Laserfiche WebLink
PERMIt1EL t,AME <br />NAME <br />ADDRESS li _;, 1ii`t i ION MINE <br />3 JACK5130RO HIGHWAY <br />'HITA FALLS TX 7 <br />FACILITY U l"IN j UNCTION MINE <br />LOCATION ANGO CIS 8 <br />> AM 111 I1. F. Rl~.r-, 1• nlzN T LSC_FR(T <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br /> <br />F - FINAL LPLI <br />SED I POND ro CARBON JUNC T C NYIy <br />•. <br />NOTE: Read Instructions beforefcomoletino this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE r s <br /> MEASUREMENT <br /> PERMIT <br />Vh'L..i; REQUIREMENT <br /> SAMPLE ( -> <br /> MEASUREMENT <br /> PERMIT #iuxR.p #+ #x i ?,: %{ i 45 <br />N F ,PD5S VAL !,-' I REQUIREMENT _ iiLJr> r1V"; Lrr i } <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT Ll <br /> REQUIREMENT . <br />r;v <br />_ SAMPLE ' _ <br /> MEASUREMENT <br /> PERMIT Io NTIN RA I3 <br />+ <br />dT -1t _ D ._ 5 S SAL-: ., REQUIREMENT n - :- <br />:ENT <br />TN CONDUIT SAMPLE r. t,. Y1 ;r 7r r- s <br />--•:7=NT pL :• ,; MEASUREMENT <br />r i PERMIT , F-C rr,,,. •- R :., r.1i i f«: 4-- -p # <br />^)c V, REQUIREMENT i _ x' I IIOVJ <br /> SAMPLE <br />i ' 1 c?SOL Vl C' MEASUREMENT <br />c - PERMIT REPORT Rj=C'OP , ?HL <br /> REQUIREMENT ..ODA AV6 _ -? I L_ 'r <br />SAMPLE 94", <br />#ti' +: <br />Kr+ <br />MEASUREME <br />PE5Wf r r''# R! - =T i<'1. <br />- REG 1REMENT <br />NAMETITLE PRINCIPAL EXECUTIVE OFFICER I Lerify under penalty of law that this document and all attachmemt ,sere <br />prcpar cd under my direction or su <br />t n swn in accordan <br />t <br />e %th <br />de <br />d TELEPHONE DATE <br />i <br />c <br />a ws <br />em <br />vgne <br />i <br />- <br />o• assure that qua <br />d <br />W Personnel properly gather and c%nluatc the mtbnrmnon <br /> <br />V/ submitted. Aascd on my inquiry of the person or persons who manage the s•:.tcm• \ <br />_ or those persons directly responsible for gathering the mturmaGan the information C? , <br /> <br />?.,1/`•? t <br />- _r? J f, Z i fs? . submitted is, u, the hest of my Annuledgr and l+eGef, true, necura[c, nd cOmPlctr C <br />- <br />lam, aware that there are ctknificunt pem,tues for submitting false information SIG RE F PRINCIPAL XECUTIVE <br />. <br />TYPED OR PRINTED hiding the pnss,h,lty of tine ,and impri,onment for knowing %wlatioac. FICER OR AUTHOR IZ AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br /> <br />) FOR 10-YR, `4 HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REGI <br />+TA SHALL DE SUPPLTED TO THE DIVISIC)N WITHIN 48 HOURS. <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This, is a 4 arE arm.