Laserfiche WebLink
FERMITTEE NAME)ADDRESS(I.."FaedrryN..?Lec.ti-(fD(Qwwe) <br />NAME <br />ADDRESS <br />BUX lEi7 <br />iG CO 816211 <br />FACILITY P P ER MINE <br />LOCATION T G CC 8162! <br />(MOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOES) <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />Y O IIATJ YE O D <br />FROM TO - <br />MINOR <br />(SUBR JC) <br />F - FINAL <br />Foam Approved. <br />OMB No 204040000 <br />MOFAT <br />DISCHARGE TO GROUSE GU! <br />NOTE: Reed Inetruttione before completing ehl. 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 77 <br /> MEASUREMENT <br /> - <br /> PERMIT <br />77 <br /> REQUIREMENT n M I114Lpvc?lel MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT -W _r R' it, -tt, <br />:?• . <br />1 <br />I ,1 L <br /> REQUIREMENT j'iAILY M '•L JTI <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT ?. <br /> REQUIREMENT ` t iJS'? 1AX :NT <br />t SAMPLE <br />1 TREATMEN' MEASUREMENT <br /> <br /> PERMIT t r _. .. _ ry <br />R!_;S,5 V ".. REQUIREMENT A AV(: -'AI _`r" MX <br /> SAMPLE <br /> MEASUREMENT <br /> <br />95 1 O O PERMIT r <br />LUENT {> REQUIREMENT - 3AA AVL DAILY MX <br /> <br /> <br />Amu '~ <br />- <br />SAMPLE <br />r <br />UAL MEASUREMENT <br /> <br />Z,6 1 0 PERMIT rr. . .-, <br /> REQUIREMENT N MAX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />t certtty r r penalty o law that this document and all atlachments were <br />NAME/TITLE PRINCIPAL EXECUTTVE OFFlCER prepared under my direction or duper ision in wcwdann with • system ddeined ?r TELEPHONE <br />DATE <br />to care that quaMried personnei property tether and eeaheate the information <br />oubmined. Based on my Inquiry of the person or penome who manage the,ritem, ? ? <br />`?•. _.?" ?:?` ' <br />??? <br />_ <br />w those persona dfn ty mpomdMr f« tetherin <br />the Inforenotlom <br />the Information ?- <br /> <br />` <br />; <br />g <br />, <br />subadiled Is. to the best of my knowledge and beef <br />1r <br />a nte <br />and tom <br />lelr <br />• <br />t? <br />j ? <br />. <br />/ <br />, <br />. <br />, <br />p <br />. . <br />. , <br />" <br />I m .wan that there ere ,Igrincem p-ltles rnr nbmnnng reeve Into-nation <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED . <br />tnctuding the po.dbtutr or Mme and impri-ni for it-Inf. .Ideuon>_ OFFFCER OR AUTHORIZED AGENT CARIA I <br />ODE HUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Refortienc• ?N attachments here) <br />21- <br />;_ABLE SOLIDS LIMIT APPLIED FOR <j=10YR, 24HR PRFC_P E:'JE1`1T- <br />r": TDS MONITORING, - I. B <br />DEL., <br />?; "9A171 !L. Y' % 6: 7 <br />y _ ?tl Sy 4- iL }jQrn1. PAGE ;OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used,