Laserfiche WebLink
PERMITTEE NAME/ADDRESS(7w&&FocWryN..WL«oti-((D(P-I) <br />NAME <br />ADDRESS <br />_,. BUA 1 ?i.y <br />=,IG CO 816 <br />FACILITY ;PPER MINE <br />LOCATION -', I G CO 816 <br />;YMOND G. DU BOIS, PRFS/DM <br />Form Approved <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /INPDESI OMB No. 20400004 <br />DISCHARGE MONITORING REPORT (DMR) UB F. <br />PERMIT NUMBER DISCHARGE NUMBER - FINAL 110FAT <br />MONITORING PERIOD SCHARGE TO DEAL GOLCH <br />YEAR MO DAY YEAR MO DAY <br />FROM TO }1 <br />NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />EX OF <br />E <br /> ANALYSIS TYP <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #3F##.: R P #### :###r. dEiE#? r. t: ' L :5J _ <br /> REQUIREMENT INST MAX PIDNTF <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE ` <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ; <br /> PERMIT l <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT i <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER t f clay ° e, p-a ty .(I.- that thk doc t and au attachments wen TELEPHONE <br />Prepared -Weer my dlrxtlon or wpe W_ In aeeordancr with a system designed DATE <br />. to mart that 1usNfled personnel property Lalhrr and teal-ale the tnformatjem <br />of th <br />b <br />ltt <br />d - <br />In <br />le <br />h <br />th <br />t <br />d <br />B <br />ase <br />my <br />qu <br />y <br />e Perm W Pnsae w <br />o mange <br />em, <br />fu <br />ms <br />e <br />. <br />e sys <br />w those penots directly rapondlr4 for Eathcrlrn the Information, the Information <br />th <br />best of me tnow4d <br />e and b <br />mfe <br />and <br />s <br />bmitt <br />d I <br />t <br />! <br />t <br />t <br />ll <br />l <br />! I <br />E <br />, <br />e <br />s, <br />o <br />e <br />e <br />e <br />. <br />rue, sec <br />comp <br />e. <br />u <br />e <br />t <br />nlf smt <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />th <br />t th <br />e <br />e <br />n <br />ltie <br />f <br />b <br />llti <br />lse Infor <br />tl <br />-- -- 1 <br />f <br /> am swan <br />er <br />ar <br />g <br />pe <br />a <br />s <br />or su <br />m <br />ng <br />ma <br />a <br />s <br />a <br />tm, AREA <br />TYPED OR PRINTED IndueleII the pmelbluty of One and Imprisonment for bnowlnE 0*1&Uo OFFICER OR AUTHORIZED AGENT I <br />CODE NUMEiER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference sat attachments horej <br />ADLE SOLIDS LIMIT APPLIED FOR .C=10YR,24HR PRECIP <br />EVENT- -'DS MONITORING - I. B. 2. <br />EPA Form 332D-1 (Rev. 3/99) Previous editions may be used. ,)700 /?1?1 4-PAGE OF