Laserfiche WebLink
Form Approved. <br />PERMITTEE NAME/ADDRESS (7-" Fwe&ilFNrs?Le ,wi- ?D(#6+ t) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI OMB No. 20404004 <br />NAME REC v?HARGE MONITORING REPORT (DMR) ADDRESS <br />v ? tJ G i;. ;"t- 1 <br />li'J IT NUMBER DISCHARGE NUMBER - - L <br />?NIA i:LJ AN r is E i,* _ ? TRAIL DTCH <br />i I E NO. 2 MINE MONITORING PERIOD <br />FACILITY DIV15iUfi ?' _ . MO DAY Y R O DAY <br />. <br />LOCATION TO <br />LL I AM A. DEAR JR. MINE M, . " NOTE: Read Instructions before completing 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 x _. <br />-- REQUIREMENT M I N I MUM i11A X I MUM <br /> SAMPLE <br /> MEASUREMENT j <br /> PERMIT <br />? <br />-; Vr" REQUIREMENT OODA AVG DA IL.'j <br />11X -1 GIN T I L-1 <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT 1-- <br /> REQUIREMENT 30DA AVG DAILY NX MOCK_i ?i <br /> SAMPLE <br /> MEASUREMENT <br />1 PERMIT <br />0000 <br />UE=NT VRIJ <br />11- REQUIREMENT '30DA AVG 'jAILY MX MONTH <br />r SAMPLE <br /> MEASUREMENT <br />+2 1 0 G PERMIT <br /> REQUIREMENT IN ST MAX GENT <br /> SAMPLE <br />Fi MEASUREMENT <br /> <br /> PERMIT <br />l I;ROV,:5 REQUIREMENT 30DA f>, -, ILY MX <br /> <br />F1 F FN! r <br />' <br /> <br />SAMPLE <br /> MEASUREMENT <br />PERMIT . , r , .. <br />REQUIREMENT INST MAX <br />NAME/TME PRINCIPAL EXECUTIVE OFFICER t to^"? " er pen. ry o la+ the, this derumenl and all attachment were <br />TELEPHONE <br />i <br />DATE <br />prepared under my dlrect{on or superv <br />sion In aecordancs with a system designed <br />to azure that quahfled personnel PrePerly gather and erduale the Information <br />submllled. Based cm my inquiry of the person a persons ahe manage the sysirm, <br />or than <br />roms dimc,ly ree <br />o"bk for <br />atherin <br />the Information <br />[h <br />I <br />f <br />It <br />p <br />p <br />g <br />g <br />, <br />e <br />n <br />o <br />" <br />submilted As, to the best or my knowledge and belief, true, emurale, and complete / <br />th <br />t th <br />d <br />wri <br />ant <br />n <br />t <br />t <br />n <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />" <br />b <br />l <br />tl <br />f <br />i <br />r <br />TYPED OR PRINTED a <br />ere are <br />g <br />c <br />Pe <br />a <br />r <br />I am a+are <br />es <br />or su <br />m <br />t <br />ng <br />ate <br />n <br />ormaeon, <br />Including the pesalblaty of Ant and Imprisonment ror knowing Aelatlom OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMt3ER YEAR MO DAY <br />D <br />COMMENTS AND EXPLANATION OF ANY VIQLATION5 IHererence en errecnmenra nerel <br />HR PRECIP EVENT IS CLAIMED. IF CLAIM APPROVED BY WGCD, <br />'MFNTS :.F- 7 A. 3, :. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used (i?,r This 1S 8.1-part form. PAGE OF