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PERMITTEE NAME/ADDRESS (1wW4FrleryNaw/faoum 1/Dldfrm.q <br />NAAtE~--~Ofl-DtlkHORN COAL COtlPANY - <br />ADDRESSNUADSII:B TINE, R ~ 3 PORTALS <br />P.O. Fi)X 1430 <br />PALISAUR r:0 91526 <br />FACILITY <br />LOCATION <br />A?TY: JOHY A. !7CNAH, I~kLSiL~EkT <br />NATIONU Pw.LUTANTO eHMDEELIMIN oN STEM INPOES) ~ ~ -~- ~ ForT Approved. <br />. - -.-_ DISCM 6 -- -- - - ~___ 1~_'----~allg~ '-~'g--E{~~ri- 0`` 2~c040-0004 _ -." <br />y (SOAR YC) ~~el°1 j11i505-31-98 <br />PERMIT NUMBER DISCNMGE NUMBER F- F L K A L <br />MONITORING PERIOD EIN01~ <br />YEAR MO DAY YEAR MO DAY <br />FROM 1 1 O1 TO O1 12 31 #"~'% NO DISCHARGE ~~~ Srt <br />- 176111 117-731 l7s-761 116271 17e-79I 136311 NOTE: Rud Instructlone bdop co pletinq this form. _ __ <br />- '.-'°~-°~PfIlR94M9fER I3 Grd OnlYl QUANTITY OR LOADING 11 Card OnlY1 QUANTITY OR CONCENTRATION N~ FREQUENCY Sy~~P <br /> Is6531 15~-511 !3B-~5I !4653 151611 EX TYPE <br />I37-3.71 Mursls <br />- AVERAGE MAXIMUM UNITS MINIMUM AVERAGE -MAXIMUM UNITS R7-sm /µ5B) 15g701 - <br />ZL AND iFHEASt; SAMPLE #~k00## ( g4) 000#d# ###Old# #6#### <br />V I S U A L MEASUREMENT <br />_ <br />4066 I G ~ <br />PERMIT <br />#.iuic'{I.O~ .... <br />.~.(~e,~:$'~ <br />ES=L <br />.@#~~!?YO! <br />fi1P#Itr+g4 <br />~~>ez~i~ffi~Tt.. <br />13ir <br />~ <br />,:LRALY <br />ISUAL <br />EFFLUENT 6kO3s VALO REQUIREMENT ';:.;:. .. :... ,. u . <br /> SAMPLE <br />' MEASUREMENT <br />I PERMIT ... <br />: . .: <br />:. . <br />, <br />~ . .. .. <br /> <br />: .. ..: ~' <br /> <br />~ <br />y REQUIREMENT ~ ~ ~.:: . <br />.. .. :'' .;, :; .. <br />:: .: ..:: . ~~ :x :'.~. ~.~...: ~ . <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 /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ ~ <br /> REQUIREMENT: <br />~ .. ~ ~ :. ~ ~ <br />~~ <br />NAMERTILE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENUTV of uw THAT I NAVE PERSONAUr EXAMINED MD <br />MIUM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br />S+J Y e Y- <br />J E MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />_ - <br /> TRUE, ACCUMTE MD COM0.ETE. 1 AM AWME THAT THERE ME <br />SIONIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~ G /1 <br /> <br />A Cl (' n'+ , <br />THE POSSIBILITY OF RNE MD IMPRISONMENT- SEE 1B U.S.C. f 1001 MD ~] <br />BIONATURE OF PRINQIPAL EXECUTIVE / ~~ ~~, ~ ~`~~I V~ ~~ ~ G <br /> U.S.C. f tJte, ll°brlrL. uM.r N.r mane nrY IxAiW rnrs y ro S IO,ODO AREA <br />TYPED OR PRINTED als ar nrrhx.n Mp/aam~nr ortwrwwnsmmNS rN 5Ywa/ OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br /> <br />' i. <br />,; <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference ell effschmenn here) <br />SETTLEABLY SOLIDS LIHIT APPLIES ONLY IF <=l0Yk,24HR PRECIPITATION F.YENT IS CI.AIlED. PERHZTTEE HAS <br />iiURJEN OF PROOF WHEN REQUESTING RELIEF ..°ROH SETTLEABLE SOLIDS PRICARY LIHiTATI065. <br />EPA Form 3320.1 108.951 Previous editions mey ba used. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.) 0 0 h S A / 9 8 G 2 2 3-12 56 PAGE `OF <br />