1987-12-01_PERMIT FILE - C1981017 ‎(210)‎

• Permit No: C1981017
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/1/1987
• Doc Name: Mine Discharge Monitoring Reports
• Section_Exhibit Name: Chapter III Appendix III-E-4
• Media Type: D
• Archive: No

NATIONAL POLLUTAN LHAHGE ELIMINATiOIJ SYSTLM
DISCHARG IITORING REPORT Approved
NO, 15S-R0073
I—CT C( ;,L (POFP PL'I,NT l
INSTRUCTIONS
l— 1�(1 •�)f)�3 1. Pm.de dates for period Love:ed by U.J..ep.,t to apace.marked"REPORTING PrRiup'I.
` 2. Enter reported..nnimum, average and m-t—um values under"QUANTITY"and"CONCENTRATION"
I2.31 14-I6) (1,1.) in the unite specltled to: e..ch paraplrter as appropriate. Do n.,l enter values in boxes containing
-- -- -- ----- attcrW'a "AVERAGE" is average;onp.ded over actual time dracharge is operating. "NAXIMU4"
_ and"1,11NIFi1:M"me extreme values obsierved during the reporting period.
I 11 -icy 6 3 Specify the unmbLr of 1—yso1 s-, sl that exceed thu maximum(and/or mere/mum as appropriate)
- ----- - ----—� permit conditions in the columns labeled"No. Ex." If none, enter"G".
ST PERMIT NUMBER —LATITUDE DIS J sIC LONGITUDE J q, Specify hequency of ar,,dysts for e- vh pa.ameter as No. analyses/Nu. days. (e.g., "3/7" Is equlva-
Izu-2u 122-2m I2+-2e, Ile-27) I26.2.) lao•au lane to 3 analyses perforated every 7 days) It continuous enter"CONT."
S. Specify sample type("grab"or"—hr. composite")as applicable. If frequency was continuous,
n enter NA".
` REPORTING PERIOD FROM I4 lI TO —'IA �t �I 6. Appropriate signature Is required an bottom of this form.
EAR MO OAV YEAP MO_ DAY 7• Re1aO Vn Ca tbOn and rf to JA copy fur)•Quf In.O rda.
LFold along dotted lines, staple and marl Ongrnal to office specified to permit
_ le2-aN _ _ _
_ _ IS A-e+r lea-Tel
.__. — (S card Darr) QUANTITY (''''a"r'ly) CONCENTRATION -- FREQUENCY
IH-se.PARAMETER 1/0_ay teMeu e2 a] ---156-Ice tR-aye-- -- - OF ter nn _142•E] SAMPLE
-- - -- -- --- - — --- -- - ------
MINIMUM AVERAGE MAXIM11M UNITS NO, MIN1H(gA AVERAGE to,
UNIT. TNo ANALYSIS TYPE
` FLO'! IN CUN')UIT REPUHTED q # # # # # p # # # #
CONDITION # # # # '1} # # !t +} # W {'' ♦F # {} Ii ;t # # # # # {} 1, 1/7 IN
�'�LT,1Sf T tT L DISS REPORTED
PERMIT # # # # # If •Y # # 1} ii' # # # # H A # #
3 tt' I CONU1T1011 tf is IS
'L SUSP NEPORTED - SI .'} {f it
PE..7
,, # # i G , 1# >} >f # # L ?: i' ♦t fi # M it # /
CONDITION T
r �)! I yU CID
�. .�tvf!e TOTAL(A] Fr) REPORTED tr tt {} It # it # # tr .. it tit rKPERMI /UNY
TJ�
CONDITION 7. Co
t'1�9f I�Li, REPORTED —# #\ # # tr it
�- PERMIT .J --
�;4 tr CONOITIOtI tr L A # # # 4i fT {i # i} Fie(! # q # # e(1
,. ,� I/gyp fTR
{ I''IL 6 G� F,''SF VI'SUa LREPORreu ^t # it z n t ti Tr n — tr sr # #
PEWIT ---i_------
AJL�? GONOITION if T'} }I # # # # # # t} # 11 t} # # # U ID I/90 VI
RFPORTED
_ _ I
PERMIT
r ` cONOITION
REPORTED __—_-
--{II
PERMIT �- r
' CON DITIGN
NAME OT PRINCIPAL EXECUTIVE OFFICER - TITt E uF THE uFFiC,tR � — DATE — � �p
'--'-- ----------- ---------"---"-"'-- '-- I certify that 1 ola fa.nllrar wit. the information cnntalnad to this 1 W
/ t? 'mil t' re rt and.hat to the beat of m knewiod,a end belief such infer =-- -
(!•EE_Vt.. J,_el/J If �Yc�t"IwIF U1�� /;K P-e 1*kT _7L�lol 7( r,I r p -- ----- ----
_ 1. matton to true, complete,and eccureta SIGNATURE OF PRINCIPAL EXECUTIVE
LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT ,
�• EPA form 3720.1(10-72) ORIGINAL PAGE I OF •I
00-4 IS SETTLED r'IIIJE WATER FnJti COAL HASIN MINE ANY 'SINGLE GRAB CANNOT
FXCEEU 45 t1G/L FoR TS5
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