Laserfiche WebLink
mnmrTTEE NAME/ADDRESSt/no6k Focary NaeuvL«arian (D(#6vW) <br />NAME <br />ADDRESS ]] <br />.l. bux -i'8J <br />rgIA CO 814 <br />FACILITY I I E MO. 2 MINE <br />LOCATION : N I A CO 814 <br />LL I AM A. BEAR JR . , MINE MC <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM IINPOES) <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO D Y YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />(SUOR MH) <br />F - FINAL <br />CSC G ; OF SR TO GUNN I SON RIVER <br />r` <br />NOTE: Road Iran-ctione before completing this tam. <br />EFTA <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 <br />#it i 4 <br /><<#?r u <br />:s##x:: <br />r## <br />_ ,.-. <br /> REQUIREMENT INST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT J <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 /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />doc ument d w <br />or Is. <br />that <br />tnb wen TELEPHONE <br />NAME/TrILE PRINCIPAL EXECUTIVE OFFICER t "eery ee pens ty DATE <br />, <br />lon <br />p <br />ith a <br />prepared under my dlrectlon or stpmfson In accordance with system designed <br />to care that quaNrled personnel property gather and evaluate the Information _ <br />sobmltted. eased on my inquiry of the person w person who manage the system. _ <br />or those person directly mpondble fw gathering the information. the information <br />itt <br />th <br />t <br />f m <br />kn <br />wl <br />b <br />d K t <br />b <br />d <br />d b <br />l <br />f <br />e <br />o <br />e <br />es <br />o <br />y <br />o <br />ge an <br />_ su <br />m <br />e <br />e <br />ie <br />, true, accurate, and complete. <br />nin <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />I <br />m <br />ware de <br />l th <br />d <br />nt <br />ltie <br />itti <br />rob <br />i <br />f <br />f <br />b <br />ti <br /> a <br />a <br />a <br />en an <br />g <br />ca <br />pena <br />s <br />or su <br />m <br />ng <br />e <br />n <br />orma <br />on, AREA <br />TYPED OR PRINTED Including the passibility of tine and imprisonment for knowing vWoUom OFFICER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference tip s"schments herel <br />? IS rL?T"^I-_r, IT APPRr)%)ET, '?Y' t1QCF) <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used This is. a 4-part form. PAGE OF