Laserfiche WebLink
PERMITTEE NAME/ADDRESS(lndrirFar&tyArnoWLec.timI(D(eirrwy <br />NAME <br />ADDRESS <br />B <br />-:. U7. JrJJ <br />11ERSET CO 81434 <br />FACILITY " "14BORN CRK & ELK CRK MINES <br />LOCATION'_ -YERSET CO 81434 <br />JAMES T. COOPER. EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDES) <br />DISCHARGE MONITORING REPORT (DMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO l" <br />Form Approved <br />OMB No 2040-0064 <br />MINOR <br />(SUBR MH) <br />F - FINAL CIS <br />SURF RUNOFF TO N. FK GUNIS F <br />NOTE: Read Instructions before complstlrty this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #illE?t## REPORT `-• 1 #####? ##91#?? ##it?t## _, ?•_•Vt <br />_iJ:_.:-T r, .. ._ ? ;:. ,. REQUIREMENT 1fvST MAX G 'IUftiIT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> . ' PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br />NAMEMTLE PRINCIPAL EXECUTNE OFFICER I nrt,l. u rr Penalty la. that this document and all etinchmenti were <br />' TELEPHONE DATE <br /> ;-Pared under my direction or sups <br />Sim In accordance with a ."tern darned <br />. '- A _ to care that qualified personnel Properly tether and eeahrste the Informmtion <br />submitted. Baal on my Inquiry of the Person or Persons who manage the system, <br />- <br /> s dlnctl <br />res <br />onsible rer <br />ath <br />Wth <br />s <br />A <br />th <br />I <br />f <br />ti <br />th <br />I <br />f <br />i - <br /> y <br />p <br />g <br />o <br />e persel <br />e <br />ng <br />e <br />n <br />orma <br />on, <br />e <br />n <br />ot <br />km I <br /> <br />I submitted iv, to the bat or my ?nowhdge and bdW. tr . acevrale. and complete. <br />1 am aware that then an s1gNncont pendt{a for wbmltlln <br />rain Internodon <br />SIONATVRE OF PRINCtPAI EXECUTIVE <br /> g <br />, WUA <br />TYPED OR PRINTED Inchmong the po.tbluty or nne ¦nd Imprisonment for knowing rtouauad OFFICER OR AUTHORIZED AGENT C <br />NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA I IUN Ur AN T V IVLA I Ives wersrsnc• an srrscnmsnrs nerd <br />_EAPLE SOLI DS LMT APPLIES FOR ,=l0YR,14HP PRECIP FVFNT, <br /> <br /> <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. . -? 1 :: . ThiCifi A-part fonn. PAGE OF