Laserfiche WebLink
f ERMITTEE NAMEJADDF%ESS p..6itFwO&Nw?Lorwtew 0/D(pbr.u) <br />NAME <br />ADDRESS <br />Box ?_,5 <br />!,IERSET CO 81434 <br />FACILITY .`413ORN CRK & ELK CRK MINES <br />LOCATION-';'•IERSET CO 81434 <br />'?MES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOE3) <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040.0004. <br />MINOR <br />(SUBR MH) <br />F - FINAL GUN I E? <br />SURF RUNOFF. TO N FK GUNNISON R <br />NOTE: Read Inetruotione before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ARALrsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />., SAMPLE <br /> MEASUREMENT <br /> PERMIT #### :: •. REPORT W '__ ! at#ir#it tf If 3t3t < C s ## ' NC ! I _IA. <br /> REQUIREMENT -r-,ST MAX MONTH <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TfTLE PRINCIPAL EXECUTIVE OFFICER <br />aw at thb do rnrnt ¦nd all aUadtments were <br />I Ce""y antler penalty o l m <br />TELEPHONE <br />DATE <br /> prepared under my dl. lton or mpervtvlon In amordsn with a system deemed <br /> to asom Ihat qu@MnW personnel property gather and evokers the Information <br /> submltred. Bred on my Inquiry of the person or persons who manage tits "em, <br /> or thaw persons directly responsible for gathering the infermatlen, the Informstlkn <br />/ <br />T subml.ted IL to the bast or my lmowledge and better. Irv*, aeettrate, and complete. ,- <br />( that them am st <br />rtrlIcant <br />fnaltles f <br />bonlttt <br />I a <br />w <br />r s <br />f <br />l <br />I <br />f <br />m <br />ti SIGNATURE OF PAINCWAL EXECUTIVE <br /> g <br />p <br />m s <br />am <br />o <br />k <br />ng <br />a <br />se <br />n <br />or <br />on, <br />a <br />A <br />TYPED OR PRINTED Inc kdrng the posdbluty of flee and Iwpr <br />w meet for knowing violaUord - OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments hors) <br />.FABLE SOLIDS LMT APPI_IED FOR =10YR,24HR PRECTP PVENT, <br />+HR EVEN T -:i,= I. A. 1 • <br />r!I- A!, rnr 1) AY •AVG TS H? ,-HF5; jf_jP.ITHI Y A V G L iR IN PLR D <br />EPA Form 3320-1 (Rev. 3189) Previous editions may be used. PAGE OF