|
FERMITTEE NAME/AODRESS (/weVi i/AYryXw/Ler~rrew 1/D(~fl.wr)
<br />NAME -
<br />ADORESS _,-,,,,., _;~r _ .-._;. ~,itr^. ?i1iJc
<br />BOX 53~
<br />'"RSET CO 8
<br />FACILITY _'ORN CRK &. ELK CRK MINE
<br />~oc~-TaN ~ti,RSET Cf7 8
<br />,~'1FR 7 C.i7OPFR, EXEC V. P.
<br />NATIONAL POIIUTANT OISCNMOE ELIMINATION SY9TEM_ fNPDESI
<br />DISCHARGE MONITORING REPORT (D RI
<br />PERMIT NUMBER aSCHMOE Nl1M0EA
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO OAY
<br />FROM TO
<br />Form Approved.
<br />OMB No 2040-0004
<br />MINOR
<br />fSUBR MH)
<br />F - FINAL
<br />SEuIMEtd1' PC3(•.iD T~ Ea_K CREEif
<br />•
<br />,a~fVl:~
<br />NOTE: R~~d Ir>•tructiorn b~tor~ compl~tinp thb form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO•
<br />
<br />EX ~ECIn:NCr
<br />of SAMPLE
<br />
<br />TYPE
<br /> ANALrsls
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />
<br />E
<br />~ ' `~
<br />~
<br />~, j Y
<br />~ I ,~
<br />j ' _
<br />/d ~i %`-1
<br /> MENT
<br />MEASUR
<br />.. PERMIT #*-1t~-3~.}: ;~.: ;: .. ~ b . ~~ ~.~ #### 4. O ~ / I NS I T
<br />'~I~~; „ REQUIREMENT # N' `'!; i'1~._'~'! M I`1 ~;:_;!`dT
<br />t-OT H~ SAMPLE
<br />~~~
<br />~~
<br />7 MEASUREMENT ~
<br />~!', i PERMIT ###### ir'.tii#-itif~ #-kit#itiP - T(] •- r ~r
<br />~ R:]S~; ~ REQUIREMENT
<br />TI ,= i',, SAMPLE i -
<br />
<br />~ ~
<br />i .-
<br />~ '
<br />; ~'J
<br />_
<br /> MEASUREMENT
<br />_ PERMIT #*#~## #~-~~~~- ~#~t~> -- DEPORT REPORT ~I'1CE~ 'F-..~~'-,
<br />~-. .- ~ ;~`? REQUIREMENT - :_',OtiA AVG i-tYLY ~'IX ~~ (`ION
<br />I i=t a .i . _ SAMPLE - z -z, ; ~ ., ;_ /
<br />~
<br /> MEASUREMENT ice` F_ / .`--'
<br />.-, PERMIT i::7 :n ~ :~# ?t -~ ~'!-# #####'.: :iV~O 6OVO NCE/ - fit^,i~
<br />~ .. REQUIREMENT ,:~(~t)A Atl(~ DA IL t` ("fX i~IGI`~T
<br /> SAMPLE
<br /> MEASUREMENT ~' '
<br />--- I O ~ , PERMIT ~ .. x-t ii- k~~ >f#~ ~ .-: ;: ~ K :. . ,. . ;r-_ z(S .~.~iT I(' =''r~,•~L
<br />~i GROE:~.• `~,,i_ _ REQUIREMENT x(wt:;T ('!FIX - .~T
<br />t I i`•I '~ UNUU I i.. t.1R SAMPLE .
<br />REATMENT PI - ' ' MEASUREMENT ~ %
<br />'_: '.t 1 f) O PERMIT REPORT REPORT i`"-#->t:;.i. ,. ,.... _ ; .~ ~- i ; ; .: , r;r.
<br />_.UEPJ T GROSS :~ ~,,.. REQUIREMENT 30I1A r'-. :: ,i I LY ~iX
<br />fT'L
<br />At'dD GRFASI" SAMPLE ~s-'
<br />~ ~
<br />'
<br /> MEASUREMENT L ~
<br />PERMIT -?E'#~ -'SPORT ~ `_ it•i<##: >~ -##~iF#ir- ;-aF3F# }'~ ..' ,' 2 ~•+v
<br />REQUIREMENT ~ i'1?i' MAX - ri>.: . .
<br />NAMEfTITLE PRINCIPAL EXECUTNE OFFICER ' "^" r l w"•'1 °r ~., In.1 u1, eoavmnll .ed .a.ll.rnl,~eou ,en TELEPHONE GATE
<br />pRplftdYMer Iwr Elrec 11011 M euPenhlow I. /ecord/m. ,ile .,Mewl dal~rled
<br />eo ~R IAN a./nn.a penow11e1 properly i.ln...l,e e.llu.le IAe Iwroem/tbw
<br />_ .
<br />/~.... ,.e
<br />m
<br />lr
<br />.t
<br />rn
<br />a
<br />e.
<br />e
<br />Iw
<br />r lA
<br />n
<br />tA
<br />t
<br />w
<br />e
<br />.
<br />.l
<br />ow
<br />r
<br />qu
<br />~ o
<br />e pe
<br />ew « per/orr
<br />w lrrwl~e
<br />eln, 1
<br />e trl
<br />l
<br />dl
<br />tl
<br />wlek f
<br />If
<br />lh
<br />t
<br />IA
<br />f
<br />' t ~ ~ •
<br />fo/[ pene
<br />rec
<br />r rtspe
<br />p p
<br />or
<br />s
<br />er
<br />rq
<br />e Iw
<br />erm/Uew, lee Intorwl/ll/w
<br />~
<br />' I ! 1' .tlewilied 13. to llle Belt or m) 111en1ldjf .nd etrtf. IIYt. KcVnl.. .r14 ['0111p111f. ~ ~ ~ ~ ~~ :.
<br />~
<br />I/ 1
<br />~
<br />.. w
<br />l In
<br />eMtl
<br />.t
<br />m
<br />r
<br />e~ln
<br />m
<br />l
<br />J f10NATURE Of -AINC7-AL EJ(ECVTIVE
<br />w
<br />u
<br />~~ ~ , ~ :" ' ;
<br />
<br />TYPED ~ pgR,l~p .
<br />ert...
<br />°/l
<br />~ell.
<br />e
<br />o.,,,
<br />oi
<br />/.
<br />.
<br />.
<br />..
<br />.
<br />,,..
<br />oo,
<br />Ierellyd{rK Iet poleienq of nwt.lle 111gtbonrnewl ror krro.lw~ .MI.tlote.
<br />OFFICER OR AUTHORIZED AoElfT A A
<br />CODE NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (R~/~r~nc~ dl •tt~chmrrnts h~r~l
<br />
<br />
<br />
<br />EPA Form 3320-1 (Rev. 3~) Previous editions may be used. TfitS 18•R 4 P3Il I9y1fl. PAGE OlG
<br />
|