Laserfiche WebLink
FEAWME NAME)ADDRESS (7naMi FardoyNn.?Laearfav tm(Qirww) <br />NAME I I <br />ADDRESS <br />BOX 5J.' <br />*iSET CO 614 <br />FACILITY 3ORN CRK & ELK CRK MINES <br />LOCATION FRSET CO 814 <br />•lFS T CIIRPFR. FXF'C V P <br />NATIONAL POLLUTANT DISCHMIGE EUMINATION SYSTEM /rNPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DtSCHMIGE NUMBER <br />MONITORING PERIOD <br />YEAR MO YEAR MO DAY <br />FROM DAY TO <br />Form Approved. <br />OMB No. 2040-Oy <br />MINOR <br />(SUBR MH) <br />F - FINAL GUMI <br />SEDIMENT POND TO ELK CREEK <br />NOTE: Reed Instructions before complet" 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 ###?r :. . x 3t 6. S it# zt ?? I t1 r T <br /> REQUIREMENT r <br />+ <br /> • <br />t ;Iii.! <br /> SAMPLE „ <br /> MEASUREMENT <br /> PERMIT L <br /> REQUIREMENT * f Y : i+_ii,= T r <br />- SAMPLE <br /> MEASUREMENT <br /> PERMIT #### iE#### #### REPORT REPORT NCE/ <br /> <br /> REQUIREMENT -30 DA VG DAILY MX 3'TONT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT i .:-a ih iFiE9F9tlF# 3000 6000 NC E/ <br /> REQUIREMENT 30DA AVG DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br />1 0 PERMIT r5 ?r <br />DENT GROG. REQUIREMENT MAX <br /> SAMPLE <br />! TRFA•TI lEi,.i , MEASUREMENT <br />1 0 PERMIT REPOF? -tEPORT .)NCE / 1t•4i3 I p.i• <br /> <br />=NT GRO": <br />REQUIREMENT `DA <br />31l <br />-sTLY MX <br />MONTk- <br />Ti iTAL SAMPLE <br />VED MEASUREMENT <br />PERMIT ####?? ### REPORT REPORT <br />REQUIREMENT ItRTR AVG DAILY MX <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER I certify ° nder pens ty 0 tsw that this document and a t attachments wen TELEPHONE DATE <br />prepansd under my dimellon or uper W,#i in accordance with ¦ system ddEned <br />to care that quatlfled personmd PrWeHr Lather and evaluate the information <br />- sub-Illed. Owed on my inquiry of tM person or persona who manage the aTstern, -. - 1 <br />_ , <br />ae than Persore directly MPmdbk for gathering the InformatIM the Information ' % L!?" -? L`•-t <br />I <br />knowled <br />submilted b <br />to the beat (m <br />e and beikf <br />Irve <br />a <br />t <br />c <br />and <br />k, <br />:. } <br />y <br />g <br />, <br />. <br />• <br />c <br />vn <br />e. <br />rno p <br />. <br />m awar <br />+incant <br />ti <br />SIGNATURE OF PRINCIFAe EXEcvrwE - <br />1 <br />th <br />t th <br />r <br />are d <br />f <br />bmittin <br />hiv <br />Inf <br />lti _ <br />" <br />TYPED OR PRINTED a <br />e <br />a <br />e <br />e <br />p <br />or su <br />g <br />e <br />orma <br />on. <br />Pena <br />es <br />I.., the poadblllly of floe and imprisonment for knowing violations OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />I <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aN attachments hers) <br />r ?7,nl' r-,-- . •„T ,%PP4. r-D FOR =10Y r 24HR cnn?r r- r <br />- - r <br />- T4isfjPA 4-pan fern. PAGE OF <br />EPA Form 3320-1 (Rev. 3/89) Previous editions maybe used.