Laserfiche WebLink
F'ERMITTEE NAME/ADDRESS (7-A r F- dkfjNeaWLe mi-1/DO6w wj <br />NAME <br />ADDREss J' <br />130X 535 <br />"RSET CO 814: <br />FACILITY BORN CRK It ELK CRK MINES <br />LOCATION ERSET CO 814: <br />AT--Q T !'f1(1PT='A r=YCr l/ R <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM /INPDES/ <br />DISCHARGE MONITORING REPORT IDMR! <br />PERMIT NUMBER DNSCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004, <br />IINOR <br />(SUL1R MH ) <br />- FINAL <br />SEDIMENT POND TO HUBDARD CRI. <br />NOTE: Reed Instructions before Comolstinp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. NCY <br />FREO <br />U SAMPLE <br /> O <br />F <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT 6. E/ i NS IT <br /> REQUIREMENT <br />MAXIMUM <br />:i•i T1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT tF#st ;:;>? at r;?tt# 35 hiCE! D <br />r•: REQUIREMENT <br />Q:.}.-, <br />SIX <br />r1Dri fr <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT fi ###it ##### ?t##### _:.PORT REPORT NICE/ GRAD <br /> REQUIREMENT 301)A AV(--' DAILY MONTk- <br />L _ SAMPLE <br /> MEASUREMENT <br /> PERMIT ###### fF# ### ##> ### `350V CItJC LACE-/ GRF-,D <br /> REQUIREMENT :30DA AVG DAIL_)' r,!x. i1CiNr' <br /> SAMPLE <br /> MEASUREMENT <br />n PERMIT - f 0 <br /> REQUIREMENT INST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPCIPT REPORT f is ,NC•E/ I l'i,5,fA <br />'; REQUIREMENT 30DA AlL'Y MX , MONT <br />;1. SAMPLE <br /> MEASUREMENT <br />PERMIT riritsh ;t a#### ire If### REPORT REPORT _ ., .D <br />J <br />REQUIREMENT 30DA AVO )niILY MX <br />mnE PRINCIPAL EXECUTIVE OFFICER p`na ty ° Iaw th.t [hi, dorwment and all attachments were <br />NAMF <br />TELEPHONE <br />DATE <br />_ <br />prepared ender m] direclbfl or wperrl,ltm In accordann wllh . system tldgned <br />to amn titer qualified personnel prayerly gather and evaluate the Int.mnatlon <br />' tebrrirted. Bawd on m] Inquiry or the person or persewu who manage the system, <br />- <br />or than persona directly responsible for gathering the Infonrtetlaa <br />the Inronrtlon <br />, <br />submitted 4% to the best of m <br />knowled <br />e and b <br />li <br />f <br />tr <br />e <br />c <br />t <br />d <br />t - I <br />_ <br />y <br />g <br />e <br />e <br />. <br />u <br />, ar <br />un <br />e. an <br />comple <br />e. <br />- <br />- <br />I em aware th.t them .re significant penalilm for mbmltttng ralw, inform.tlon <br />{IONATURE OF PRINCWAL EXECUTfVE <br /> . <br />Includin <br />h <br />iblut <br />or fi <br />nd I <br />k <br />t <br />i <br />TYPED OR PRINTED g t <br />e pos <br />ne a <br />mpr <br />y <br />sonment for <br />nowing via <br />.tlom OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA I IVN yr AM T V IULA I Iona rrfererence an erracnmenrs nerej <br />r t, Fr,IT <br />cAn' = 901_ I DS LMT APPL T ED FOR , C%YR, 111,14? r:?rr T ID <br />rq! <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used. - , T1i&iS 8:4-pail form. PAGE OF