Laserfiche WebLink
i Form Approved. <br />PERMITTEE NAMEIADDRESS (Inc-luck FaciliN.'VamelLocoticm IIfDi,Q'eirno NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) OMB No. 2040-0004 <br />NAME mqL 'vUMP.- "•I'Y', _ DISCHARGE MONITORING REPORT (DMR) = ;.?nR <br />ADDRESS 1?C i l U : A N Y 0 N M L' <br />WEST M AIN STRE i PERMIT NUMBER DISCHARGE NUMBER ' INAL LAMA; <br />ANYON <br />NI DAD MONITORING PERIOD 'ARGE TO LORENC ITO C <br />FACILITY LNC I TO CANYON MINE YEAR MO DAY YEAR MO DAY <br />LOCATION T-ON Co sic FROM TO - x <br /> MT11T' MA1.1A?1tr, NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />OF <br />SAMPLE <br /> EX S TYPE <br /> ANALYSI <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />C:C : t i ? PERMIT ## #### 3t b. 5 <br />E F-FLIT',,-NT GRO55 VAL'•." REQUIREMENT sr i'" ' '; 1 f'lUi! MAXIMUM <br />?U <br /> <br />c, .•; ;', <,? <br />SAMPLE c ? <br />5USF ` MEASUREMENT <br /> <br />f'O5? <br />PERMIT <br />r..,#### <br />#'s###rf <br />##a <br />#ss#### <br />35 <br />70 -RAU <br />, <br />EFFl- VAi •)! REQUIREMENT 3:)DA AVG 1' I`9X "K..- i MONThi <br />5%I. ' .. SAMPLE <br /> MEASUREMENT <br /> PERMIT ?`#### #-t## ###### REPORT Q. 5 <br />F: REQUIREMENT 30DA AVG DAIL.'r I11X i''L_;'i. r1n!VTFi <br /> SAMPLE u ( 1>' . <br /> MEASUREMENT <br /> PERMIT *### #x#aa## a a #3t st 7.0 II INCEi 'RAP, <br />jF REQUIREMENT ?i A AVG DA-11 _ f ruin MONTH <br /> SAMPLE / f.. <br /> MEASUREMENT <br /> <br />PERMIT st##'t# # # <br />l? = i+ at 't" 2. D 4.0 NG ! R P <br /> REQUIREMENT -.100A AVG DAILY MX 1^c_ ; '- MONTH <br /> SAMPLE f## 'r r. ?f# #3: ### ! 9 . <br /> MEASUREMENT <br /> PERMIT ###### #=.: } ;: r: it '{? ##### I 't#•st### O k r_ 4 : ONT I' <br />N <br />7 'R <br />i '• <br />L1Jr=;J ; L _I:-. REQUIREMENT INS i GENT <br /> SAMPLE ( G:: <br />771;711 •TF-, AN-! MEASUREMENT <br /> PERMIT REPORT REPORT #;tltlt#? ?###o-? _ _ i i .?"r•:_"( T <br /> REQUIREMENT 30DA AV( A I 1_Y MX <br />NAMEfTITLE PRINCIPAL EXE E OFFICER I cerniy under penalty of law that thts document and all attachments wete <br />on in accordance with a system designed <br />under my direction nr p <br />•, ;?? TELEPHONE DATE <br />?V P • 0. ' t rl <br />1 <br />assna <br />;., assure that qualified personnel l properly gather and es•aluatt the information <br />N <br />ArA <br />/? <br />' submitted. [Eased on my inquiry of the person or persons who manage the system. <br />reapons,blc for gathering the information <br />the information <br />ons directl <br />r <br />th ry <br />` <br />. , <br />y <br />or <br />ose pe <br />s <br />t <br />d <br />f <br />d <br />l // <br />? <br />7 G _ ?? l? ?J <br /> <br />, true. accurate, an <br />comp <br />e <br />e. <br />belie <br />submitted is, to the hest of my knowledge an <br />SIGNATURE OF PRINCIPAL EXECUTIVE e - <br /> am aware that there an significant penalties for submitting false information. FICER OR AUTHORIZED AGENT <br />O AREA <br />TYPED OR <br />IN ossibility of tine and imprisonment (nt knowing violations. <br />l <br />di <br />the <br />! F CODE NUMBER YEAR MO DAY <br />PR <br />TED u <br />ng <br />p <br />n <br />c <br />COMMENTS ANU EXPLANATION OF ANY VIULAI IUrva VIVIUMFIGU Off laic/ <br />WA-1 rLEABL_E SOLID <br />? ;," D FOR >10YR, <br />rm 33 241 (Rev. 3i99) Previous editions may be used. rAGE OF