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PERMfTTEE NAME/ADORESS pnchde Pocillry Namdlncatlon ijDiffnmp NA' <br />NAhoE CO•LUYYO COAL CCEPAYY, L. P. <br />ADDRESSCOLOY YO NIYE <br />5731 STATE $IGRY)Y 13 ~~' <br />NHEHER C0 81641 <br />FACILRY <br />LOCATION ' ~~~~ ~ ~ • ;;,, FROM <br />ATTN: J. D. HARHON, GENHEA$`,~II~GER <br />DISCHARGE ELIMINATION SYBTEM (NPDES) Form Approved. <br />MONITORING REPORT (DMR ~ OMB No. 2040-0004 <br />m-;sl i9I N08 Approval expires 05-31-98 <br />0~'.A (SUBR NY) <br />BER DISCHARGE NUMBER P- F I Y A L MO P A7 <br />IONITORINGi PERIOD GOLCH A SEDI POND/GODS SPCS CH <br />DAM;:: YEAR MO DAY <br />= Yp uu 1 ~~= NO DISCHARGE ~~ ~'~~ <br />T14~25)F (Z&ZI) (zaxeJ (3oa IJ NOTE: Read Instructions before completing this form. <br /> (3 Card OnyJ QUANTITY OR LOADING (4 Card OnyJ QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53 (54-67J 3B45J (46-53J 54-61/ EX OF TYPE <br />(32~n AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS r~~l (~ 6HIS 6370 <br />UlV A V V^1: 11J SAMPLE v:::~r~::= ~ •• ~ `l4 #F(IY~4 ,'iC ~xF4? 3Ct~, ~`: <br />VISUAL MEASUREMENT ,. <br />B40b6 1 U U r*`PERMIT~t . ~ ~ ?I -1 .t, .., j, #d# 3`.~I <br /> <br />EFFLUEN2 GROSS VALUE s <br />Sr"„ <br />REOUIFiEMENT <br />-='~ "` <br />~'" <br />~ <br />~`:~}'-~«-:s-~ <br />::x+~ T <br />~ }r' <br />'"} <br />~, <br /> _ <br />~~. , <br />~ , <br /> SAMPLE ~~ <br /> MEASUREMENT <br /> <br /> +REOUIREMENT- ; f' ~v - ;~~; ~'=~ _ <br /> _ <br /> SAMPLE '~? ~~ <br /> MEASUREMENT ~---- <br /> - , <br />~` ' ~ <br /> REOUIREMENT n , ~ <br />' ,- <br />, `• <br /> 4 ; ~ <br /> SAMPLE -+~~ <br />~ <br />aF <br />"' <br /> MEASUREMENT . _ <br /> ~7~PERMIT ~ s - f <br />u <br />' _ ,~r -'- <br />' <br />r ~ ~ ~,~+ <br />~~ <br /> ~REOUIREMENT- <br />4,~ ' <br />..-'~ ' <br />;- ~ '° -: <br />"t <br />y '* .~~i,.'~~X.''i.. - <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMITS . -' -~ <br />~ :~ ':"- ;' ~ ' ~+" '~ <br /> RE~UIREMEN~ x° <br />.%' <br />~ .~ <br />. 4 ~t ~,.~ `J 4 ~ <br /> #~ , mT w.a~ <br /> SAMPLE <br /> MEASUREMENT qi, <br /> ti ~ <br />,~PERMI ti ~' \ I" <br />~ F „v-:a s <br />r~.-'' tr - {~ }'4 <br />,# ~ r" ~.= ° }, 4 <br />,~" a 4 < <br />a,4v- ~r.. <br /> REOUIFiEMENT, „ <br />•~ <br />~~r J-' <br />~` <br />~ '" t <br />' <br />" <br />'~+ ~~ ~ <br />5 <br />` . ,;y;~<. . <br /> ~ y <br />. ;..a, <br />-. ..x <br />::„~ ... <br />_ _ c <br />,. <br />> .A: <br />.•y~ . <br />, <br />„ , <br /> SAMPLE <br /> MEASUREMENT , <br /> PERMIT: r': k " ~ 3Y tom. <br />Y y~ ^s- ~. •r. r'r-y!~` ~ s,.P _ ~'~ry,° <br />~ ~. '~ <br />r <br /> UIREMEN <br />T` ~ <br />p <br />~ 5, ~ <br />~ - <br />~~ <br />~ .«. <br /> ,r <br />,I , <br />$ ~" i ~a ~ <br />^- v <br />NAME/TITLE PRINCIPAL DLECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />M F <br />AR <br />HE <br />M LAW THAT I HAVE PERS <br />AT <br />UBMIT <br />H ONALLY E%AMINED AND <br />N <br />D TELEPHONE DATE <br /> AMILI <br />WITH T <br />INFOR <br />A <br />INQUIRY OF THOSE INDNIDUAL ION S <br />TED <br />ER <br />S IMMEDIATELY RESPON ON MY <br />EIN; A <br />D BASE <br />SIBLE FOR OBTAINING ~ <br />! <br /> THE INFORMATION, I BELIEV E THE SUBMITTED IN FORMATION IS TRUE, / <br /> ACCURATE AND COMPLETE. <br />PENA <br />T <br />ES FOR SUBMIT' <br />N I AM AWARE THAT TH <br />G F <br />E <br />MA ERE ARE SIGNIFICANT <br />I <br />~` i 1 <br />\, A /N L <br />I <br />f1 <br />PDB$IBILIiY OF FINE AND IMPR ALS <br />INFOR <br />TION, <br />NCLUDING THE <br />ISONMENT. SEE 1B U.S.C. § 1001 AND 33 U.S.C. L <br />SIG AfURE OF PRINCIPAL E%ECUTIVE /~ <br />97u (Jp ~~// <br />UG 7' ~I4UJ <br />B7 U J <br /> <br />TYPED OR PRINTED § 13I B. (PoMRies under Mesa <br />marimum/mpnsmmem olSeMee slennes mey IncWde fines up ro slp,(po end or <br />nBmoneu ends yeem.) O FICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR MO DAY <br />COMMENTS AND FJ(PLANATION OF ANY VIOLATIONS (Reference all aftechments here) <br />SETTLEABLE SOLIDS LIMIT APPLIES ONLY IF <=l0YR,24HR PRECIP ETEET IS CLAINHD. IF CLAIFI APPROVED BY YQCD, <br />TSS E IRON LIlIIlS YILL YO? 8E APPLIED TO REPORTED tlEl50il.~IRETS - SES I.A.2, PG. 5 FOR BOBDEY OF DROOP <br />- ------ <br />EPA Form 33261 (0&95) Previous editions may not be used. (REPLACES EPA FQRM T-40,W IH~H;MAY NOT 8E USED.) 9 PAGE OF <br />;;~ ~ p00316/9 0505-1057 <br />