Laserfiche WebLink
PERMITTEE NAME/ADDRESS (Include Facilitt samdGlcation if Dgenal) <br />NAME <br />ADDRESS <br />GOX 670 <br />HA' -:N . CO 6163 <br />FACILITY _7. ;,,-A MINE COMPLEX <br />LOCATION i r N CO 8163 <br />_lY KARD, RECLAMATION MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />I <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Apprfved. r! <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR <br />F - F <br />DSCHG <br />NOTE: Read Instructions before completinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br />TYP <br /> EX ANALYSIS E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />MEASUREMENT <br />?. <br />r <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE / <br /> <br />MEASUREMENT r <br />? <br />; <br />` <br />% <br /> • <br />. <br /> PERMIT <br /> REQUIREMENT _ ;- - <br /> SAMPLE <br />I <br /> MEASUREMENT J <br /> PERMIT _ <br /> REQUIREMENT <br /> SAMPLE I <br /> MEASUREMENT <br /> PERMIT ` r <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT I <br /> <br />? { y <br />J <br />!I <br /> PERMIT T r, i- <br /> REQUIREMENT <br /> SAMPLE <br />f <br />? I ! <br /> MEASUREMENT I ? <br />L'C- n <br /> PERMIT _ <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certir) under penult, urlaw that this document and all utlachmenh were <br />TELEPHONE <br />DATE <br /> prepared under m, direction or sttpen ision in ,cc,rdance with a stem dmigoed <br /> In assure that yuulirted pe-nnet properh gather and evaluate itm information <br />" <br /> submitted. Nand on my inquire of the pr" <br />or per.uns who manage the ssoem, <br /> or throe persons dimtl} nsprmsihie for gathering the inf,rmuti the information <br /> suhmiued is, to the tm%t of mi knowledge and belief, true. attvr,te <br />and cwnpiele. .. <br /> , <br />1 um ,war <br />th <br />t th <br />a <br />i <br />if <br />lti <br />b <br />t <br />f <br />ilti <br />f <br />l <br />i <br />f <br />i <br />$IGNA RE OF PRINCIPAL EXECUTIVE <br /> <br />- ' 1 r?J <br />TYPED OR PRINTED e <br />a <br />ere <br />m s <br />gn <br />ican <br />pena <br />es <br />or w <br />tn <br />ng <br />a <br />w <br />n <br />ormat <br />on. <br />including the p-ibitiq of rine and imprisonment for knowing violations. OZ ER OR AUTHORIZED AGENT AREDA NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION ;Jr ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3!99) Previous editions may be used.