|
PERMITTEE NAME/ADDRESS (Include Fad6ry Nome/Location i/Differenr)
<br />NAME
<br />CY6r.;~ YARPA ~ i L`. F COAL C03F'.
<br />ADuRESS~~Ni.S Lr283 3c,U". a, °, e:C.K"AM1 ~R
<br />VDU !.AST MI;iEr,i~L Ci1:CLS
<br />y'GLLIIOOD L'C tIU17'r
<br />FACILITY ;
<br />LOCATIO
<br />1,.
<br />A TTi~ ACiRRTS SIB XFGLF V- .^cUPBIT GT6V
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR;
<br />(2-16) (1]- 9)
<br />r'n,i,l ~ „till
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM DO 09 O1 TO 00 09 30
<br />(20-1 t) (22-231 (24251 (26'2)1 (2&291 130-O1J
<br />Form Approved.
<br />OMB No. 2040-0004
<br />C P. ~ ~" Approval expires 05-31-98
<br />(jCHii "ri w%
<br />F - FINAL FCCTT
<br />*AhGAVES~: COMP pT 1'C FCICEL CF
<br />;:~= ti0 DISCHARGE ~,~ h'-::
<br />NOTE: Read Instructions before completing this form.
<br />`~I;y (3 Certl Ony) QUANTITY OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />.
<br />J PARAMETER (46-53) 54-61) (3645) (46-53) (5461) EX OF TYPE
<br />V
<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS
<br />S ;SNtSI;, TOTF.L SAMPLE ~`~+v%^* ~:aCr#L ##'I"~+"~
<br />( 19)
<br />
<br />~
<br />
<br />LT1D
<br />O'oFRABLE MEASUREMENT o. rj~f .{.(q7' O 30 ~,{L
<br />z3 1 U u `;`~P'~ni~'~J:` ?'~~"~¢ ,0+11n;ls:,erilr a
<br />~ c#u aa+~M4* r ~,,0 1 ~~Y,P1~H! ,,.
<br />~ -,. ,d aCB%~ ( lLSxb
<br />E'L(lE'NT GBOC,S VALUE ~o~EN~; s ;"t ,,' `., x,, ~: ad~# ;;. f~~j~ , ~~~~t~ :*~ =~e,~ ~:~ RG/L !: IC1!A: . ~ ., .;'
<br />vN, Ila CU ti': JIT OA SAMPLE p ( 03) ####ae #~D#### #####X+
<br />~ ~I
<br />C
<br />b
<br />.:U ':BEAT„^'•:iT PLANT MEASUREMENT Q.ZZ~ Q.3~ 1 O 30 ~'
<br />'
<br />5uU5U 1 U U ~; Ira` 'L'D
<br />Q
<br />~f~ ~ :il~
<br />T ~ a>~~
<br />~;~ r~
<br />~' ~` ;_ a~# e;z `~~ iIkLG~`~
<br />ti FLU F. i+IT 6RQS5 VALOE rR O I EMENT. i
<br />,
<br />DA "~''~ "1~ ~-~ . FGD ~ a~.
<br />. +, ::~: r9 ;a!,j T### ,;wig! ~` ,,
<br />- SAMPLE
<br /> MEASUREMENT
<br />
<br />2 ~PERNIIT
<br />= ~~ ~
<br />- ~
<br />-
<br />~ ~~
<br />
<br />~
<br />'
<br />t
<br />~ .
<br />~
<br />QUIREMENT ~f''
<br />.., Ik ".~ ~ - - ~ ~
<br />~` a .:
<br />. i.
<br />E . ~ .,
<br />tt~
<br />t SAMPLE ~ ~ t
<br />`
<br />i ~f•~
<br />" MEASUREMENT ~ (.
<br />'
<br />I yA~~
<br />11124 Jrv p~~ ~
<br />~' .ytl, ~
<br />~{
<br />xr
<br />y~ '~
<br />F~
<br /> .1
<br />• 6
<br />'
<br />
<br />~~ ~`t ~,.,...
<br />.SAMPLE
<br /> MEASUREMENT
<br /> s ~
<br />~
<br /> REQUIREMENT!
<br />e ;cL~;.~ I. ~ ~ 5. ..~-~ `",~ i'
<br /> SAMPLE
<br /> MEASUREMENT ~ ~ -
<br /> o`. PERMIT ~- ~ , a `u~ ~S~
<br />f a "5'k ~ k
<br />~ sr {s...- - .
<br /> . S r
<br />~. ,.I.. ,.t
<br />y
<br />4 .
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT ~ ~ - .. -
<br /> REQUIREMENT ~ '
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO
<br />AM FAMIUAA WITH THE INFORMATION SUBMITTED HERE NALLY E7(AMINED AND
<br />IN; AND BASED ON MV TELEPHONE DATE
<br />
<br />hard A~lills
<br />Ri INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br />c
<br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />BMITTING FALSE INFORMATION
<br />INCLUDING THE
<br />T
<br />ES FOR ( j i~~ //
<br />
<br />970-870-2712
<br />EnvironrTental Alanager ,
<br />I
<br />PENAL
<br />SU ~ ~,~ / _
<br /> POSSIBILffY OF FINE AND IMPRISONMENT. SEE 18 U S.C. 4 1001 AND 33 U S C.
<br />l
<br />tl
<br />li
<br />410
<br />000
<br />P
<br />l
<br />tl SIGNATURE OF PRINCIPAL EXECUTIVE ~~/ %// 07
<br />
<br />TYPED OR PRINTED u
<br />e
<br />nes up
<br />,
<br />or
<br />eneltiaa untler these statutes maY mc
<br />0
<br />en
<br />g t319. (
<br />maximum impnsonmarrt al6elween6monMS tmtl Syeers.) OFFICER OR AUTHORIZED AGENT
<br />DE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />~I
<br />fr
<br />~~~~
<br />r
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here)
<br />::TEft":'~.~ 1U-STAY AYSh.iCE Gi:CF.'~T.'10.T7C.'• U5IbG A EiOFaAL ~IRIIHMETIC `IEA!1 OF ALL aSE;:LY F.E~ULT:, CbTAIN~f, FRrM
<br />_ ~;gpLE:, COLLECTED AT p:flti':3 OUlA, U05A A4~ OU7A UIIRING TN :. RE PC:'.TIhG ?E'RICD-I.9.1, PC lt(.
<br />~i~
<br />EPA Form 332x1 (Da-95) Previous editions may nol be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) 0011 U / 00 0 U d 5- 150 1 PAGE 1 OF
<br />
|