Laserfiche WebLink
PERMITTEE NAME/ADDRESS andrukFocilin h'urtalacurinrrt/Ui1jerent/ <br />NAME <br />' L L C <br />ADDRESS J EAST & WEST MINES <br />453 <br />L:'FUTA CC 81421 <br />FACiLITY 11.1 T t•• r.- , <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER _ F-1 NAL <br />MONITORING PFRInn it i NE AREA Tn cI <br />Form Approved. <br />OMB No. 2040-0004 <br /> <br />- , uc wca I n 1 IML . YEAR MO DAY YEAR MO DAY <br />LOCATION - <br />C O FT FROM TO <br />' <br />i <br />•!; VP' GM <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING OUAUTY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />OF <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />- PERMIT > 7##dt# ;t??fiF# sirs} ?, 5 ##ulf q O <br />- <br /> REQUIREMENT ` KLY I" <br /> r#+f rz.Nl MAkIMI-j <br /> SAMPLE # st- sr -:t <br /> <br />MEASUREMENT % <br /> <br /> <br /> PERMIT ###st•>f# #? #?f v# iFst?t#a1# :.15 70 <br /> <br />;,: : ;• <br />REQUIREMENT .N..E/ rFi <br /> _iC'DA AVG DA T L Y Mf' it! ITI- <br /> SAMPLE c J ) <br /> MEASUREMENT <br /> <br />U P + <br /> ERMIT F##a 1# #?^.#il# **k `#Yr#ifx j P r <br />I <br />INUE/ <br /> <br />' <br />F' <• <br />:1r S 'JAL_lJ' REQUIREMENT - = <br /> # x (DA A`,)G 71 :1 L Y 11 X MONTf <br /> SAMPLE +.: }.. .. u t-:t i 3 ? <br />_ MEASUREMENT <br /> <br /> ' <br /> PERMIT it i}# <br />t# 3F iF# if ## ii ! ## #iF##al'! -. S <br />- ?. O <br />:iNl:l=/ <br />GRAD <br /> REQUIREMENT t <br /> <br />SAMP <br />E .,•?#i <br />- DH I L1 M X ' > _ ,` <br />_ <br />' <br />MONTI <br /> L 3i iF # iF x t 1 c % <br /> MEASUREMENT <br />1 <br /> PERMIT :}ft#st# ##•!## # :; :r; - c <br />O 4 () P <br /> <br />' <br />REQUIREMENT . j <br />}C1=t FzF,^ <br />r <br />SA -OD", AVr r^,IL_Y MX MG :1 MDfJTF <br /> MPLE <br /> MEASUREMENT <br />: <br />-. <br />' PERMIT E i ?i!# >t 3tiF?2 Q## ix#tt 10 N' <br /> <br />r F!- N i Gi'`15-5 VALI' <br />REQUIREMENT IN vf'f,17 <br /> <br />C GNDL) I T <br />SAMPLE <br />r r1.I:-;'7 MAX i1t-• `! -)ENT <br /> <br />T "'F-NT PL ??14 ! <br />MEASUREMENT 0 # a x : cr its: <br /> <br /> PERMIT FEPnRT REPORT #'+#'t;r #it#### # #?t## "K PI NS i <br /> <br />REQUIREMENT <br />1;)C=+ AVG <br />1;ATLY MX f <br />-;t_'t) _. s • <br />NAME/TITLE PRINCIPAL EXECUTIVE O FFICER I certify u nder penalty of law that thi s document and all attachm ents were J <br /> <br /> <br />/ T <br />r <br />prepared <br />to assure t <br />under my dirccuon or super <br />hat <br />d <br />lif <br />l <br />vision m accordance with a <br />system &-signed j T ELEPHON E <br />DAT <br />E <br />j <br />, <br />•l qua <br />personne <br />ie <br />pro perly gather and csaltwtc th e tnhumatiun <br /> submitted <br />h Rascd on my mquity of th e petwn or persons who m anage the system . / <br />i - - <br />- or t <br />ose p <br />submitted crsuns directly re;portsiblc <br />i <br />t <br />th for gathering the informatio n, the informatio n <br />j <br />i s, <br />o <br />e best of my knowl edgc and belief, true, accur ate- and complete . <br /> <br />TYPED OR PRINTED 1 am awar <br />including e that there arc significant <br />the pncsibilny of fine and i pcn.dne, for submittmg fals <br />r:,, n <br />m <br />t fo <br />k e informatiot4 <br />l IGNATU <br />OFFIC RE OF PRINCIPAL E <br />ER OR AUTHOR <br />Z XECUTIVE / D <br />E p <br />a+n <br />r <br />nowing v io <br />ations I <br />ED AGENT NU <br /> <br />COMM <br />NTS AND EXPLANATION OF A <br />NY VIOL <br />ATIONS ( <br />Reference all attac <br />hments here) <br />CODE MBER <br />YEAR <br />MO <br />DAY <br />:?ETTL EALLr' SOLI <br />FART I. R. 1. D. <br />OR 10-YR. :241-IR PRECIF EVENT SUBJECT TO BURDEN OF PROOF REGUIF <br />:..? used. <br />000-3/o4 <br />is1i?!apmlTf?rnt.