Laserfiche WebLink
FERMrTTEE NAME)ADDRESS(7wrrifrWryN..?t«rtawVDIQIwwn) <br />NAME <br />ADDRESS <br />NIA CO B142B <br />FACILITY -11E NO. 2 MINE <br />LOCATION -iNIA CO B1428 <br />:'?LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT /D R) <br />PERMIT NUMBER o .A'I+GE NUMBER <br />MONITORING PERIOD <br />YEAR I MO I DAY I YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DELTA <br />4JWTF TO DEER TRAIL DITCH <br />NOTE: Read irntructions 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 ## iI sl #;r ####iE # t: ## I <br />PTIONAL <br /> <br />1 <br /> <br />i.• <br /> REQUIREMENT 30DA AVQ MX 71) AV MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ti ## ¢•If.rtF #? trtr#r 77' - <br />S REQUIREMENT 30D) ; A,'•1•?, ' X _/L) AV <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT x 6. 5 p _ r`. f ;.:: <br /> REQUIREMENT MINIMUM MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # # I r <br /> REQUIREMENT 30DA AV3 MX 70 AV MONTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT -:ILtA A'J:: 1X ?D Ail M( JivTH <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />1 (? PERMIT . <br /> REQUIREMENT <br /> <br /> SAMPLE <br />G TRF_: MEASUREMENT <br /> <br />7 PERMIT - ,.. - <br /> REQUIREMENT A AVG t"A I LY MX ;j s <br /> <br />NAME/TiTLE PRINCIPAL EXECUTIVE OFFICER 1 tt•n,ty under penalty law that lhN document and all etlachan entl were <br />TELEPHONE <br />DATE <br /> prepared under my dlrertlon w Pup on In accordance wilh a System ddgned <br /> Ic asSOre that au.nrled Prronnet Property gather and e.eluete the Inrornrltlon <br />submitted. Bred on my inquiry of the Peron w persona who manage the system, <br /> w those perssr direNiy rnpomelble for gathering the Information, the Information <br /> submitted 1; to the best of my knowledge and betlef, Irve. accunle, and complete. <br />I am -re that there are slgNncanl penalties fcr submittin <br />fakir 1nrnrma1bn <br />BIGNATVRE OF PRINCNAL EXECUTrV E _ <br />-- <br />TYPED OR PRINTED g <br />. <br />anrludlng the padbutty or Ilw and Imprisonment roc kn .tag .1,A.tj rrt OFFICER OR AUTHORLZEO AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION Or- ANT VIOLA I Ives IMe/I/ence M arracrImenr7 flare/ <br />INSTRUCTIONS - I. C. 10, PG. 10 <br />. c1 . ` J?19 a ?-?>u1 <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. r