Laserfiche WebLink
Form Approved. <br />!•ERMITTEE NAME/ADDRESS ()wdiir t'«wryx~./Lxa,aw ~/D~rrwvJ NATIONAL POII,UTANT OISGMMOE ELIMINATION SYSTEM //NPDESI OMB No. 2040.0004 <br />NAME DISCHARGE MONITORING REPORT /DMRI •~ i f: if <br />ADDRESS '.~ (~UDP. JC <br />~. isCtX 1Fi PERMIT NUMBER ascNArwENUMeEn ~ - E'INq~ PiUFAT <br />A I G ~U S s ~ ~ ~ MONITORING PERIOD ~'' ~ T TESTING FOR 023A <br />FACarrv ~ :.,ppER MINE YEAR MO DAY Y R MO DAY ~- -- <br />LOCATION ~~ I b CO 81 c :: ~ . FROM TO _ - _ <br />~~+YMOND G. DU BOIS, PRESlGM NOTE: Rud k»trticdons b~11x~ complytiny thl~ 1wm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION Np, FnEauENCr SAMPLE <br /> OF <br /> EX ,UrKy~y TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />- SAMPLE ,- - z .. -~ ~-.. _ <br />_?-' MEASUREMENT <br /> <br />,~ i PERMIT rrr . ,. ,. _ I GO. {~ 1 ####•x . #3E# ,. , r. i <br />UENT GR~_~•,:; ~' REQUIREMENT t ~_, •MN VALtJ)= ~ .. <br />;~Tf?7 ~4- '; 7 ~P. SAMPLE - ~. <br />'iEP HfiL;_ :-~ MEASUREMENT <br />='C 1 PERMIT ##s~•##~ ~•~: tt~f-s`# 1G0. '':.~ ~ 7 #xicttt- ###•fF## ,_ r I FfL_`r' ..:;~ AI3 <br />I_Ui=NT s,;f~~_i`= ~ REQUIREMENT ~~UL ! <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ ' <br /> REQUIREMENT <br /> <br /> SAMPLE '. ~ 1 <br /> MEASUREMENT ~ A '~ ~~ ~ ,'~ I <br /> PERMIT I~~ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT -- <br />PERMIT <br />REQUIREMENT <br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER 1 nmy ° • prnr ry o L. UN uN donlmeM .nd .n Nbchmmb were ~ i TELEPHONE <br />pr*p.nd coder In) direclbn a fupervhlon In nccord.nre .IU . e)tlem dd~ned i DATE <br />. to aalln IAN IryNifkd perwnnei propeA) pleer .nd rrdu.te tee InfernlNbn /~ <br />~, ~l ', i .uemlaed, s,.ed nn In) Inq„1~ .rue penou or pnsoro rrne m.n.sr ter gsleln, / ,~ <br />~ <br />~ <br />; <br />er thoer penes dlrecll) rrapondeMr for plAeAn~ lee Inrernullow, tee Inlornrlbn .J~ <br />"''-L- <br />"~~ -- <br />wAr <br />lll <br />d k <br />b th <br />fi <br />t of <br />l <br />~4d <br />d <br />M <br />r <br />/~~ <br />' ~ ' <br />/ '~ <br />I <br />n <br />e <br />e <br />rs <br />m) <br />ne <br />~e ro <br />. <br />ee <br />e <br />, IrYe. .rrvnlt. erd rornpkle- ~ <br />t .: /J (: <br />; / ,' <br />, <br />•' 1 .m ..en lert Ihrn rn flprlfkiwl pentllln for eubmllNn~ frhr Informrtbn <br />EIaNATLME Of MIINClrAI EXECUTIVE ~ - <br />TYPED OR pR~TED . <br />InAlwlni gee pn.,lnuu. ornnr erle ImpAsonmenl rte. -~.,.I~~ .Idruol.. OFFICER OR AUTHORIZED AGENT CODE NVMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF AN7 VIOLATIONS /R~f~r~nc~ M/,.tt~chm~nt~ h~r~l <br />~-''Fl:~.`- r ~'i"Pf~AT I.C.Sf.? - STfiTISTTCAL P1-'INT f"'CTIMF;TE W!`!T'°r: Tr.' <br />-.. t <br />EPA Form 3320-1 (Rev 3/99) Previous editions maybe used. `_ - f _ -T~IiS iS;a;4-Q3lilQrin. PAGE OF / <br />