Laserfiche WebLink
PERMITTEE NAME/ADDRESS p.de4F.eteryNo.?Lmwiw(fD(6'-rwsr) NATIONAL POLLUTANT aSCHAROE ELIMINATION SYSTEM (NPOESI <br />NAME DISCHARGE MONITORING REPORT IDMRI <br />ADDRESS <br />LOX PERMIT NUMBER ascHAROE NUMBER <br />.)N I A <br />FACILITY a I E NO. MONITORING PERIOD <br />Y AR MO DAY YEAR MO DAY <br />LOCATION JN I A CO 814 FROM TO <br />LLIAM A. BEAR JR., MINE MCP <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />( SUBR MH ) <br />F - FINAL <br />D SCHG OF SR TO GUNNISO( <br />NOTE: Reed kletfuetlone before completing this 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 <br /> MEASUREMENT <br /> PERMIT ###ts'. ##### N", I <br /> REQUIREMENT M I N I MUM MAXIMUM <br /> SAMPLE 9. <br /> MEASUREMENT <br /> <br />- PERMIT <br /> REQUIREMENT V9 i ! I- r f ! ?: - , ; l <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # # *****4 t _ r .. <br /> REQUIREMENT 30QA A' G % DAILY rIK MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />.3000 E =r . r, <br /> REQUIREMENT 30DA <br />fIVG <br />DA I L.'t' t'iX <br />MONTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br />;-? PERMIT >.?.;?.,,.• #;tat ## r ##9FlFJf# 10 a; -. <br /> REQUIREMENT iPdST t':AX P•i?' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />v REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT -'SST MF. <br />NAME/TTTLE PRINCIPAL EXECUTIVE OFFICER I "Arty under pen' ty 0 haw that this 11Wument and .11 at-hrmrtS were TELEPHONE DATE <br />pmpend under my direction or sup ryb4c n in . rd.nre with • system dtslgned <br />I- rt m that qu.llned personnel property r.ther rd e,ausle the Inrnrnulbn <br />'bmllled. Bred on my Inquiry of the person or per.oru who m.n.g the system, <br />or Ih. peneru directly lesp.relbk for gathering the Inform.tlen• the Inrorm.llon <br />su bmitled k, to the best of ms ?nowledte and pellet, true, aravnte, .nd Complete. <br />1 0...am Chet there .rt,l <br />n,nnm <br />pen.trle ror ruhm/ntn <br />rsi% Inrnn il <br />SIONATVRE OF PRINCIPAL EXECUTIVE - <br />- <br /> r <br />r <br />- <br />TYPED OR PRINTED i <br />,nctudln[ the po'ibun. or one eon n•.p; coon ni r- knn.inr •io sU..rtv OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference off attachments here/ <br />. <br />IS Tr• LAI?'1 r:) <br />5E't <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used This is a 4-pan form. PAGE OF