~
<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 />
|