Laserfiche WebLink
PERMITTEE NAMEIADDRESS rLrcdudc Fircdm ,Yumr'L«ra;an q Dghrrnrl <br />NAME <br />ADDRESS EAST & WEST MINES <br />BOX 4.83 <br />'C I A b 81428 <br />FACILITY ; E r..i3. 1 EAST t WES MINES <br />LOCATION ,q IA ;Ll E1428 <br />111 ?,yc .= u ^nlcl»rd. k)P /r3M <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <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 />( SUBR MH ) <br />F - FINAL DELTA <br />W. MINE AREA TO E. ROATCAP CRK <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE tz K it r.. f 'r ) <br />T) 19SCIL '.; ,- MEASUREMENT <br /> PERMIT ##ir### u°. ### 1t .. ,. -.. r ._PORT F;: GRAD, <br />' REQUIREMENT .-i o .1R T J:' AVG CIF' <br /> SAMPLE i R><t 94) cK xrt <br /> MEASUREMENT <br />_ <br /> <br />PERMIT <br />REPOP. l <br />?_ i= l <br />L`?i #tt s i+ <br />It##?E it# <br />## .. It tt <br />it 3E ii .• <br />IA.LY <br />1 a: T T <br />r1 <br /> *; <br />`> <br />I..l1EP?(T (3R0S3 ViiL I r REQUIREMENT : iVS ( 11riX : <br />? <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 1 .crtiN under penalty of law that this dmumcot and all attachments w'cre TELEPHONE DATE <br /> prepared tinder my duectton or supcniston in accordance with a system designed <br /> to assure that qualified personnel properly gather and es-aluaic the information <br />l <br /> submitted- Based on my inquiry of the pcm n or persons who manage the %yNacm. <br /> or thou persons directly responsible fix gathering the information, the inf rntation <br />1 <br />i a r t <br />submitted is, to the beat of my knowledge and lxlicf, true, accurntc, and complete <br />if <br />lti <br />I' <br />b <br />ati <br />f <br />l <br />i <br />f <br />ti <br />h <br />h <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />d --? <br />i <br />?7 <br />TYPED OR PRINTED ar su <br />I am aware t <br />at t <br />ere arc sign <br />icant petu <br />r, <br />m <br />ng <br />a <br />se <br />n <br />orma <br />on <br />including the p »stbtlity of tine and impri.o::mcnt for knnserng ciolntions OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />I.UMMtNI, ANU tXF'LANAIIUN Ur ANT <br /> <br />N OF PROOF F <br />h