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PERMITTEE NAME/ADDRESS(!rtclude Facilin•Name/Cucalinn i/~iBerenq NA <br />NAME SEiECA COAL COAFAAI <br />ADDRESSDNIMER D <br />HAIDEN Co A1639 ~ ""'~ <br />FACILITY 1'1 .o l•~ t <br />LOCATIOI~AYDEN CC D163O FROM <br />AT'fH: G. l3UD 6H0fin. GENE&AL lIA-lGEB <br />RANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. ~ <br />ARGE MONITORING R`LPORT (DMR; OM8 NO. 2040-ODU4~,, <br />as! ,., or~ 9l C I tl C N Approval expires OS-31.98 <br />"~F~-'~`.~~'~ DISCHARGE NUMBER EG~T <br />NUMBER '~, ~.~} E - F.~ i 1 L <br />MONITO ERIOD UI tF~'~l 70~TF3flLFY CEEFR <br />- - ~, <br />DAY YEAR MO DAY ~~~'~' -- <br />~:=... <br />~2s1 las.v) R8-29) fao-B1) :Read Instructions before cgmpleting This form. <br /> (3 Card Onry) QUANTITY OR LOADING (s Card Only) ~ O~lIANTITV OR CONCENTRATION NO. FREOOENC SAMPLE <br />TYPE <br />PARAMETER (46-53) (54-61J (38-45J (as~53) (sa-sr) EX of <br />(G2-37J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />rsauT) ANALYSIS <br />(64-681 <br />69-70 <br />'L +i, I. T SAMPLE ( 3) YlOlptt ~ 9t 4A0 4tttli~ ... D / 1 <br />1':NU 1itEATRENI PLAAT MEASUREMENT Q, (JIZ ~ ~. Z 1,y~ <br /> ~ <br /> <br />5UGS0 l 0 ] `-pE 'M~~{. 6EPtFRT A >a acs a <br />-~ ; ~; _ sat <br />~='• <br />_ ~ tiS. ~. <br />tFF'LUtti1' t.HG155 YILUE ~'9UI - <br />EMF;FIi 3iIDi •A4G D/III ~ EGD "• <br />" ' ; <br />, ;:Ct *Z'M ". <br /> _, . , <br />, , <br /> SAMPLE <br />Fa <br /> MEASUREMENT ~ <br /> <br />c a .. <br />~I <br /> " "y <br /> SAMPLE (~ " <br /> MEASUREMENT - 1 <br />y. <br /> V <br />~ <br /> . <br />~3 <br />$E MITT - <br />x} a, a <br />' <br />~ Ir: ~b._.." <br />i <br />'' <br /> • .. <br />-. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ~ M <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ~ <br />? ;~~ '~ • <br /> ~EOUTAI~ <br />M~NT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> ;is.~l~~' ~, ~~ <br />; <br />~ <br /> <br />A~gt)IA~MEraT r <br />. k r~,. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br />., <br />~. . <br />•" <br />_ <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF TELEPHONE <br />LAW THAT I HAVE PERSONALLY E%AMINED AND DATE <br />AM FAMILIAR Wmi THE INFORM ATION SUBMITTED HEREIN: AND BASED ON MV <br />INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION. I BELIEV E THE SUBMITTED INFORMATION IS TRUE, / <br />ACCURATE AND COMPLETE. <br />IN <br />F <br />R I AM AWARE THAT THERE ARE SIGNIFICANT <br />INCLUDING THE <br />G FALSE INFORMATION <br />C <br />~ <br />PENALTIES <br />O <br />SUBMITT <br />POSSIBILITY OF FINE AND IMPR . <br />ISONMENT SEE IB U.S.C. § 1001 AND 33 U S C. SIGNATURE OF iyRINCIPAL E%ECUTIVE f <br />' <br />1 <br /> tti <br />se <br />§ 1318 <br />P <br />tl <br />Ih (xX1 entl or <br />inclutle lines up to E10 <br />statutes ma R <br /> es un <br />er <br />. I <br />ene <br />9 , <br />y OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED maximum impnsonment of fwse nBmanhs entl5yaers.) r D <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (ltererence an ertacnmenrs nera) <br />:'SS L' IH04 LIDITS YI11 E1E +AIYEC 1MD~~SETTLEAELE 5(LIL'S LI`IT AFFLIEL FCH <=101lA,:4kF FFFCIF EYFlT~ 'I~S & <br />IHON LIlILTS YIIYED FCF )1UYH,24HE1 PBECIP EYElFT SUEJFCT TO dUFUEN OF FP.GCF 16 I.A.I. GII t 6EEA~E-SEE <br />n. m . ~r_e e _ <br />EPA Form 332o-1 fOR-951 Previous editions may not be used. ,(REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~ ~ n„ , „ n n n. • ~ ~ _ . c e e ~ .. PAGE , OF <br />