Laserfiche WebLink
~ <br />PERMITTEE NAME/ADDRESS (/nc(ude Focrlin~.\'ame/LOmnon ilDffe/enr) NATIONAL POLLIIrANT ~DISCIiARGE ELIMINATION SYY$TEM (NPDES) Form Approved. <br />NAME ~ 'DISCHARGE MONITORING REPORT ~(OMRR~ OMB No. 2040-0004 <br />PITTSRUQG 6 EILkAI COAL l4LKIdG rz-15J "' 9J RINCF Aoprovalexpires05-31.96 <br />ADDRESSEDrl1 .AIIIE - ~ ~SU6H N~) <br />P • Q • eo x 17 6 - PERMIT NUMBER DISCHARGE NUMBER F - F I ~ - I F. C LI 11 <br />OAR CHEFR ~ ~ CO E0~b7 ~ MONITORING PERIOD ~ eU RF ACE 6CNCEE 7( CAN C'F!!A <br />FACILITY <br />LOCATION - -YEAR MO DAY YEAR MO DAY <br />FROM ~ - TO U{! 4 ~ d <br />bOra d0 .CI9CH~E6E <br />~ ~~~ <br />~ <br />ATTN: D-Y ID L. LORG• CItl.B SU FrT. (zazr) na P3J (z+zSJ rx5-z;J 1YB 29J (30-31) pleting this form. <br />NOTE: Read lnsiructions 6etore <br /> (3 Certl Ony) QUANTITY OR LOA ING - (4 Card On y) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> PARAMETER (96-53) (54-¢7). (38-45) (46.53) (54-61) Ex OF TYPE <br /> (32-37) AVERAGE-. MAXIMUM ~ ~' UNITS ~MINIMUM~ AVERAGE MAXIMUM UNITS avaLrsJS~ <br />(u-531 (64-fief <br />,fi9r 70) <br /> PH SAMPLE 44101r~ ~ *>e~>0#~ ~, ~ 4;Of,00 ~ ]i} . <br /> MFARYIRFMFNT -- .. <br />0400 1 0 0 <br />PFLUENT G@OSB YALU <br />CLIDS, TOTAL <br />USlENDEll <br />0530 1 0 G <br />FFLUEM2 GROSS Y1L,0 <br />GLIDS, SETTLE Y.i.'.. <br />r. <br />U54S 1 0 0 <br />FFLUENT GROSS YALU <br />00555 1 0 0 <br />EFFLUE)yT GSOSE YdLOE`~~~~ <br />IRON, TOTAL ;: SI <br />tj,~,:',~j,~.:" MEAS <br />olau5 3~;.> ,o <br />EPFLU '.~i~Q~1 Xj~a_ <br />FLOP, ~r;.cal~ ~ . <br />TRffti Hy:ee>'t llts~i. , s <br />5aas~+.' L . a - e <br />EFPLdBNT GHO~S IALa>! <br />II, !AD GBEASp S/ <br />VISUAL' ~ M["AS <br />84066 L` 0 0. <br />LFPLOENT GR055 YALal, <br />NAMERIT[E PRINCIPAL EXEyUTIVE OFFICER <br />'jrya~a..~ b. GO.~e•PARCJ~.- <br />TYPED OR PRINTED <br />_ COMMENTS AND EXPLANATION OF ANY VIOI <br />T53 8 TOTAL I'aM LIlIT* <br />' Stilt LA.2, !6 I1, . FCH ~ <br />~~ .EPA Form 3320-T (ON'§5)-. RT~yia , E(~"ItIP ~. <br />'~ 3;?51 <br />' '. ,fw.r <br />d r :~ t~ao ~ ='se _ <br />O •g10iOf0k 11r?trl~« ,.,' ,I, 1 ] 5 ~ <br />'~ • ,I <br />,' ; ~ . <br />~. <br />Ort t I <br /> <br /> .' :' .~ <br />I <br />~ ~, YyY _ .~ <br />LE <br />. A4• _ . <br />~ .~ <br />~ <br />I <br />-MENT °y...; . <br />:",l,~ <br /> ~ L O :. 4 ~ -~^ ~ ~ .~,~: <br />k `a `. <br />- <br />, <br /> ~~~ = . <br />acs * <br /> ) r <br />~ 3r <br /> <br />r <br />" ~' <br />TT <br />~7 It.A <br />~' <br />e~ F <br />- 1; •;18t 1~. <br />~ ~ <br />' ~?t <br />'7'', i4 <br />u"=i~1 -I <br />~ ~ ~~F <br />ar . <br />.. : i <br />.r _ <br />~ ~. <br />. ~~'~ <br />~. <br /> ecu I ~.r~'~'~x I <br />~ ~ ~rs4~ <br /> <br />iId,ENT <br /> <br /> <br />,~'I CE TI <br />A FY UNDER PENALTY OF' <br />WITH <br />FORM IAW YHgTtHAVEPER$ <br />SUBMITTED HER <br />ATIO ONALLV EXAMINED AND ~ ~ <br />AND BASED ON MY <br />IN ~ TELEPHONE -' <br />; <br />M FAMILIAR <br />FHE IN <br />N <br />E ~ <br />~ <br />INQUIRY OF THOSE INDIVID'ALS IMMEDIATELY gESPON51BlE FOR OBTNNING , <br />BMITTED I <br />FORMATION IS TRUE; <br />IATIO <br />E T <br />E S <br />T ;1, <br />N <br />, <br />N, I <br />HE INFORI+ <br />H <br />U <br />ATCUPATE AND COM 1 AM AWARE THAT THERE ARE SIGNIFICANT' <br />PENALTIES FOR S ITTING FALSE INFORMATION, INCLUDING THE' ' <br />POSSIBILITY OF FINEA B IMPPISONMENT. SEE IB U.S.C. § 1001 AND, 33 U.S.C. SIGNATU OF PRINCIPAJ. A"7(ECUTIVE So3 ~3O -''{ <br />'. § 1319,. (PeOeme$ under mesa srarules met' mcWde lint's up ro f 10,000 anq.`br OFFICER OR AUTHORIZED AGENT <br />mazimuM impnSpnmQnt or DeM1Veen6monfhs end5yaersJ 1 AR <br />OD NUMBER' <br />IONS (Reference all attachments here) ~ '-' '• <br />ILL SE YAIYPD, ANC SETTLlABLE SCI,ICS IIRI1 AE#LIHp FCE C=]CYE,i4EE E~I <br />QIRE8ENT5.. ALT SAIfYLIti6 IMHT.$GLT"ICYS-I.C..4F~ FG VIII. <br />~ <br />IA,~bg~,;ed ~$3~ <br />:~iOVT' ~D•> ~~ 00198/OOC31]-1Eii ' <br /> <br />~.. <br /> <br />CA <br />-'~',fr10_ 'DAY <br />lr-.. ~'.tYElY- <br />-~- <br />-PAGE OF <br />~.: <br />