|
PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different)
<br />NAME S01.?' F, RESOURCTES
<br />ADDRESS y..<- CJA.. .eiC . I'8 4?9'z:
<br />FACILITY f. r lY„R r MINE'S
<br />LOCATION P Ax--eili
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPDES)
<br />DISCHARGE MONITORING REPORT (D R)
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM QV 1 tj _2±. TO . ,V :k 2
<br />Form Approved.
<br />OMB No. 2040-0004
<br />
<br />`I••t"s.' 4.' '?t'1 ?..7 1J ? w tt".`- q f t") i Y 1ci ?', t .....? I w, n .?.
<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 />s¢ y SAMPLE
<br /> MEASUREMENT
<br />Ca4FO. PERMIT
<br />«. .. .;
<br />:gas :. :r 1•
<br />ir
<br />t
<br />.. f.rdF .
<br />' '.i+
<br />C?1
<br />' E`;Y .
<br />1
<br />t
<br />
<br />&?u^syr. F t' ?r,? 4.!& 4 REQUIREMENT
<br />
<br />s., ,;. ?•
<br />
<br />i. :!', I
<br />
<br />tai , ..
<br />t._-:t
<br />
<br />c
<br />_i
<br />rB
<br />
<br />t
<br />lZ....(
<br />:+ 0C- i"i ±T ,AI
<br />5 0L SAMPLE
<br />..
<br />c - t' -• t`1
<br />U S P t'•i
<br />?• MEASUREMENT
<br />g
<br />PERMIT r
<br />tF REQUIREMENT 'g sc = 'e
<br />H%P?.?i?"? s.? ??1?} • } ,t
<br />I n.l I P3 ?: tJ
<br />t", r.» i i •I?i . I
<br />=UL Y00. !-: , "i BLE SAMPLE s icy p ;s. I 3F^iaed°, tk 3# cksr i?r;i F ? ??d
<br /> MEASUREMENT
<br />r pr l»? s s Il :.? PERMIT 1 :....a., M. ?. :? • t t r N ;: .. .... : ar I i! y, t rti,3;z
<br /> REQUIREMENT, rJ., Tr
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT
<br />`°k aeRo art ?? fi .r
<br />? REQUIREMENT r .. t :b 7 • t,. r yr Fey y ?: ", ..
<br />-` t,
<br />; t?a°• SAMPLE 'C C"a r :f •s?.., .
<br />Ir"F t r + a MEASUREMENT
<br /> PERMIT
<br />
<br />
<br />.
<br />77, REQUIREMENT
<br />- -
<br />^? SAMPLE
<br />.:.. ..: •..
<br />''' ?', a
<br />,. .. .... .. ..
<br />.. . "r
<br />a .?
<br />MEASUREMENT
<br />- - PERMIT t t r_ ..
<br />, REQUIREMENT
<br />I
<br />1
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT
<br /> REQUIREMENT
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were
<br />TELEPHON
<br />E
<br />DATE
<br /> prepared under my direction or supervision in accordance with a system designed
<br />Y'?q v.,-7 ?fi?e-c,. , v'
<br />`•/
<br />(
<br />G
<br />? to assure that qualified personnel properly gather and evaluate the information
<br />h
<br />r
<br />f
<br />r e system,
<br />submitted. Based on my inquiry of the person or persons who manage t
<br />or those persons directly responsible for gathering the information, the information
<br />><?
<br />y f {•tn • s ? ; • submitted is, to the best of my knowledge and belief, true, accurate, and complete. SIGNAT E OF PRINCIPAL EXECUTIVE A? ?
<br />"
<br />?
<br />N
<br />TYPED OR PRINTED Ian aware that there are significant penalties for submitting false information,
<br />including the possibility of fine and imprisonment for knowing violations.
<br />OFFICER OR AUTHORIZED AGENT A A
<br />CODE _
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLA I IUN, (rrererence an arracnntt nw Here/
<br />{. ..?..I ,_ - - t'9 ? .7, ?? _.?. a.: ,. ._ . S:. -. .... ... ,.. .., ?.., ..-. ...,- ..? ....+. . , . ? .._. ?'a ., ice,. ... t._ ... .. .. ..... ?{?:' .i,
<br />;J-jh 7S 44-par fOrtTl. PAGE OF
<br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used.
|