Laserfiche WebLink
PERMITTEE NAME/ADDRESS(rodkFsrWryNeoWL ,wiw IlD(fb t) <br />NAME <br />ADDRESS <br /> <br />',IG CO 81621 <br />FACILITY PPER MINE <br />LOCATION I G CO 8162'. <br />YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT IDMR) <br />PERMIT NUMBER DISCHARGE NVI.ISER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUDR JC) <br />F - FINAL MOF <br />DISCHARGE TO GROUSE GULCH <br />NOTE: Read Watructione betoro complr.tMy this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT J L I I :' <br /> REQUIREMENT MAXIMUM <br />p; <br />SAMPLE <br /> MEASUREMENT <br /> PERMIT ####;t# ?txttae' ##iEt?tt# iJPI'I P??: ! C <br /> REQUIREMENT '? 3CiLv=t 1 <br />' = DA I L <br />Y MX MONTH <br /> . . <br /> SAMPLE 1 <br /> MEASUREMENT <br /> PERMIT -# ###### a # #fic ## R c :-: i Cl :''J :? <br /> REQUIREMENT INST MAX GENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT P^t:: `. r.: u#iE ##### ti##tE# 77-17 . :? Ir-I <br /> REQUIREMENT 30D <br />Aj AVG Af L', M <br />k <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?c 7RT REPORT <br /> <br /> REQUIREMENT 30DA AVM DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br />- PERMIT <br />REP-IJKT <br />J. <br /> REQUIREMENT INST MAX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br /> <br />NAMElriTLE PRINCIPAL EXECUTIVE OFFICER I certuy u «pen. ty o ¦w that this document end .It ¦tt-It El were / <br />TELEPHONE <br />re <br />ared unde <br />m <br />dir <br />ction <br />r w <br />enhtlon i <br />.c <br />rd.n <br />with 7 <br />i <br />t <br />d <br />DATE <br />p <br />p <br />n <br />r <br />y <br />e <br />o <br />p <br />co <br />n <br />es <br />gned <br />sys <br />ent <br />! to aaun that <br />ualified <br />ersonnel <br />ro <br />erl <br />valuate the I <br />ather <br />nd <br />rn <br />ti <br />q <br />P <br />P <br />y g <br />p <br />a <br />e <br />n <br />m na <br />on <br />snbmllted. based on my inquiry of tlw person or penoer who man.fe the systvn, <br />or them Persons directly responsible ror gathedrq the Inronnstlow, the Inrormatlon <br />i, ..?. <br />b <br />itt <br />t <br />t of <br />? <br />rrI <br />d b <br />th <br />b <br />d <br />...1 <br />? <br />su <br />e <br />es <br />my <br />no <br />t Cc an <br />m <br />e <br />o <br />belief. trae, accurate. and complete. <br />, <br />I .m aware that then are slsnlfkawt pmotles for submitting raw Information <br />SIGNATURE OF PRINCIPAL EXEC'U'TIVE <br />TYPED OR PRINTED , <br />Indudlnt the posatbifaty of floe and Irnpdsonmem for knowing Ooa.Uo OFFICER OR AUTHORIZED AGENT CODE NUMElER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference &# attachments hare) <br />ni 77 S11! TDS LIMIT APPl TFL. FOR =10'•(?, Jri; Fir- <br />?? <br />'iF T <br />-Ri <br />EPA Foam 3320-1 (Rev. 3/99) Previous editions may be used r (, • :T#ti? i6. i? i-p t;fgrtn PAGE IDF