1987-12-01_PERMIT FILE - C1981017 ‎(180)‎

• Permit No: C1981017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/1/1987
• Doc Name: Mine Discharge Monitoring Reports
• Section_Exhibit Name: Chapter III Appendix III-E-4
• Media Type: D
• Archive: No

NATIONAL POLLUTANI0 iARGE ELIMINATION SYSTEM
DISCHARGE MuNITORING REPORT Approved
i2[ff3 tvc. Asa-Itoor3
IN/��- G T- C©,4L.. �aR•C. SAS/N rh ENE '�s
CYFRBOA/��-�
INSTRUCTIONS
1. Provide dater far period covered by this report In spaces markod"REPORTING PERIOD".
9. Enter reported minimum, average and maximum values under"QUANTITY"aad"CONCENTRATION"
i u•m 16-am n�_w) in the unite specified far each parameter as eppropiiate. Do not eager values In boxes containing
i asterisks. AVERAGE" Is average Computed over actual time discharge is operating. "MAXIMUM"
,+ p r -)$"� 11 / and"MINIMUM"are extreme values observed Burin the r
Ca � Z3 � g reporting period.
y � 3. 9pccify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate)
ST PERM I NUMBER OI6 SIC LATITUDE LONGITUDE permit conditions in the columns labeled"No. Ex." If none, enter"O".
_-----.- 4. Specify frequency Of analysis for each parameter as No. analyses/No. days. (e.g., 113/7"is equiva-
120-all (arid) t24-301 186-27I 420-201 130-31) lent t0 3 analyses perlomied every 7 days.) If continuous enter"CONT.'r
S. Specify sample type("grab"or"_hr. composite")as applicable. If frequency was continuous,
"+ enter -NA".
REPORTING PERIOD: FROM O r b TO
pp ? gInature is required on bottom of this form.
6.
A ra Iials si ,
YEAR MO OAY YEARt:ogh,Y �• Remove carbon and retain copy fur your records.
13
2 all — I$. Fold along dotted lines, staple and mail Original to office specified in permit.
16+-80 gee-'to)
.� 3J -donly)
QUANTITY (a wr11 only) CONCENTRATIONFREQUENCY PARAMETER t+a•es) (ea6N g6i-ea OF SAMPLE
" iae_.m 16e•e7! t
1e+eu mi-a ae•ea
_ - MINIMUM AVERAGE Mw AIMUM UNITS NO' MINIMUM AVERAGE MAXIMUM UNITS NO. TYPE
—.- —_ EX ANALYSIS
REPORTED --
PER`AI t
CONDITION
REPORTED
PERMIT
CONDITION
� S
REPORTED
C I
PERMIT - _
,:ONDITION
?Zt REPORTED
CON DI T1011
. REPORTED .� ) ^_ — --- - -_--_•- _
PERMIT
CONDITION
�3 REPORTED
I
PERMIT
' CON0I TION
I
REPORTED
•� PERMIT -- -_-_
t
CONDI TI OH
REPORTED
PERMIT
v
CONDITION
1 NAME OF PRINCIPAL EXECUTIVE OFFICER_ TITLE OF THE OFFICER TM DATE
f certify that I am familiar with the information contained In
jSEE t/E S �n�,/� �//t - [jn_ report and that to the best of my knowledge and belief ouch infer 4i �Cv ��
-- ------�+--- /(.�LG��C V��S�—L.L`�= '—� / 4 motion Is true, complete,and accurate. SiGNAT HE OF PRINCIPAL EXECUTIVE LAST FIRST MI 7i7LE YEAR MO DAY OFFICER OR AUTHORIZED AGENT
ti EPA Farm 3320.1 00.72)
y PAGE OF
ORIGINAL