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PERMITTEE NAME/ADDRESS pnrYdr Fan/iry Nmn,.'[nrarrm IfD~rrnq <br />NAME tihAr COAL CUI9PANY <br />ADDRESS BEAR N0. 3 !71NE <br />P.O. 80Y 518 <br />suasNSnr c0 x1434 <br />FACILITY <br />LOCATION FRI <br />e7i'u: ilAdiEL BC,AIt, Rlhr l1dNAGEk <br />Form Approved. p~ <br />nUNL)F'F TO Y F'K c; tAA"~i'gG2a"Q~s'~~`sB <br />(SGdR rc~ Y~3~5 " <br />F - f'1NA;. <br />6I. Ck ` <br />HG L'iSCHARGE ~Xf 'YYY <br />YNOTE: Reed inetructiora brrfore completin0 this lorm. <br />PARAMETER 13 Grd On/YI CUANTITY OR LOADING l4 Grd OnlYl Q{IAfdTITY OR CONCENTRATION NO. FAEGUENCY SAMPLE <br /> 10653) 15d-611 !3B-C51 /1653 151-611 <br />EX DF <br />TYPE <br />/3x371 MALrSIS <br /> AVERA <br />G <br />E MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 161.6.71 (6468) 153701 <br /> <br />ULL ANli G:, i;A:ii SAMPLE y <br />A <br />YY~~i'Y ~( 0~.* <br />R YfY• Yi~YY•Y;` Y•T 1~Y YY <br /> <br />Y 1 J U A.. <br />MEASUREMENT ~ <br />d4Vb6 <br />i 0 PERMIT ### <br />### k£PCl <br />I' ~~# <br />~ <br />## <br />4 <br />$# v#X>}''y <br />~ ~~##~#?C 0#»r' :~ <br />~ (1$EHL~ fI83Ji <br />~. L ~ i :..i= :~ <br />. <br />. <br />. <br />. r . :. l <br />EFea.Ui:iT ~Ei)SS VALU ,REQUIREMENT IiiST Udd aU=~ <br />.....T,.:. <br />. ;~Cr~ : <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ::.: .. ~ ~ <br /> <br />REQUIREMENT <br />~ q;'p'?'.,q,. ~ <br />• ~ <br />T; . <br /> SAMPLE <br /> MEASUREMENT ~ "s,;~ <br /> PERMIT ~ '~ <br /> REQUIREMENT <br />~... ,:: <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ . <br />.:. <br /> REQUIREMENT .. Y <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENAITV OF LAW THAT I HAVE PERSONALLY E%AMI <br />M WI <br />SUBMITTED HEREIN <br />AND B <br />7 <br />NF NED AND <br />ASED ON n_ R ~._ ~ TELEPHONE UATE <br /> ; <br />AM FAMILI <br />TH <br />NE I <br />ORMATION <br />MY INQUIRY OF THOSE .INDINDUALS IMMEDIATELY RESPONSIB <br />LE FOR bW~ f,~E"r <br /> OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORM ATION IS <br /> TRUE. ACCURATE AND COMRETE. I AM AWARE THAT THE <br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />IN RE ME <br />CLUDING <br />n <br />N ERK , <br />THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 16 U.B.C. ! 1001 MD G3 <br />UTNE <br />RE <br />F <br />CIPAL <br />XE ~ <br />T, <br /> U.S.C. E 1GiB. IhrW>a uHn N.r. mvn, neY l.rrod. lxwr w ro F10,000 SIGNATU <br />O <br />PflIN <br />C <br />E AREA <br /> <br />TYPED OR PRINTED <br />.rH wmuvnvn inancwrwnr or Mrw,wr6monrna.rM6r.,rA/ <br />OFFICER OR AUEHOfl2ED AGENT NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRe/erence el/effechments Aerel <br />I'S5 b TGTAL IdUN LItli1':i MILL B8 YAIYED, A!fil ~LT1LLAn,.~ SL)LLilS LInIT drrLlaD tCn <=1GYR,24Ha PFECZP eYEN'L; <br />in::, IROn ANG SnTTLdAE3L1r SOLIDS LIlIITS MAIYED FJR >10Y/s,24HR PRECIP dVENT-AYiACfl OOCf]dEY'hTIUN-ShE I.A. 3. <br />rgey be used.'. , - (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 tiIUU Jb/96U2®],,I~l13• _ R <br />.. ..Q'~. v.. •. ...atr . - <br />