Laserfiche WebLink
PERMITTEE NAME/ADDRESS fyr??• faeWyNawa'Leear,ow (/O?Gnm j NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM (NPOES) <br />NAME DISCHARGE MONITORING REPORT IOMR) <br />ADDRESS _ <br />L 0 X 4b.3 PERMIT NUMBER DISCHARGENUMSER <br />'IA <br />C0 +;1 '_ <br />E NO, 2 MINE MONITORING PERIOD <br />FACILITY - <br />LOCATION " "!IA CO B14?.`, YEAR M DAY Y R D Y <br />FROM TO <br />_LIAM A. BEAR JR., MINE MGF <br />Form Approved. <br />OMB No 2040-0004 <br />MINL)F <br />(SULFA' <br />F - FINAL DLi <br />WWTr TO DEER TRAIL DITCH <br />N)TE: Read Inetructione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREOUENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT _ <br /> <br />- PERMIT - - -' <br />!?F P( i ,,'ROSS VA L;. REQUIREMENT - z' "-Vc: DAILY MX x ., UOIs-'_, <br /> <br />DUr SAMPLE <br />MEASUREMENT -- <br />- <br /> PERMIT _ . _ <br />- ` REQUIREMENT 11,1 ,? r1AX <br />i <br />l <br />lt SAMPLE <br /> MEASUREMENT <br /> PERMIT , _ ?• - <br />'J1.`. REQUIREMENT 7 30GA ti MX7DGE0A MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> - <br /> PERMIT - <br /> REQUIREMENT it-45T MAX <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 />1 rertlly Y r Penalty I.- Ih.l thh document and .U attachments were NAMElT1TLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE DATE <br />prepared abler my dlreclton or wp,,Aldon In accordance with a system designed <br />to aswre that qualif ed personnel properly gather and evaluate the InImmadon <br />wbrollted. SslseA on my Inquiry or the penoa w presorts who manare the system, <br />or those <br />ersom directly nsperedble for gatherin <br />the Inrtxmatlon <br />th <br />Inf <br />ti <br />- <br />p <br />g <br />, <br />e <br />orma <br />on <br />kr,-W <br />- wbrnllted Is <br />to the bens or m <br />e and b <br />tt <br />r <br />tr <br />-1 <br />d <br />l <br />. <br />y <br />r <br />e <br />e <br />. <br />ue, amu <br />,, an <br />comp <br />ete. <br />I a.., a-.- that the„ a- strWIC-I F-111rv r,.r snhmltnn <br />EIONATIJRE OF PRINCIPAL EXECUTIVE <br />raise I„ r <br />.r <br />,.tu <br />TYPED OR PRINTED r <br />. <br />,, <br />,n, <br />hrludlntlteposdblllt•aan-..„t r.Ir-k-.i,r.tm.o-_ OFFICIR CF k 17H!)R;1ED AGENT CAREA <br />ODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANAIIVN Vr ArrT VIVLrt I1VNb (Kererence of •rracnmenrs nerd/ <br />`NSTRUCTIONS - a C.10, PG. 10 <br />EPA Forth 3320-1 (Rev 3/99) Previous editions maybe used. 4 v / OT S_•¢! ?? 4-part form