Laserfiche WebLink
PERMITTEE NAME/ADDRESS (7nebele FwikoyNamwLocarlon ((D(06mm) <br />NAME <br />ADDRESS <br />BOX 483 <br />i? I A CO 81426 <br />FACILITY 1E NO. 2 MINE <br />LOCATION N I A CO E31426 <br />._LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM //NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO • : ; <br />form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUER MH) <br />F - FIN- L &L <br />DSCHG r7: ' i ; f?^d RIVER <br />NOTE: Read irmtrucdorw before complell" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENcY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ####::: >### _ r.,4 -h rF <br /> REQUIREMENT MINI MUM MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #lf#4•# f ?t:F;:•« ##a#+? t :fir. r <br />_t _IJI. REQUIREMENT :3 :,:? H ;' li . C<"• ' i i "I'{ 1.11 1*4 H <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##ii### ?F s1#st i!# #Rt It#x REPORT G. EP OR T' NCE,: <br />VAL REQUIREMENT 30DA AV(].' DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - t s ###ar # #'#### 3000 6000 INCC-; AD <br /> REQUIREMENT 30DA AV(:' DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ., a ?... : j 11`4 <br /> REQUIREMENT <br /> .r•. __ I I AX. ;T <br /> SAMPLE <br />=;'i i`lEN i F' MEASUREMENT <br />7 PERMIT F. . •o-. ., 1 „ .? h ... 1 l <br /> REQUIREMENT ?.. , : -. . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT a # : r._ : 7..-)At <br /> REQUIREMENT ;. <br />NAME/T1TLE PRINCIPAL EXECUTIVE OFFICER Ieertlly Y r pen. ty n law that thH document and slt aludlments were TELEPHONE DATE <br /> prepared under my direction or super.laton In accordanre with a system elelgned <br /> to asum that qu.HRed parsonnd propel] gather and esaluale the Inkwmallon <br />submitted. Based on my Inquiry a( the person or persona who manage the s"Ien, <br /> ar those <br />ersons directl <br />res <br />onsible roc <br />atheri <br />th <br />Inf <br />r <br />l <br />th <br />I <br />f <br />ti - <br /> p <br />y <br />p <br />g <br />ng <br />e <br />o <br />ma <br />on• <br />e <br />n <br />orma <br />on <br /> submitted Is, to the best a my knowledge and belief. Ire. accurate. and complete. <br />I am aware that there are signlncant <br />enal"" for mbmltdn <br />fats tntormstion <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> p <br />g <br />, <br />TYPED OR PRINTED Inctudtng the podbluty of nrw rd imp lsonmeM for knowing .t?i.uo n OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference a# ettRChments herel <br />4HR PRECIP EVENT IS CLAIhtFD. IT CLAIM APPRs?VFP I-Y +,40CDa <br />L ^;c ASIJl•, I f_-; 1TS-SEE 1 <br />+4wpi T P(' <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used , , )Th4 pj,? g 4-pal l[§rm. PAGE _OF