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PEflMITTEE NAME/ADDRESS (Incltde Faciury NamdLocotion iJOi$ereny NAl <br />NAME CGLDaYO COAL CUtlFANY, L. P. <br />ADDRESSCOLOW.TO DINE <br />5711 STATE HIGHYAI 13 C <br />MEEttER CO tl16U1 <br />FACILITY <br />LOCATION FROM <br />ATTN: J. D. HAHMUN, GENEdAL MANAGER <br />DISCHARGE ELIMINATION <br />MONITORING REPORT <br />PERMIT NUMBER <br />(NPDES) Forth Approved. <br />!S I N O R OMB No. 2040-0004 <br />Approval expires 0537-9B <br />I (BURR NN) <br />DUMBER 1~ - FINAL ~ MDFA9 <br />GULC9 A SlDI POND/GOOT SPGS CR <br />DAY <br />t aax MDISCHAR66 ~~ ##O <br />(303/1 NOTE: Read Instructions before completing this lortn. <br /> (3 CttN Ony) QUANTITY OR LOADING ~ 7 ~•~.. (4 CtW Ony) QUANTITY OR CONCENTRATION ~ NO. FREOUENC SAMPLE <br />PARAMETER (4653) 5461 38<5) 4653 (5461 <br />~ EX OF TYPE <br />(32~~ AVERAGE• :MAXIMUM ~ NITS MINIMUM ~. AVERAGE MAXIMUM UNITS ~~) ~s46ej 6&70 <br />Yt1 SAMPLE O~Ltt4iF ~SrCIF410F GRO%Y Kr# ( IZ) <br /> MEASUREMENT <br /> <br />UDVOD 1 0 D °'-PERMIT~~ <br />E <br />~ ~'~`~ <br />J <br />EFFLUENT GROSS YALU! FtE0U1REM <br />NT ~ - <br />; <br />~ ##~# ~ w <br />r -~~`' SU ' <br /> ~ .~ .; 4 °„ <br />SU US, 'CU A SAMPLE #>fi~4CI.R ¢3:t~4R ~ <br />~ #0100'4A~ ~ ( 19) <br />SU~FEYD2D MEASUREMENT i <br />~ b <br /> <br />OUSSO 1 U U <br />EFFLUENT GRO55 YALUI t _PERMIT~~' <br />S~REOUI(iEMENT: 3 < ~~` <br />;~ ~,~#~ "##' <br />?v1~ y~ <br />,= <br />71G/L ~'A_= <br />SULLUS, SF:TTLY.ABLE SAMPLE ~PPS6C Fay#FS #¢»aanit .. ( 25) <br /> MEASUREMENT <br /> <br />UU545 1 0 0 r'sPERM1T3. t~. _ ~° Arv <br />EFFLUENT GROSS YAlU1 LRE0uIREMENT= ~ <br />:~ ~ : <br />~ -.; airs M <br /> <br />,} _ ~, <br />, , <br />~ L/L <br />IcUN, 'tUTAL SAMPLE Ss:~C1GS~4 TtsersC=t ~#OtJt ~. :~ ( 19) <br />(lS FE) MEASUREMENT <br />OI04 5 1 U 0 ,~P,ERMIT~ ~ '##~ ~ ~ ~'~^% <br />EFFLUENT GHDSS YALUI SREQUIREMENT ~ ~' ; <br />; <br />~ '° "~.~ ~^~.~c aa~u~ <br /> <br />#pn <br />. : <br />~ <br />•, ~•, n- 11G / L <br />UIL A8U GREASE SAMPLE •~~GCG CO:T#G# :'+fi4:k414 ~ ##1P1COIte~ ( 19). <br /> MEASUREMENT <br /> • <br />03Stl2 1 U U ~fPERM1T <br />' ~ <br />J <br />° <br />" "' ~ ~ 'Q#Y <br />EfPLUENT GROSS ilLU1 RE~UIREMErN~ ~. <br />y. <br />r` <br />~ ¢3;~'~e h ~~_' ~qt.- s ~ ~_ ~ MG/L <br />PLON, IN CONDUIT ON SAMPLE ( U3J ##04%+ #af##s' sso>4a~ <br />THHU TREATMENT PLAN'1 MEASUREMENT <br />SOOSU 1 0 0 eERMI{~, TM; 'Lr ~~ ry ~; ~ ~~a <br />EFFLUENT GROSS YALU1 REOUIREME~NT, ~r NCD O#d><1 <br />SUL1D5, TOTAL SAMPLE a#n##~ a~>x#4a ~`##'~~'~ ~"~ ;~~. {~ 19) <br />DISSOLVED MEASUREMENT :. ~~ <br />70295 1 0 0 t~PERM~T <br />*4 Tx <br />~ 4i# <, <br />EFFLU>NT GROSS YALUF , <br />LREt~UIaEMENI= s <br />~` ~~;,,~ aa~4 ~~Z <br />NAME/TRLE PRINCIPAL IXECUTNE OFFICER I CERRFY UNDER PENALTY OF <br />AM FAMILIAR WfiT1 THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY E%AMIN <br />AND BASE <br />IN ED ANO <br />D ON MY p~+TELEPHONE DATE <br /> INQUIRY OF THOSE INDMDUAL <br />THE INFORMATION <br />I BELIEV ; <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORMATION IS TRUE -~ +;:,: <br />+R <br />~ / / A <br />n MI YY <br /> , <br />ACCURATE AND COMPLETE. , <br />I AM AWARE THAT THERE APE SIGNIFlCANf . <br />/ <br />f <br />~ <br />J DV/FYrA ~ < <br /> <br />1 .; tcc p"T PENALTIES FOR SUBMITTIN <br />POSSIBILITY OF FlNE AND IMPR G FALSE INFORMATION, INCLUDING THE <br />ISONMENT. SEE 1$ U.S.C. § 1001 AND 33 U.S.C. <br />SIGNATURE OF PRINCIPAL IXECUTIVE Q7, ~ C.9U -IL.~ .,. <br />~.t ~ <br />4 <br />! <br /> <br />TYPED OR PRINTED § 1318. (PoreNm unCer Mace s <br />maximum imprlsarprem of 6eMed mtutes may Ixlutle lines up m f/g000 erltl a <br />n6monW entl SymrsJ LOFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />OUMMtNIJ ANU F~YLANAIIUN Oh ANY VWLATIONS (HB1BlBRCB e//aD9ChTellf$he/BJ <br />SETTLEABLE SOLIDS LIMIT APPLIES ONLY IF <=10I@, 24 HR PRECIP £1ENT IS CLAIMEp• IP CLAIM AP/80TED BY M¢CD, <br />TSS E IRON LIMIYS PILL MU? BE APPLIED TD REPORTED MEASURElIENTS - SSE I.A.2, PG. 5 PO8 BOID_EN,OF P800P <br />p P.~I~Tb PY OY~! ATf C /gyp,! Y 4 1 I~.~ C ..,~ <br />EPA Form 8320.1 ~(OB-95) Previous editions may not be used. '(pEPLACES EPA FORM T-401NH CN NIAY NOT BE USED.)` ~ ~~ ~.' ' ~ ~~ `~ -~~ ~ ~~~ PAGE OF <br />_ ~~. moo. 4__,~ ..... .~...~ ..,.t..~- ~ 00035f9905C~--~~7..~-:. _.. 1 . <br />~.~.,. .~. -_ - ~s. - __. _ <br />