Laserfiche WebLink
„ PERMITTEE NAMEIADDRESS (Include Facility Name/Location if Different) <br />NAME I " T S,b _1F' S{ I"' I Lffr AY COAL IM I ICI i N <br />r ADDRESS ED' IA MINE <br />d 3. t._ i. f'` t __..'?.."•?"4 llr3 s`i. E r 5 t E K?'•Y J <br />FN0i1 EWLi01) i..? ate', <br />FACILITY' <br />t.' tOCA?TIt?ON G't?gt' r_.IF .Frtr?.?}K a t:j y y ?(i' L„NG :.t.O(? ?F3a??t4 7. <br />°rA( ) N: i:.1 7 Yr L.. L_k«Y'?}..,; "`l SR s4V I/4EER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM <br />DISCHARGE MONITORING REPORT (DM <br />CiO003216 3B 174 <br />PERMIT NUMBER DISCHARGE <br />FROM <br />TO <br />Form Approved. <br />I NO OMB No. 2040.0004 <br />(c-;UE3R JC ) <br />F - FINAL ROUT ? <br />SURFACE RUNOFF TO TROUT CREEK <br />##x NO DISCHARGE Ii <br />NOTE: Read Instructions before comoletino this form, <br /> PARAMETER TITY OR LOADING QUALITY OR ONCENTRATION NO, FREQUENCY <br />SAMPLE <br /> 1>< OF <br /> EX ANALYSIS TYPE <br /> A <br />GE MAXIMUM UNITS MINIMUM AVER A MAXIMUM UNITS <br /> AND uR ASE SAMPLE J 94) <br /> AL_ MEASUREMENT <br /> <br /> PERMIT N E? Z xt ##kt . ` k <br /> FLUENT =Yf.OSS ')ALUI REQUIREMENT TfVST MAX N0=0 <br />dt#; <br />,? <br /> SAMPLE ?. <br /> MEASUREMENT ` a <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMITS .a;< <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />? <br />?, <br /> REQUIREMENT t• ; ; <br /> SAMPLE - <br /> MEASUREMENT <br /> r?. PERMIT ?r° <br /> REOUIR?MENT <br /> <br /> SAMPLE <br /> MlEASURSMENT <br /> <br /> EQUIREMENT „s. <br /> <br /> SAMPLE 1 <br /> MEASUREMENT <br /> PERMIT t „ <br />??r <br />I[t <br /> REQUIREMENT <br /> °MENITLE PRINCIPAL EXECUTIVE OFFICER Icertify tinder penalty a thalmisdocument and ail attachments were TELEPHONE DA TE <br /> ?IIQ ?.???? pre,paredunder mydire or-superyisioninaccordancewithasystemdesigned - <br />to assure that <br />lifi <br />d <br />t <br />e <br />l <br />h <br />d <br />l <br />f <br /> qua <br />e <br />ne <br />prop <br />y gat <br />r <br />er an <br />eva <br />uate the in <br />ormation / - <br /> - <br /> <br />1 ?? C <br />{ <br />D submitted. Based on my ttt of the person or persons who manage thesystem <br />, <br />or those persons dlrecll ?!hsiMc for gathering the information <br />the information <br /> <br />r <br />' <br />• , <br /> <br />submitted is, to the best t for,ledge and belief, true accurate and complete. <br />I am aware that th <br />h vR <br />p <br />lti <br />f <br />it <br />b <br />i <br />l <br /> <br />S NATURE OF P <br />RI <br /> <br />A XE <br />CUTIVE ??? <br /> <br />1-30 ?,. , <br />, <br /> ,. <br />TYPED OR PRINTED ere a <br />pena <br />es <br />or su <br />, <br />m <br />t <br />ng fa <br />se information, <br />includiligthe possibility a and imprisonment for knowing violations. QFFIeER OR AUT D AGENT CRUE NUMBER Y <br /> <br />I+11\AKJ1CIJ1. A\tr1 CVnl AWAmrim ^0 AK--8 <br />AT--^ <br />-- EAR MD DAY <br />3ET,TLEX7,1 _r SOLIDS L.IM `f' WILL BE WA D FOR _.`,1OYR, 24HR PR'EC•IP VEN SC.: A.2, Pt:. 4 Ft3R REC,lUIREMEiV"IS. <br />IIRTRLY SAMPLING INSTRUCTIONS- I. C- PG. 9. <br />?A Form 3320-1 (Rev. 3/99) Previous editions may be used. 32 CY ,7 4- - jrlTd. PAGE ;_OF >