Laserfiche WebLink
PERMITTEE NAME/ADDRESSpnrlr6i.rWryN?.?Lnrr,all/nyi..,y <br />NAME <br />ADDRESS ' _! . : i r •, t <br />BOX 535 <br />':'RSET ca <br />FACILITY TORN CRA & ELK CRK MINE <br />LOCATION "_RSET co <br />1ES T. COOPER, EXEC V. P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT IDMRI <br />PERMIT NUMBER DISCHARGE NUMBER <br />T MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />314;.;-: FROM TO <br />Form Approved <br />OMB No ?0=0-000: <br />P TO 1'4 FORK GI NN' i Sul <br />NOTE: Read k?structlone before comoWtina this form <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />6 <br />5 <br />#####s: <br />9 <br />C <br />' <br />NCE/ <br /> REQUIREMENT . . 1 <br /> MOM X IM: girl M TI- <br /> SAMPLE , <br /> MEASUREMENT <br /> PERMIT sE##### ;r ##'I• # st It# It 1i "IO d1_ E/ i+ <br />,; <br /> REQUIREMENT ' <br />! . <br /> 1 <br /> <br />{ <br />i: DAILY <br />ri%if+lTr <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #1<##?[ #it#3t## ;} r: ### PEPOR T RE°URT NC E <br /> REQUIREMENT IOA A`-,G DAILY H X <br />?9fl1 •' , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?F### ; - :O bC?OC) <br />• <br />INC r <br /> REQUIREMENT <br />`!A AI VG <br />DAILY t'3 , . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ;NST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPOT, REPORT ICE/ I!dST + <br />1=K!7SS `JA REQUIREMENT 1UDA r -'iILY MX <br /> , 10NT? <br />T,JTAi_" SAMPLE 3r:r <br /> MEASUREMENT <br /> ? " <br /> PERMIT tt##?1r x?rer <br />t ##?tx- r?'f3C3i? REPOR "fR <br /> REQUIREMENT ( DAILY M:<. <br />NAMEfnnE PRINCIPAL EXECUTIVE OFFICER I rertrlr ¦ er penalty o sw that this document and an HtKhmtnb were <br />prepared under my dl-110- or wisn-Won In wcord-nee with a s <br />stem dd <br />n <br />d TELEPHONE DATE <br /> y <br />t <br />e <br />t <br />. ' -r 1 .. o wmee that quallnrd personnel proprIt7 Whet and ...!vale the Infomeallon <br /> submitted. Bred on inr inquiry or the person ne persons he ~oft the system. <br />th <br />d <br />l <br /> <br />. or <br />ose person <br />lrtrty rispores <br />bk rm tsthedog tht Information, the Inforrnst <br />Ion <br />llt <br />d F <br />b <br />t <br />b <br />f <br />ti <br />/ <br />- so <br />m <br />e <br />s, to <br />et o <br />he <br />m7 knowledge and beW. Irv-. ace rate. and c pktt. <br />1 am aware that thrre ere sloncaM penalties for <br />bmlitin <br />ls <br />I <br />f <br />f I <br /> m <br />g <br />a <br />e <br />n <br />orsetation, A TYRE O OF ?AINCNAIEXECtITI1/E <br />GNATURE <br />S <br /> <br />TYPED OR PRINTED <br />Irwtudln[ the poa•IbNey of 11m, and Imprisonment for ?nowing vlolsuom <br />AUTHORIZED AGENT AAEA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />n L vM a a1 ATlnu AC A Wv \/Ir%l A TlAare? , CODE <br />v vr?rr.r?...v ?r.v ?... ter... r...?.. _. .... _ , .r wr er...e srr wrrwr..rr •rwrrra rrw/w/ <br />(M j l??il.. P ?( )_ T 7S (_MT -`,P >T T F <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. Tbis-jS a,4_par-t fprm. PAGE OF