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REP31405
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REP31405
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Entry Properties
Last modified
8/25/2016 12:07:26 AM
Creation date
11/27/2007 5:54:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
Report
Doc Date
3/3/1997
Doc Name
1996 ARR & AHR EXHIBIT 2 NPDES 1996 QUARTERLY REPORTS
Permit Index Doc Type
ANNUAL RECLAMATION REPORT
Media Type
D
Archive
No
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nI~'m1y N,lulrn.../ y/ nm.nem/ <br />r4AME_ ,-Dl. ~ ! ~:L1AI.~.~Jii`A.~L1.,~e~----- <br />ADDRES9COL, ~,iyF_____________ <br />---5]-3.LS.SAL :AIL"1L3Y_13-------- <br />---d~EKE~---------;Z31~'11-- <br />FACILfTT <br />----------------------- <br />LOCATION ________ <br />~AP~TYe R. D Il :ii_TDB DR 4SiI1RRP <br />UISI:MAH %, NIIUNINf: ktF'VHI I NMN/ <br />^~ ..95D0,~" ^10 A <br />PERMIT NUMBER olac.Awee wVwes <br />I MONITORING PERIOD I <br />FROM <br />TO <br />yi.IlnR ~ <br />(S U 13 R ri Y ~ rl'DTr'?PProved. ~.J .• '('} <br />-' P I N A L OMB No. 2040-0004 <br />d <br />E. [A4LOR P'PPRrAVB~'PI"~~1~I:~Jf~4C,P.2?K ` j. <br />ass po Dr~~RAacr ~_-~ ~~s <br />NOTE: Read instructions before completing this form. <br /> (J Grd Only) QUANTITY OR LOADING (4 Grd Only) ~ QUALITY OR CONCENTRATION <br />i <br />PARAMETER' <br />(46-JJ) (54-61) <br />(J8-45) (46-53) (54-61) <br />NO. FREIX1ENCV <br />~ <br />SAMP E <br /> EX ANALYSIS TYP <br />. (J1-JI) 1} - <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS (6IfiJ1 (6468) (6370) <br />~ <br />OCL A!/D ,.REASE SAMPLE k('Y `# ( ?!' ~~~~%~ .`-G`.'>:h F% 4`'X'k b;=` ~( <br />Y[•S 1)~L MEASUREMENT O /~•~/ J~SN4~ <br />B'1 <br />065 1 D U OR:?fitr A vj.1 Q+krtEe:h-" "XyF#itSl:fF 4t3### r'k• P <br />?RLY ISUA[ <br />. PERMIT . , <br />. . <br />EPFLUEN7 ;R]SS PALO" REQUIREMENT INST !'SRC V)=0 =I-">k~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ ~ ` <br /> REQUIREMENT .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ~ ~ ~ ' <br /> REQUIREMENT. ~ ~ ' <br /> SAMPLE <br /> MEASUREMENT ' <br />' ~~ ~ PERMIT <br />1 REQUIREMENT ~ '~ "' ' <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT ~ • ~ - .. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> "PERMIT <br /> REQUIREMFM <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />~ <br />~ ~~ <br />PERMIT <br /> <br />. <br />1 <br />I .~'~~ <br /> <br />. i <br />. <br />1 Is, ~.,s. 1 <br />~ <br />( REQUIREMMENT: , . . <br />, <br />~, .1 <br />~ ' . <br />I <br />, . <br /> I' ' <br />S <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERnFY UNDER PENALTY OF LAw rHAi I HAVE PERSEMWLLV E%AMINED" <br />' TELEPHONE D A T E <br /> . AND AM FAMILLAR WfTH THE INFORMATION SUBMITTED HEREIN AND BASED <br /> 'ON MY MDURY CF THOSE INLYVIDUALS IMMEDIATELY RESIYNJSIBLE FOR <br /> OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE ACCURATE AND COMPLETE. I AM PWARE THAT THERE ARE <br />SIGMFICANT PENALTES FOR SUBMITTING FA <br />SE 11 <br />T <br />RM <br />O <br />U <br />NG <br /> L <br />JFO <br />A <br />I <br />N. INGL <br />p <br />' THE ?OS51BILrrY~, OF FINE AND IMPRISONMENT BEE 19 USC Y IDOL AND <br />33 USC f <br />319 <br />R <br />bi <br />d <br />h <br />b <br />f IGNATUREO PRINCIPAL EXECUTIVE <br /> <br />TTPED OR PRINTED 1 <br />. ( <br />na <br />es un <br />er t <br />ese sbmlH myy <br />ulude <br />ines up to <br />fl0p(q arM or ma simum irtlpnsonmenr o! between 6 months aM 5 )nrs) <br />OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />TEAR <br />MO <br />DAY <br /> C <br />CVMMGrvI ArvIJ CXYLANATIpN pF ANT VIOLATIONS (Xe!<renee ell 9If8Qlnlenf5 ^CreJ <br />SET%L2ADLP SOf.LDS LI9LP APPLIES ORLY I° C= I:"=YR~ ?'!-RR PRECIP SY?!+T TS CLAif!P.D. Lc CLAT9 APP307FD RY <br />'72~DF TSS S IR78 LI~~ITS VCLL !!7T it° APPLIED Tn RP,PORTED MF:ASURr'.!ERTS--SEE I.R.10.~ PG 4 AND I. B.1~D, ^: S, <br />3320-1 (Rev. 9-88) Revious editions may be used. (REPLACES EPA FORM T•10 WHICH MAY NOT BE USED) PAGE ~ OF <br />0023!1/44')022-1657 <br />
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