Laserfiche WebLink
PERMITTEE NAME/ADDRESS(7-."FoA6ryNo.?Le.rto^I/D(O;-. <br />NAME <br />ADDRESS' yi. i. <br />BOX x-88 <br />_,NIA CC) 81422 <br />FACILITY 11E NO. 2 MINE <br />LocAnow N I 14 CO 81428 <br />1 r ALA r. nrnrn Its] MT11M. MrNn <br />NATIONAL POLLUTANT DISCHAAGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (DMRI <br />• I: <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD L' <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: <br />Form Approved <br />OMB No 2040-0004 <br />Read kntructloru before complotlnq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO <br /> <br />EX F#IEGUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br />E:b PERMIT % <br />N REQUIREMENT <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 />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER I nr,^y under penalty o flaw that th6 doromenl and atl.n.rbmenb were <br />TELEPHONE <br />DATE <br />prspared under my dlrsrllon or wper+lslon In arcordanrr with . tysterrr ddEned <br />to assure that qualified penonner property gather and evaluate The Infmmatln <br />aobmltted. Eased on my Inquiry of the person or perm who mange the system- <br />or thole persoro dlreelly mpondble for gathering the Infonnatim. the Information <br />submllted Ia. to the bnt of my knowledge and better. Inst. amumfe. and romplele. - <br />SIGNATURE OF PRINCWAL EXECUTIVE <br /> I am aw.rs that there are stpdfiun, pen¦Inn for rerbmllting rate Inforvnatlorr, A1EA <br /> <br />TYPED OR PRINTED <br />tneh.aing the poadbiu,y of fine and Imprisonment for knowing .IdaUons <br />OFFICER OR AUTHORIZED AOEI'fT j <br /> <br />NUMBER <br />CODE <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />COMMENTS AND EXPL.ANA I IVN yr AN r VIVLA I IvNJ (RAFrI/Incl Mr all iff IrrrffnlJ rr.rq <br />? PP-,'- P Ei•ri-NIr T.; +T..hI Ia!?f7l?t?it' 1? FY Wr r <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used This is a 4-part forttl bAGE OF