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PERMITTEE NAME/ADDRESS (Inchde FanGry Name/Loconon iJDij(erenq <br />NAME r•lFRUS Y'Ai•1PA VALLI.Y' COAL" •'URF <br />ADDRESSMII'~`E$ 1, 2~c3 SOUTH, :< ECit MAN PK <br />91G0 EAST MINERAL CIRCLE <br />ENGLEWDFID CO $015~M <br />FACILITY <br />LOCATION <br />ATIiV: h11: FtR IG W. V..E6LE':'• ,ENERAL A.1"N'i <br />PARAMETER <br /><AS FEi <br />1 C'45 i O O <br />FFt_UEN'.- GROSS <br />;-:r~l! TRt.AT MEPJ I" PLA <br />0070 1 U O <br />EFLUENT cRr~s vaL <br />i S' 'AI. <br />4C6f• ;; 0 <br />"~FI_ULI+II" 4:ROSS 'JAL <br /> AVERAGE <br />SAMPLE ~~'## <br />MEP.SUREMENT ' <br />i <br />> <br />4 <br />a+t <br />MEASUREMENT ~~ ODO <br /> p <br />;iAMPLE ~#~ <br />MEASUREMENT <br />:iAMPLE <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ FOfm AppfOVed. <br />DISCHARGE MONITORING REPORT (DMRJ OMB No. 2040-0004 <br />00002 ' 154. OOo [ L J;: n !';~,, , <br />PERMIT NUMBER ~ olscHARGENUMBER F" ~ FINAL ~ .~ R;I+JT'T <br />MONITO GPERIOD M"I NE 1, POND E ~~T f.), F!3I DEL_ CfdFFi~ <br />YEAR MO DAY' ~ YEAR MO DAY <br />FROM + ?O t~` '~** ND DISCf•II~RGE I_,! r'.~+ <br />NOTE: Aeatl Instructions, be(oie coRlpleting this form. <br />Y OR LOADING ~ QUANTITY OR CONCENTRATION 'NO. FREOUENC SAMPLE <br />EX. OF TYPE <br />MAXIMUM ~ I UNITS I MINIMUM <br /> •2`~ <br /> <br /> dt~i~ <br /> C ~~j } ~ ~~a~a <br />~' ~t <br />~j <br />u' ~Z~ 0 : <br />/ <br />. . <br /> , <br /> <br /> <br /> ~~ }.~ it _. .. <br /> <br /> 5 = t ;ri ,. <br /> <br /> <br />r~, * =r <br />5 <br /> <br /> Y ' <br /> }} <br />;k ~ ~~Yia <br />f <br />~ <br /> .. <br />.. <br /> 'r <br /> <br /> <br /> <br />MAXIMUM UNITS • ANA1Y5(9 <br />. Z~j r ~ !/3t <br />-, ;1 <br />~T <br />:.r r <br /> Y E. •~k e ti~. <br />+ Fri y: ~.~ v <br />~ `L!. y ik3,. <br /> NAME/TITLE PRINCIPAL EXECUTNE OFFICEIi <br />' ICaniry under penacry o/ <br />lawthat. i s documem and ell ehechmenls ware <br />n TELEPHONE DATE <br /> prepared under my direction or sppervl}io <br />in accordance rich asystem designed <br /> <br />F.1C:) <br />I Ill4 to assure that qualified parsonnalptopBdygemar an0 evaluate me information P/ <br />97~ fs7 ()-1~~Z <br />~ <br /> IaCC submitted. Based on my inquiry ggttlhiipaKon or persona who managameryslem, ~„n <br />~ <br />+/ <br /> Fnv i r o n !ant a i a n a ('JQ Y' or those persons directly responsLle (or gathering the iMOnnetion, me Irdonnffiion <br />b <br />i <br />d' <br />h <br />l <br />o l <br />/ <br />~ / n <br />~ _ <br /> au <br />m <br />de <br />u , to t <br />ete. <br />e best of my kn <br />w7edga and belief, true, accurate, end comp SIGNATURE OF PRINCIPAL E%ECUTIVE <br /> TYPED OR PRINTED I am aware mat there are sl~hiflcdnt panaldes br submihing false Information, <br />includin the ossibili of line and im risonmant for knowin violations. OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a//attachments here) <br />,'_.7P.RfJA!F _I`~iTS FQr~ TBt; IR!)N °r. SETTLEABLE 5ULillH +L G1: ~ .;PPLf :~h!i_'+ F~ - il_ 'F•: ;2ti-HR F';tE~_:I'' F:lh~:. <br />...; CLAIr1EL'. SEE 1. A. c. FG 1H, FOR BURDEN OF Pt2UOF RF :L!1REMFN I!;. !''U. ~-. GFE=,"~t'-'=1!iE. P-L!OTIVOT~'c i . f'^ ._ <br />r.rrut v cpr~Fi rndr e. to canarrnl r_ rnlGrOl <br />yj;r rnntR-etln T'Nn re n, <br />, <br />EPA Fonn 3340.1 (REV 3/99) Previous editions may be used. 2'~~'ll~~$.PART FORM PAGE 2 OF <br />OG <br />'72: 00 <br /> L <br />1 1 <br /> <br />t <br />