1987-12-01_PERMIT FILE - C1981017 ‎(262)‎

• 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 POLLUTANT Oi% GE ELIMINATION SYSTEM r:
DISCHARGE!
NG REPORT i.5d RD0i3
E<
l=
P
INSTRUCTIONS £'
1. Provide dates for period covered by tldw report In spaces marked"REPORTING PERIOD". t t
! L J 2. Enter reported minimum, average and maximum values under"QUANTITY"slid"CONCENTRATION" t =
1 - in the units specified for each parameter as appropriate. Do not enter values in boxc3 containing
(z•3I 1!-la u?-rvl — asterisks. "AVERAGE" 13 average computed over actual time discharge is operating. "MA%[MUM" - w
and"MININIUM" are extreme values observed during the reporting period s'
CO--075-OYR-2-00019 39°11'S�" 107°17'38" 3. Specify the number of anolyaed samples that exceed the maximum;and/or minimum"as appropriate) ;
-- permit conditions in the columns labeled"No. Ex." It none, enter"O".
ST PERMIT NUMBER L OIS SIC LATITUDE LONGITUDE q y y p ydays. ( g„ equiva-
lent
I 0. Specify [re frequency of analysis for each parameter as No. Dual se6/No. e. "3/7"is r
S - Izo-zu I:z•zy I2!•zm Ixe-xn Ize-zsl I3o•3u to 3 analyses performed every 7 dnys.) if continuous enter"CONT." '
S. Specify sample type("grab"or"—he. composite")as applicable. If frequency was continuous,
If
i enter 'NA".
REPORTING PERIOD: FROM TO F
1—.Ltn.y
6. Appropriate signature is required on bottom of this form.YEAR MO DAV R O 7. Remove carbon and retain copy for your records. -
8. Fold along dotted lines, staple and mail Original to office specified In permit.
j 132-311 le!•011 ,_109•?Ot F.
(3 card only) — (e cord only) CONCENTRATION _ FREQUENCY �{
QUANTITY 130-.61 Ib-091 16t011 102-631136-l31 IM-bin melon SAMPLE 102-63 +'.
PARAMETER NO. NO. OF
MINIMUM AVERAGE— MAXIMUM UNITS EX MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE
0
1 NEPORTED
PERMIT -- _-- ---
_ CONDITION — -- -_ _--_
1 REPORTED `1
—
-_PERMIT �`-
4'
CONDITION
1
REPORTED NO TEPORTED DISCHARGE DURING RE OR.ING PERIO l±
PE RIAIT
CONDITION
t REPORTED 1
j --_
1 PERMIT
CONDITION—
REPORTED
D CAW T _ --- _-- - -
- _ CONDITION
3ji REPORTED
PERMIT
• ,CONOI TION --_—
REPORTED if
PERMIT
,j CONDITION —_ _ — ti
J REPORTEO
PERMIT
CONDITION .. _
NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER — DATE
_-- - -- ---- - I certify that I am familiar with the Information contsinad In this
report and that to the beat of my knowledge and belief such Infor• _
J. A. Reeves _ xeeutive Vice _President 7� 6 1 0 3� motion is true, complete,and accurate. /GHATUAE OF PRINCIPAL EXECUTIVE
LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT I
EPA Form 3320-1 t 10.72) PAGE. OF
i
ORIGINAL
,
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