Laserfiche WebLink
PERMITTEE NAMEIADDRESS Nnrladr Focilitr A'ame/Gxtuinn if mffrrent) <br />NAME <br />ADDRESS _ <br />FACILITY ilt-41 I ' OIN 1`11 NE <br />LOCATION a l_ 0 8 1424 <br />LANCE WADE, MINE MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES) <br />DISCHARGE MONITORING REPORT (D R) <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 />MINOF <br />( SI_ BNI ;•?r <br />F - FINAL `IN-IRS <br />SR&NINE TRNG TR IB TO T:- T FLE ER <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT E <br /> REQUIREMENT :: -DA AV(; DA V HX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 'R T t_t. I <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT DA I L Y' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT = r c i r <br /> REQUIREMENT 7 L <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ <br /> REQUIREMENT DAILY P1•' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT AVG :'DAILY (? < r; <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - , <br /> REQUIREMENT DAILY My <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I crrliri under penalq of law that lhisdcument and all attachnn•nls werr <br />i <br />i <br />d <br />ith <br />d <br />d <br />di <br />i <br />i <br />t <br />d <br />i <br />d TELEPHONE DATE <br /> prepare <br />.m <br />ance w <br />un <br />er nn <br />n+t <br />on or sulkn <br />s <br />n accor <br />a sys <br />em <br />es <br />gne <br /> Io assure that qualified pe-nnel prnprris gather and rsalualr the inforrtlntlon - - - -- <br />-- - submitted. Rased on m) mquirv of Uu• pr•rstat fir perms whu mmuuge the ustem. <br /> or those Wmons dir"fly responsiblr for gathering the informali,m. the informalian - <br /> and com <br />whmitl <br />d is <br />m the best of m <br />knowled <br />e and belief <br />true <br />arc•urale <br />dac <br /> , <br />% <br />g <br />, <br />, <br />, <br />r <br />. <br />: <br />i <br />ir <br />i <br />lti <br />f <br />it <br />i <br />i <br />ti <br />I <br />th <br />t th <br />b <br />r <br />i <br />f <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED am aware <br />ere are s <br />pena <br />ng <br />orma <br />a <br />gn <br />ucan <br />es <br />or su <br />m <br />t <br />a <br />se <br />n <br />on. <br />including the pnssibilih or fine and imprisonment for knowing siolations. OFFICER OR AUTHORIZED AGENT AREA NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION Uh ANY VIOLA IIUN5 (Herereflce all affacnmefrts here) <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. 00085 `.1bt&'-3iV4- 0a>'t-'f`OI nl.