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PERMITTEE NAME/ADDRESS /Include Facilifv .NanrrlL.raturrt iJlhJJerent) <br />NAME _ .. L.LC <br />ADDRESS ~ _ ._ _ I •: '.°i i :+I <br />rJJC r~i28 <br />CO F~2A~4 <br />y <br />FACILITY ', ;GR F ZOfd M I h1E <br />LOCATION ~ {~ L~ G O ~ i 4? 4 <br />I.AIU('1= WI~f}F. MTfVF M~C1AIAf~FR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEA MO DAY <br />FROM TO <br />Form Approvod. <br />OMB No. 2040-0004 <br />F - FINAL !•~r•.IiRS <br />5R2~MINE DRNG Tti7 Ti1TT~_F i1RAW <br />!~~ <br />N(1TF• Ra~ri Inetnrrtinnc hn}nrn rmm~letinn }hic fnrm <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />• MEASUREMENT <br /> PERMIT ~ , , R~; r•.r_I i <br />,~r• , <br /> REQUIREMENT :30U1i +a~'~ L7r'>iL'+' `i~'. ,. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -' ? } f .. ' _ _ <br /> REQUIREMENT ;_',Ci.~r. - I-1Y~ I1_ Y' M)" , : , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~•~, :. .~.a-fix n-:- ~ c_- - - <br /> REQUIREMENT - ~ t: i:' %:'r .+_ ; ~-; ;; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ ..~. ~ - ~ . _ , , I t , . _ <br /> REQUIREMENT .;: S;:'i-; :-• ,`~a i=;A T1_~' hik ;~': ; ; <br /> SAMPLE - <br />.., MEASUREMENT <br />• PERMIT ~ :~. ~ ... -..- - :: i.- . - r` <br /> REQUIREMENT . - , .. , A V ~.; is ri I L. Y' ~, j~ _ i•' :: s I <br /> SAMPLE •- - <br /> MEASUREMENT <br /> PERMIT :- s- l~ ;: is .. Ic <br /> REQUIREMENT - ?(~DFs ',';- D~. i i_Y i-i-`- - <br /> SAMPLE I - <br /> MEASUREMENT <br /> PERMIT - .. < is a• s ~ a is u ~ r ~: ; ~ , r.' - <br /> REQUIREMENT -~ •._~ •~ r; ~i l • := ~ r; I ! ~•` f-I d .~ ` I' I ` <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I n'rtih under penalh ..f mw that Ihi. donrmrm anA all amchmems were TELEPHONE DATE <br /> prcparcd under m~ dim~lirar ur wp•rcision In aa~ortlunrr with a s~slem Aeslkned ~~ <br />- Iw assure lhal qualified personnel pnyxd~ Kalher and rsaluam Ihr informalim _ _._.._. _.. <br />-_ ___ suMnit~ d. Rased on mr fnyuin rd the pcr+rw or pcnuns who monaKe Ibe scslrm. 1 ~`~ <br />~ nr Ihuse prnrms dietetic rrsgmsiWe for Ralherin~ the iolormuti.m. Ihr information ~` -, <br />~w-s , whmill.d is, M the I+esl of m~ knowledpr and brlkf, true. uccunlr <br />and avanplete l • <br />I ~ 7 <br />' ~ ? i 1 ~ <br /> , <br />. <br />I am aware lbal Iherc art ci <br />nifiram <br />rnahiec for sub <br />ilci <br />l <br />ti <br />f <br />I <br />f <br />SIGNATURE OF PRINCIPAL EXECUTIVE ~ ~D <br />. <br />._ <br />t <br />- - "~ <br />TYPED R PRINTED <br />..r.....e-. g <br />p <br />m <br />nK <br />a <br />se <br />n <br />orma <br />on. <br />including Ibe pmsihihh of fine •rnd imprisrmmem for knowinX cuAaUons. OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />.+..~..+ ~nrssr.r.~rvn yr e+..~ .w~n1rV1.J {Herat CllGC tl11 iftltlGlfllIC11/J (Idrt'f <br />[Ili- :~ r' Buns <br />