Laserfiche WebLink
PERMITlEE NAMEJAWRESSQw&MF.r&'YN-.?Ler'nten(/D(&-) <br />NAME <br /> DWYCI MINE <br />ADDRESS I <br /> AIT 13 <br />'I STATL HIGHN <br /> <br /> cWYO r? ? ;`?s= <br />s= ol <br />FACILITY _ <br /> R 0 $3 <br />LocATTtxa :: <br /> _!_`r' v 5H{` .R _, VP CIF 0P <br />NATIONAL POLLUTANT DfSCHAROE ELIMINATION SYSTEM JNPOES) <br />DISCHARGE MONITORING REPORT (D RI <br />PERMIT NUMBER ascHAaGE NIFMeER <br />MONITORING PERIOD <br />YEAR MO DAY TO MO DAY <br />FROM TO <br />Form Approved. <br />M I I. ; 1 s % OMB No 2040-0004 <br />J .. <br />WASH BAY TO WORK AREP, <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />k <br />f i REQUIREMENT I .c I < _ .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REOUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />A <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/TITLE PRINCIPAL EXECUTNE OFFICER I rer1'I) " rr ven"y o aw that thH dot asmenl and .11 .Itachments were TELEPHONE <br />prepared seeder my dlr tfon w mpe-Won In arenrdanm with • syslen, designed .? DATE <br />to ossum that qualified pr-ner Properly gather and rsohrote the Inromnallon <br />L- wbmltlyd. Board on my Inquiry of the Person w peraoru who manage the system, r l i ` 1 <br />z <br />. <br />nr those persom directly -ponslhl. For gatherlrsg the Inforsnatlow, the InforsnalMn <br />1 <br />f <br />7/ . ?./Cs of /: /l J • • j ', a? L?/L_ ntbmllled b, to the best of my tnewWge and DtUtf. Irvr, arcvMe, and cornpkle. CCCIII <br />s•?1 <br />RE OF FRINCNAL EXECUTIVE <br />SI <br />NAT <br /> I am aware sitar then are frgnlflvanl penalties For stibmitung rake lnfor,nauon, G <br />U A A <br />NUMBER <br />YEAR <br />MO <br />AY <br />TYPED OR PRINTED tnriudtng the poodblHty of 11ne and Imprlamunenl For knowing .ldatlosm OFFICER OR AUTHORIZED AGENT CODE D <br />COMMENTS AND EXPLANATION OF ANY VIVLA I IVNS_ (RSlsrsncs M irrecnmsnra nerej I P elf 4T _ ; f. _ r11 Mr.i7. I r C', i_A I f"I AF' r njf '.tom <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used This is a 4-part form PAGE OF