Laserfiche WebLink
PERMITTEE NAME ADDRESS iinciude Factlin .tiume 1,o ati l y Defornn <br />NAME <br />-LiAL ADDRESS , I J C ANYON M I NE. <br />_'`- WEST W&J W `44;.F-;ET Fif'-fs `fee <br />ENIDAD CC 6108-02- <br />FACILITY :TO CANYON MINE <br />LOCATION I CO 61091 <br />(` T?df'7rtPcZl`1I,I. Lr_PKiT <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 />'1 I NOR <br />(SUBR OK <br />r - FINAL <br />TO UNNMD <br />Form Approved. <br />OMB No. 20404)004 <br />iNGATORIE RV <br />AP LA <br />10TE: Read instrurtions before cmmnletinn this fnrm <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br /> <br />>< Of <br />TYPE <br /> ANALYSIS <br /> . AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />- SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />„ REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />11G530 = PERMIT #c a s- #4# k i i .•j T I <br />"FFLUENT :-PC]SS VALUE REQUIREMENT <br />Gl.. i Ci S . _ _. ! . t P L SAMPLE - <br /> MEASUREMENT <br />?. PERMIT 1 h .. ,_ _ ;• aR ?, , <br />-N REQUIREMENT <br /> SAMPLE <br />LL'T ' i li;?IJL. %i MEASUREMENT <br />n (? PERMIT F.: saw ,- . w usr?, F ( ;r?sr. <br />!-?S VA L REQUIREMENT 1 i hA AV1 <br /> SAMPLE <br /> MEASUREMENT ?? <br /> PERMIT iT ? N =R r• <br />r.: Vi '; . REQUIREMENT J;.:_• ' <br />Lnr% SAMPLE <br />'r,RU TRE=ATMENT PLArJ' MEASUREMENT <br />rir - - PERMIT ?:PC71'i i R;'r' <br /> REQUIREMENT t r r t ;; <br />_ SAMPLE : tr : x <br />Vj MEASUREMENT <br /> PERMIT i; R -- r" LlR T <br /> REQUIREMENT ;alt _ <br />NAME/nTLE PRINCIPAL EXECUTIVE OFFICER I ccrtifp under pcnaltc of law that 'hi, d„cumcm and all attachment were <br />prepared under m) direction or super. ision in accordance with a system dest <br />m?ni TELEPHONE DATE <br />E <br />to assure that qualified penunnel properly gather and csaluate the infutmauon <br />b <br />B / <br />- su <br />mitted. <br />ased on my mgmry of the parson or persons who manage the system, L <br />.-- or those persons directly- responsible for gathering the information. the information <br />? <br />aubmiued is, to the best of my knowledge and bchcl: true, accurate, and complete SIGNATURE OF PRINCIPAL EXECUTIVE <br />I am aware that there arc significant penalnes for submitting false mtormaticin. d <br /> <br />TYPED OR PRINTED the p,s;ibilirc of firrc end iter wnmcnt for knowing c iulaun` OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR A <br />DAY <br />VVmmV.1{IJ MI{? Lnr1..I{I{?IIV1{ VI- MI{1 YIVL <br />IVIIJ IIICICICIIL'a 011 0140 iritallib trar CI <br />"RECIP EVENT SUBJECT TO BURDEN OF PROOF REGUIREMEENTS IN <br />;-0 TO THE DIVISIUN WITHIN 48 HOURS <br />EPA Form 3320.1 (Rev. 31'99) Previous editions may be used. ? <br />oU_•0?/?i.., is.158 4-p4a (i)fill.