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 POLLUTAII&MARGE ELIMINATION SYSTEM •
DISCHARGE MuNITORING REPORT Form Approved
OMB NO. JSS-ROO13
r A10 --GT CO/}-L PREP PLNkT 1
i CAR 60IU DA-LE:
GO �!6 2✓� INSTRUCTIONS
I. Provide dates for palled covered by WE report In spaces marked"REPORTING PERIOD".
4j Il_y 1. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION"
u•1m Ill-la) In the units specified for each parameter as appropriate. Do not enter values it,bcxea containing
asterisks AVERAGE" Is average computed over actual time discharge to operating. "MAXIMUM"
�I o a o 00 3 q d� 2J and"MINIMUM"are extreme values observed during the reporting period.
3. Specify the number of analyzed eemplez that erceed Lila m.ximum(and/or minimum as appropriate)
j ST PERMIT NUMBER DIS SIC LATITUDE LONGITUDE pPr it conditions In tho Columns labeled"No. Ex." If none,enter"O".
I - 4. Sperify frequency of analysis for each parameter a°No. analYsee/No, days. (e.g., "3/7"Ia equiva-
Izo_zu Izx•zsr cza-eel I:6-m Ize-ze1 1ee•311 lent to 3 auaaysea performed every 7 days.) It contlacous enter"CONT."
S. Specify sample type("grab"or"_hr. composite")as applicable. if frequency was continuous,
-7 enter NA".
j • REPORTING PERIOD: FROM ! D 7 D/ '
TO ? 43 ! � (1. Appropriate signature is required on Mttom of this form.
YEAR MO OAV YEAR MO DAY 7. Remove calbor.and retain copy for your records.
i �� Isz•ar) 8. Fold along Agltrd lines, -topic and mail Original to office specified In permit.
f (.i card only) tea-
. It QUANTITY (4 card only)
'i PARAMETER -- Iae•�m_ IIe-6st I8�6U CONCENTRATION
uz•ea•!ae•.a 146.53) la.•en FRPQUENCY SAMPLE___
MINIMUM - AVERAGE MAXIMUM UNITS eX- MINIMUM AVERAGE MAXIIdUM IlNITO NO. OF TYPE
REPORTED EX ANALYSIS
:1
PERMIT -
CONOITION
! REPORTED ••
7
PERMIT
CONDITION -}
ji
j REPORTED
PERMIT
CONDITION '•� t.
S
S REPORTED
PERMIT
CON DI TION
REPORTED
i I
I
1 PERMIT
CONDITION
i REPORTED I
' PERMIT ---
CONDO TIO N
REPORTED �I
PERMIT - "-- '-'--
__• _CONDITION t
! REPORTED it
PERMIT '
{ CONDITION
1 NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATe
j - I certify that I am femiliar with the information ooetaine,t 1
!r tilla_ _
r= -4 _ .EXEC L'f'f fjjC �'L'�C'1(r �l'j� report and that to the best of my knowledge and belief such info,
LAST FIRST i� LC --�' _L1L_`Y _ maHon Is true,comptale,and accurate SINAU i,E _
MI TITLE F PRIN CiPAI EXECUTIVE
YEAR MO DAY EPA Form 3720.1(10.72) OFFICER OR AUTHORIZED AGENT E._
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ORIGINAL