO <br />E% DF TYPE <br /> <br />(!1-JT) <br />AVER AOE <br />MA%IMUM <br />UMITB <br />MINIMUM <br />AVERAGE <br />MA%IMUM <br />UNITB <br /> <br />61611 wNwL VS1s <br /> <br />1616N1 <br /> <br />169-7D) <br />•11. k(]t~ .]i L~4 ~:~ BAMPLE ,: ';o;: f: !: F alj) <br />l fti: ~::}::::.: a:J:: t(L: :: u. +.:i: f.: ~: ~ ) <br />I; A 1+ MEABUREMENT <br />•' f.~t U ~. f1 V .~'.. p8RM1T ..:. '.:;:>EI!?ICf's1:IkA~:. Q.. <br />~~ .~ii_1 ,'~,T?S irO~r )R~. :.''"., KF~IFYA'-k^:. .'~'.Ii'[~'~>~#~F~~ ~.::0 <br />SE!{E..Y <br />~TSUAI. <br />:'1~]1l it tl'i~ Gfinr.S y~ II R[gUIRBN ENT ....'.. f4 t]1~=1 ':: (; y: <br /> BAMPLE <br /> MEABUREMENT <br /> <br /><:..~PERM.IT. I. ~ /.. <br />:'•''~ ~~ <br />p.: i <br />P <br />~: <br />~7 ~ <br />' <br />•'*~ • ;..3:: ;. <br />. ~ <br />: i <br />' <br />' <br />°' <br /> <br />. REDUIRRM [N7• , <br />.: <br />... <br />..i,•. . <br />. t ? <br />s?.,, <br />d , <br />y <br />„ <br />e~"~ <br /> BAMPLE <br /> MEABUREMENT <br /> 'PCRM Ir"~ ~ ' <br /> R80UIREM $NT <br /> BAMPLE <br /> MEABUREMENT <br /> ..~. ~ ~ ~ <br />.. <br />. <br />. <br /> <br />g -.e . <br /> <br />' PERMIT:; .. ., <br />. <br />=' <br />' <br /> 'RtgtliRCM ENT '.~<',:" '.' ' <br /> BAMPLE <br /> MEABUREMENT <br /> ~' PERMIT:.. <br /> R[4UIREM $NT <br /> BAMPLE <br /> MEABUREMENT <br /> ' PERMIT <br /> ~REgUIRBM ENT '; <br /> BAMPLE <br /> MEABUREMENT <br /> PERMIT . " .. ~ .. . <br /> RLQUIR EM [NT ~ ' <br />NAME/TITLE PRINCIPAL [%[CUTIVE OFFICER I C[RTIFY UNDER PENALTY OF LAw rRAT I NAY[ PERSONALtr EnAMINED TELEPNONE O A i E <br /> •HO AM rANRIAR V/ITH TH[ Mf O11MwTION SUBMIrt[O Hf RCIN AHD BASCO <br /> OH MY MOUIRr OF TH05E mPVID1145 IMM((aw TELr wFSPON901[ FOR <br />/ <br />( 11 <br />11t1kU (. <br />HTt;I NSUN OBTwINrNG fHE IN[ORMw T1p.V 1 B(LKVC TH( 51 /BYIIIFO rNFONMw IION f ~ <br />l <br />, <br />. <br />' <br />L <br />' <br />' <br />' IS TRUE wCCURATf AND CONVL ETf I AM wwwR[ THAT IHE R[ wR[ 51G <br />NT PE"wL*Irs row weNlrtwc rA(s[ IMOwNwnon iNnuomo <br />" <br />n <br />'~ ~ ~ " ~ <br />, <br />V <br />t <br />LAiiU/INVIRUtNiP1TNAL AFh <br />AIH ' <br />u <br />1 3L)3 tj24-4451 )2 1l1 l4 <br /> 1001 wN0 <br />THL vO55rBNTr UT FM[ .n0 INww150nMCNT SEC rw USC <br />Flu r+ <br />I <br />ld E%ECUTIVE <br />61GNATURE OF PRINGIPAL <br />' <br /> n <br />N19 .I}n./n.. uMr+ Mrv /.m/.. m ur <br />r /mr. .V n. <br />. as r <br />JJ USC <br />AR '[ <br />TYPED OR PRINTED urW •.• m..,nr.m rniRrrn.rr.n~nr ../n. I...n r m..nlA. and r...r.. OFFICER OR AUTNORIZ EO AGENT NUMBER YEAR MO DAY <br />COMMENT ANO E%PLANAT10n 01 wnT Ywcw narrva Ingrrrnar .rn u.. u....nrn.. •..•rr <br />I'^. LiAH1.F <br />.,-_ <br />°'1LLU~ Llt:il' :1YI~LLt; 1?KLY II' <= 111-Y't, ::b-Hl< Ppi'i'I{' i'V::dC 15 l'l.4Stl:~.i`. IY T'IJ(la n`.'P40YF.D dY <br />F. T!!n!l Lir11'T't Iall.l. UnT IrF' 1iPPLI,i7 i'1' .t:'!'~)'r'i=:f"'.~4~Illil.••1.'.R'f_:--S.,r i.~J.lf~, pC U AtIL' f.. !I.LU, 1'C h. <br />IwFPI AE: F.! CPA FORM T-te WNICN MAY MOT [[ Ua[O.I <br />PAG[ OP <br />
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