Laserfiche WebLink
PERMITTEE NAME)ADDRESS(7-Adefer*oym--WL«atfonl/D(Qwwy <br />NAME <br />ADORESS <br />NIA CO x'1428 <br />FACILITY '•J I E NO. 2 MINE <br />LOCATION ;IN I A CO 61428 <br />.ILLIAM A. BEAR JR., MINE MGR <br />Form Approved. <br />NATIONAL POLLUTANT OISCHAftGE ELIMINATION SY9TEm //NPOESI OMB No. 2040.0004 <br />DISCHARGE MONITORING REPORT /OMRI 1 j NEW <br />PERMIT NUMBER DISCHARGE NUMBER 7 - F I.'JAL DELTA <br />1-'WTI` TO DEEP TRAIL. DITCH.' <br />MONITORING PERIOD <br />Y R O DAY [3&R O D 6Y <br />FROM TO . <br />NOTE: Reed kntruetione before cornpletlnp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX -EOUENCY <br />OF SAMPLE <br /> <br />TY <br /> ANALYSIS PE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE x.>t. <br /> MEASUREMENT I v <br />J PERMIT sb# y;; ### 3t###i v t j-- L . <br />.J,' INF L1.,-i- REQUIREMENT r : - 7 ivA QIVG MX 7D AV MON i <br />-,. Y SAMPLE <br />DEG r MEASUREMENT <br /> PERMIT 'k k3t?t# 4i -5 iS ## :5 a 0 L" , <br /> REQUIREMENT a - . 'I 30E?A f=': G MX 7D AV MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT _ . a., <br /> REQUIREMENT I N I MUM MAX I HUM <br /> SAMPLE <br />UR <br />MENT <br /> MEAS <br />E <br /> PERMIT t ! 1 l <br />FL_l.J .t•; REQUIREMENT 300A AVG MX 7I3 AV lTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />''a 1 1- PERMIT ... 'k _, _ <br />-:: 1FNT GROG. REQUIREMENT 3 0 D A A`.._• M. 7D Aid 'i t7H <br />- SAMPLE <br />MEASUREMENT - <br /> <br /> PERMIT <br />-NT G <br />REQUIREMENT _ MAX <br />1 SAMPLE <br />TREY ; MEASUREMENT <br /> <br />PERMIT r.. t <br />REQUIREMENT <br />l cerMy under pens ty o law that this document and all attachments were <br />NAMEM LE PRINCIPAL EXECUTIVE OFFICER prepared under my direction or supervision in accordance with a system designed TELEPHONE <br />DATE <br />to aware that qualified personnel property gather and eeaiuale the Information <br />snbnsifted. based on my Inqulry of the person or persons who manage the system, <br />or thos <br />ns dire <br />tl <br />rs <br />res <br />onsible for <br />th <br />I <br />f <br />ti <br />th <br />i <br />th <br />f <br />t <br />y <br />ga <br />e pe <br />o <br />c <br />p <br />er <br />ng <br />e <br />n <br />orma <br />on, <br />e In <br />orma <br />ion - <br />- <br />submitted Is, to the bet of my knowledge and better, true. accurate. and complete. <br />,: <br />I am aware that there are sl <br />nincant <br />enalties f <br />bmitti <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />f <br />l <br />I <br />f <br />m <br />ti <br /> g <br />p <br />or su <br />ng <br />a <br />se <br />or <br />a <br />on. <br />n <br />TYPED OR PRINTED Including the possibility of line and Imprisonment for knowing violations, OFFICER OR AUTHORIZED AGENT CODE NVMNER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference sit attachments here] <br />INSTRUCTIONS - I C. 10e PG. 10 <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. A. 4-pid arm