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~~ ~w~ <br />PERMRTEE NAME/ADDRESS P.~•A4 FrWryNer//aulu UDlOr•+q ~NA~1q~A ~Pg~:Te+1~bl:e: K°.ee uMrNn~n~~nM:~P4ES1 ~ . - .., Ford APProved.~:.. <br />N'r'~--PUYDERIIORN COAL C6IIPANT -".- - -~ <br />ADDRESS RUAJSIDe. ;,.i;:, N ;; ~ PORTALS <br />P.O. BOt 1vJJ <br />PALI5AD,' CO 81526 <br />FACILITY <br />LOCATION <br />ATTR: JUHh A. "S!'NA4_ ckH~rnl?ww <br />-~~' METER - 13 Grd Onlyl QUANTITY 014LOADING~------ <br />~ l4.Grd Ontyl .QUANTITY OR CONCENT¢pTION <br />- - - - NO, FREQUENCY <br /> !16531 I51-611 138-A51 1A6-53 151-d11 EX ~~ <br />l31-371 AN~rsls <br /> AVERAGE MAXIMUM- - --UNITS MINIMUM AVERAGE MAXIMUM UNITS 167691 !5I-B81 !59701 <br />FH SAMPLE ##txy## ###31p# #~3A## ( 12) <br /> MEASUREMENT <br />00400 1 0 U ~:: "PERMIT ..' <br />,. .:.;xFS11R9ia#. : . .1•91?~ICE#101 #x, 6..=J .... piQt#41C 9.D '. :66KLT :tiSITU <br />EFYLUENT GROSS YALU ':REQUIFiEME.NT: <br /> <br />..:....s:-:. o.::~;::: :.: <br /> <br />.....:.: ... <br /> <br />: ....~ ... ##?# <br />. <br />. <br />. <br />. .. T <br />SOLIDS, TOTAL SAMPLE ###### fi91#### ##'-0I### ~ ig) <br />.iUSP EMDtD MEASUREMENT <br />_,: <br />0530 1 U U PERMI,_::: ~~ ~j":: Ol0<!N ~:~.,' <br />~ ~ ::~~_ ##~tl)kIRO`::.. ### ,. '#i11;~lIOif[~:~ : ..r,~~.:;.:, ~.. :T~.: <br />`S '-~/ BAH <br />EFFLUENT GRO~u YALU REQUIREME. #~# ;. <br />'OLIDS, SBTTLEAkiI,~ SAMPLE r::4`#?r >a##911P# ###O## ( 25) <br /> MEASUREMENT <br />0545 1 - 0 0 PERMIT p#=~4#>.~ otr#.### ##3 ##10##0 R6 FORT REFORT. NCE/ iR1.8 <br />EFFLUENT GROSS YALU REQUIREMENT Y}~# 3 . <br />LROY, TOTAL SAMPLE ~a#•::Y# ~#cau# #####o ( 19) <br />(AS FE) MEASUREMENT <br />1045 1 0 O .PERMIT >Cr#FFIOf~Kr .:: .#40=#'/'>{k >s~+s a=4#~## ~.5 3.Q / DICE/ >AA8 <br />'FFLUENr GRO55 YALU REQUIREMENT #~# <br />IL AND GItEASF. SAMPLE ~#LY.ry#¢ ###pXeO 41p%1+p#,'. ( Lg) <br /> MEASUREMENT <br />3582 1 U U ~Y:PEFMIT . ###iK## fi0A1>01## . <br />~ ##r #?O##4 BEFO.&! : ~,~ ON1'IV :AAB <br />': }'PLO ENT GROS$ YALU `9EQUIREMENT~ ~.~ - ~ ~ <br />` #~# ~ :~ ~:~ . ~!1 <br />F'LOM, IN CONDUIT OA SAMPLE ( 03) >ai#a## >?#O### #A+t### <br />1';ieU TREAr*IENT PLAN MEASUREMENT <br />~OJSU 1 0 A PERMIT RY•ROHP: : ABYO$T ##'t<OCl? #Id>R##101 ##::IC%k1E# ### i tEKLY NSTA:1 <br />FFLUENY GROSS YAIrO :REQUIREMENT DDS ANC- piIILE tI lIGD #### <br />,GLIDS, TOTAL snMPie #s#~IaT~ #4##+a# ###### ( 19) <br />ISSOLYED MEASUREMENT <br />1J19S 1 U 0 PERMIT $T#lI1C;IIIC :. ~>?+)#>a>a +R b~~a111G# ABFOET R$FORT TRLT ~RA9 <br />P}LUeaT GR03S YALU REQUIREMENT #E1#i= R. y lT6 R Jt tIA2 1!G/L <br />NAMElfITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FYUNDER PENALTY OF LAW TNAT I HAVE PERSONALLY EXAMINED MD <br />MILIM WITH THE INFORMATION SUBMITTED HEREIN: MO BARED ON TELEPHONE DATE <br />E <br />~~ ~ V <br />f r MY INDUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNINO THE INFORMATION <br />I BELIEVE THE SUBMITTED INFORMATION IS <br />1 , <br />TRUE <br />ACCUMTE MD COM0.ETE <br />1 AM AWME THAT THERE ME <br /> . <br />. <br />SIONIFICMT PENALTIES FOR SUBMIITMO FALSE INFORMATION <br />INCLUDING ~J <br />9 <br />//~~ <br />~ , <br />S <br />~0 / <br />~~ ~fOI <br />U~ q <br />I <br />G <br />/lQ F /~ THE POSSIBILITY OF FNE AND IMPRISONMENT. SEE 18 U.S.C. 1 1001 MD ] 610NATURE OF PRINCIPAL EXECUTIVE -, ` <br />, u.S.t. f 1 ata. lhrrldr• urs•r e>rar mroro• m•r M/~• q.,, ~ ro i ID,DDD AREA <br />_ <br />TYPED OR PRINTED wdm•r:nl.nlm{visaanrrr arbM•,n6manN••M6 Kral OFFICER OR AUTNORRED AGENT CODE NUMBER YEAR MO DAY <br />I PERMIT NUMBER I I DISCHMGE NUMBER ~ <br />MONITORING PERIOD . <br />YEAR MO DAY YEAR MO DAY <br />FROM OL 10 O1 TD OZ 12 31 <br />U6]rl /]]-03l UL]51 /]6]71 I]8d91 /36311 <br />(508R NC) <br />F - FIIAL <br />lIIROR <br />## NO DISCHARGE ) #~# <br />NOTE: Read IrlawcNoru bel« plating thin loan. <br />~~= i <br />}. <br />•. <br />n <br />I <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lReJerenca e// ettecnments ears/ <br />.;}:7TLEABLN SOLiUS LIMIT APPLIES ONLY IP C=LOYR,24HR PRECIPITATION EYENT IS CLAMED. PERRITTEE HAS <br />dUdUEN O}' PROOF NHEN REQUESTING RELIEF FRO}S $ETTLEABLc SOLIDS PRIMA 9Y LI'fITATIONS. <br />EPA F«m 3320.1 108.55) Previous editions mey be used. IREPLACEB EPA FORM Ta30 WHICH MAY NOT BE UBED.1 r 0 6 ~~ 7 ~ 9 9 t 7 2 3-1 ~'i ti PAGE 1 OF <br />