Laserfiche WebLink
pERM1TTEE NAME/ADDRESS(lweY4FrWryNw/Leeala.l/DIQG.wv) NATIONAL POLLUTANT OISCHAAOE ELIMINATION SY3TE7.1 /INPDESI <br />NAME DISCHARGE MONITORINQ REPORT (DMRI <br />ADDRESS <br />-~• BOX 187 PERMIT NUMBER ascNAROENLIMeEx <br />RA I G ` ' ` ' ~ •_ _ MONITORING PERIOD <br />fACllm' r} :UPPER MINE YEAR MO DAY YEAR MO DAY <br />LoCAT10N • i I G C O ~ -' ` . FROM - TO <br />',YMOND G. DU $DIS, PRESi ~=~'~ <br />Fam Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL <br />DISCHARGE TO HORSE GULCH <br />MOFAT <br />NOTE: R~~d fnetrucdorw b~tore completlr~q thl~ form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX RqE°~ENCr <br />or SAMPLE <br /> ANALrss TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE st ~ `i iF ~ ~~ <br /> MEASUREMENT <br /> PERMIT '.Fii•dE•#'.; ;, R . _ sr-#4~ _... .: '-#### # :1•##~'r !_ •1; ' !;-a <br /> REQUIREMENT I~dSI' MAX .: - !-iDP3T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -~~ <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~ ~ <br /> SAMPLE ~ <br />~ t ~' ~ <br /> MEASUREMENT } ' <br />l ' <br />yi <br /> PERMIT y <br />~ <br /> REOUIREMEN7 ~ <br /> SAMPLE f ~ <br /> MEASUREMENT <br /> PERMIT /~ <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> ~~ <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I Kfill~ Y pen. q e L, ma Ihb documrwl end dl .u.chrnenb were TELEPHONE <br />rllh <br />I <br />r <br />d <br />nder <br />dl <br />clbn a <br />.hl <br />n In <br />m d <br />l <br />d <br />d DATE <br />p <br />tp.re <br />u <br />my <br />re <br />wpet <br />o <br />etca <br />ante <br />..]. <br />r <br />es <br />~ne <br />le tif.11R IhN ~ueMlMd personnel peoperlJ plher taM ereM.le IM Inf«.neUon <br />~ <br />~ <br />, <br />- ! . ~ fnht11111ed. 6tsed on m~ Irpu17 er the pveoa « pert+ar .ho mentor the.ntrrn, / <br />~ ~ <br />y --~ <br />~ <br />; . ~ / ~ ` ~ ~ <br />- •..f : ~ <br />/l " <br />~' <br />« Ihox prreotn dlrertl~ rrrper.ribk r« ptherlnf the InrormeUOn, the inlornrtbn <br />L/ <br />- <br />~. <br />! <br />k <br />h <br />f <br />~~ <br />~ <br />/ <br />/ <br />- <br />m7 <br />wbmllled b. to the <br />erl o <br />ro. <br />ed~e .nd he1Mf. Irw, tKCUnte. end cempkle. <br />, <br />- <br />t .m .w.n uu mrn .R drNn.,~o yn.m., r~~ n,n„vln„ <br />r.14 hr~,.,,.n~~ EIONATI)RE OF -RINGI-AL E)CECUTrvE ! - <br />. <br /> r ' <br />TYPED OR PRINTED ~~+~:~~tthepnal•nu.~rn.,..~:<tin,pn,.,.,.,,,.,,,,...,,,r.:r,.~.,.,~, uFFICERORAIITMORIZEOAClEiE <br />i CODE NUMBER YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fRderenc• DIY ~-tachm~nts h~i~l <br />- '~I3!_ F SO! IDS LIMIT APP!_ IED FOR <'=1fJY!?: ~4l-1R PRPt';T_P F'J~P~! T - <br />EPA Form 3320-1 (Rev. 3/991 Previous editions may be used. _ ; ~1~~~e~•l-Q~(Qnp, PAGE QF~ <br />~" <br />