Laserfiche WebLink
^ <br />? Form Approved. <br />PERMITTEE NAME)ADDRESS R-ti6&Fwdwy)VooWL ationi/D($bwm) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM rNPOES) <br />DISCHARGE MONITORING REPORT IDMRI ?f <br />9 t OMB No. 2040-0004 <br />NAME RECEIVED M N P <br /> <br />ADDRESS SURF ? : <br />_3 <br />" <br />::J.. <br />?JNIA <br />AUG 3i12 9 PERMIT NUMBER DtscHAnoE NuMem - F I Cv <br />-./MINE AL. DELTA <br />WR TO DEER TRAIL DTCH <br /> <br />FACILITY t:,I I E NO. <br />Division vi Reclamation MONITORING PERIOD <br />_ <br />LOCATNxd J N I A , <br />mining <br /> <br />bt}dSafety <br /> <br /> <br />ROM <br /> <br />M D YEAR O D Y <br />YEAR <br />TO <br />i LLI AI"I A. BEAR ./R. M I i ;F_ -'C NOTE: Re ed kwtrucdorw bstore completing 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 .- <br /> REQUIREMENT MINI "iUN ;`;AX I MU I" <br />- - - <br /> SAMPLE <br /> MEASUREMENT <br />---- <br /> PERMIT •? ? x # ##i Tf71 <br /> REQUIREMENT 30DA AVG DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ,. <br /> REQUIREMENT 30DA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT «:-. K K r x ??civ Lr•,, G'CJ <br /> REQUIREMENT :30DA AVG DAILY MX F MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ? t:. - "0177T71 !. <br /> REQUIREMENT )( i<11 <br /> SAMPLE <br />I -. MEASUREMENT <br />D PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ^ <br />PERMIT <br />REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER ee ' ?" "p`"` ly ° '" treat lhh d°`u"""t ` all ellachmenU were TELEPHONE DATE <br />Prepared under my directlon or super.llon In accords x with a system designed <br />to sseure that quaened personnel property tether and eraWete the Infornnalloe <br />submitted. !seed on my Inquiry of the penal or persons who mange the sysl,n% <br />or those persons directly ria"ble for gathering the Inforntatloq the information - ' <br />submitted la, to the bet of my knowldge and baler, true, Kvumte, and complete' _ <br />I am swan that then are fgninnm penalties for submitting rare Infontstlon <br />SIGNATURE OF PRINCIPAL EXECUTIVE - <br />TYPED OR PRINTED , <br />nduding the possibility of tine and Imprisonment for knowing violations. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference l11 attachments hers) <br />1R nRFrTP EVENT IS CL.4TMED TT' rLATM APPRnl,1FD rnY WC?CD, <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. TWs is 8 4-pan fdrm. PAGE OF