Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Include Facility NamelLocation if Different) <br />NAME PITTSBURS7 )''1IDEIA;' COML. MINING <br />ADDRESS NINE <br />1145 INVERNESS' -nR.'V1= H, aTr-- 20 <br />ENOLF000D CD 80112 <br />FACILITY Hro_ NA M I N <br />LOCATION i.E1s' K .+? y't? p± r+y? 1 t?t?•1:`r El 4 r v ?s;' <br />ATTN: '-I`E?,+£_ LEACH, `9, ENV ENGINEER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />004 A <br />PERMIT NUMBER [DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ?J-, u to . TO P -'= ua- <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />SUBR '1G } <br />^ l1j1AL RW T 7 <br />13RFACE RLI€' UF'r T13 TRC ?iJ T. r4 'gib <br />kf#+? NO DISCHARGE 1 -1 <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />Ovl.._ AND GREAZE SAMPLE 94) ##tr?{E: 3?#?#ii# 3f###st3i <br /> <br />I f <br />il l fi L <br />V 1 SUAL_ MEASUREMENT <br />? <br />Ofa4 Ci PERMIT <br />>FFLUE'I' T GROSS VAsLUI REQUIREMENT m0=0 <br />r. SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE , <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were <br />ervision in accordance with a s <br />stem desi <br />ned <br />ed under m <br />direction or su <br />a <br />re <br />TELEPHON <br />E <br />DATE <br /> g <br />p <br />y <br />p <br />p <br />r <br />y <br />to assure that qualified personnel properly gather and evaluate the information <br />J?J tX. W submitted. Based on my inquiry of the person or persons who manage the system, <br /> or those persons directly responsible for gathering the information, the information V <br />J <br /> to the best of my knowledge and belief <br />true <br />accurate <br />and complete. <br />submitted is .?v3 S3U `{? ?3 O (0 ? <br />j <br /> , <br />, <br />, <br />, <br />if <br />t <br />lti <br />f <br />b <br />itti <br />f <br />l <br />i <br />f <br />ti <br />n <br />I <br />th <br />t th <br />i SIGNATURE OF PRINCIPAL EXECUTIVE v . <br />TYPED OR PRINTED gn <br />ican <br />pena <br />es <br />or su <br />m <br />ng <br />a <br />se <br />n <br />orma <br />o <br />, <br />am aware <br />a <br />ere are s <br />including the possibility of fine and imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA IIUN Ur ANY VIULAI IUNS (Hererence all artacnmenrs nere) yp? t? ty FOR ?t t t <br />-11 , i?ETT€. ABLE ti.3? !D5 )..UN' WILL BE WANED FOR >10YR, 24KR t it? k+I?R EVI=ti SEC A:. a. A. 2+ tes rGs 4 Ft. R REQUIREMENTS. <br />OR I RLY SAMPLING I NSTIRUC L'IO'NS - 1. C. 10, PG. r'a. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 0006,-/0 ?l.'STi"s3A 4•-" & farm. PAGE ;OF