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- J <br />PERMITTEE NAME/ADDRESS (Include Facilip•NamalLncanon i/D~erenq <br />NAME BLUE MOUNTAIN ENERGY. INC. <br />ADDRESSJFSL-RADA MINE <br />3607 COUNTY ROAD 65 <br />FACILITYP.ANGL1' ~^ E11648 <br />LOCATION <br />GT Chi ..4-:~F' !l!IRR CRT <br /> <br />NATIONAL POLLUTANT OISCHAAGE ELIMINATION SYSTEM (NPDES) Form ApprovBd. <br />DISCHARGE MONITORING REPORT (OMRJ OMB No. 2040-0004 <br />M T Ni.]R <br />PERMIT NUMBER DISCHARGE NUMBER p _- i j'JAL 'RBI_AN <br />MONITORING PERIOD RP-4 SEi]I PONU TO RF:D WASH <br />YEAR MO DAY YEAR MO DAY _ <br />FROM 7 ' 1 )i TO L rl ##~ Nq 719CH!AHGE. I xl ### <br />NOTE: Read Instructions beforecompleting this form. <br /> GUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS aNA~ysls <br />'~-i SAMPLE iF~##### #~di#tt## a~4 K. r,!A 1:3) <br /> MEASUREMENT <br />;o;o0 1 o i PEEiMIT *+kax*+~ ~~r***~ : .., ; - ~ ~,-***# o €KL.Y Nf~iTv <br />bra-Uk.NT GR05S VALUE REQU,(pEMENT zau• a :U <br />;17L iDE. TONAL SAMPLE ####tt++ trn-:mac::- #n#rt~^+r 1`;' <br />iJS'r ENDED MEASUREMENT <br />itiS"O 1 C' O '. ~~ <br />~F~;Mw-#~°"1 ~Fara#ati-.. ## '"*er#~#Ax; #•`" <br />°~ <br />~' ~ ! P~ti~ <br />-.rr I-urrn' er:ass VALUE _ <br />'R . T „ '' . ~' ir~# v y <br />, G/I. <br />ill. :;F?EASE SAMPLE ####ikat ,r ~i##+lk# :!###~F1t +:####e lq <br />" MEASUREMENT e <br />)(7156 1 0 0 =•'Q~f~f~ll~') ;„ "~r'~' e# ;`~ ~ ;'. C ~ - - A8 <br />FF!_VENT GROSR VAL R~CIL!IREMi:6"tr" : ''"~" ~~` #~;~ '' „.'~ <br />H~YJ. TOTAL. SAMPLE *#~##tr~+ _1~Fifikit# #####->< ~- 15'i <br />S A5 t L) MEASUREMENT <br />)1 C~ 3 i U C P~NIi#'' .. ,.iriHFatlFii i{ir=;' .#~n '~: ~ . C i $f,• A~,; . <br />:} FL ~JENT GRO VAL REQUIREMENT '* "_'' - .tt,,.L ~ r %~'- <br />'.-CW, TN CONDUIT OR SAMPLE . `;).;_,. ; +tatita>t~~ ###+r•n-# r~s#,:n# `e .. <br />"Hp"J TRL-ATh1ENT PLANT MEASUREMENT ~;~ <br />iUC•?',) t) O -PERMIT REPORT .- ;:12~$Pfl1PT ~ "•'~'Ae•iHFiFiH- #~#^IFiFiF'..:. . <br />;~.. #a ~~. AN <br />~PFi_LII'!N?~ GF.n;; V' REQUIREMENT ..;+ . ### . <br />7ii_ AND 6RrAmE SAMPLE ###### 941 #at#a#~s it•##### ##ititit# <br />. •) 5.,_`.t L- _ MEASUREMENT <br />'4~'SS 1 t <br />~ 0 PERMIT ~ ..' <br /> <br />;~ 'fi"". S=1 4F ~ <br />•4 <br />j ~ If#~r~ '9Hi~~_ ~Mi! #+t <br />`y 111 <br />EK <br />I~tlAL <br />. <br />.~. , RE~UIREMENT~ +° ~ ~ <br />t <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT ~... ~~ <br />- ~~ ~, .•~;. .. ..,; <br />~ <br />- <br /> REfUIREMENT' ~ -' - ~. ~ ~' .. <br />:-~ -. ~ . ' ~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Ceniry under penalty of law that mis document entl all attachments were <br />h <br />t <br />i <br />tl <br />i <br />i <br />tl <br />i <br />tl <br /> <br />' TELEPHONE DATE <br />-/ <br />~ <br />,~ n accor <br />anca w <br />n sys <br />em <br />es <br />gna <br />sion <br />t <br />preparetl untlar my dir¢ction or superv <br />to assure that qualified personnel property gather and evaluate the iMOrmation ) <br />-ice <br />! [~ <br />r ~ I c fA <br />' <br />~' nubmdled. Bazed on my Ingwry of me p¢non or p¢rspns who mar,age the system, <br />the Inbrmation <br />ersons tlirectly responsible for gamaring the IMOrmatlon <br />or (hose _ ~ ~ <br />~~-~ ; _ ~ ' <br />~~~~++"" ' <br />:-e/V a=e'j' , <br />p <br />submittetl is.bma past pt my knowledge arts belief, true, accurate. and complete. <br />F <br />l SIGNATURE OF PRINCIPAL EXECUTIVE ~~ y'3z< ~.' ~[- ~ Z <br /> <br />TYd~D OR PRINTED ning fa <br />se iMormation, <br />I am aware that mere are signdicanl p¢naltles for subm <br />Indutlin me ssimli olfine end im risonment for knowin violations. OFFICER OR AUTHORIZED AGENT A <br />E <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference al/ attachments here) <br />~:1CL ?• GREASE REPORTING-SEE 1. E 1. "r F'G 'Jll !3HTRLV SAf°!Pt ;NG rh'~rk.i,- f'_~r; - ~' .a <br />EPA Form 3320.1 (REV 3/99) Previous editions may be used. _ THIS IS A 4-PART FORM PAGE OF <br />l~Vc 74';' ilk'; ;._... , i i. , ~ i <br />