|
PERMITTEE NAME/ADDRESS p+dd. FrWryN../Lrnlm l/AUirwv) '"
<br />NAME PUiJEP.HCNN COAL C7CPII~Y
<br />ADDRESS $JAJSIDe. INcF K ; ;; PGf(TAL~
<br />YnL15A(ir. CU hitti6
<br />FACILITY
<br />LOCATION
<br />NALONAL POLCNAKT OISCNMOE ELIMINATON SYSTEM (NPOES7
<br />DISCHARGE MONITORING REPORT (OMR/
<br />11-761 l17-19
<br />I' ` 1 )
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 9 ] ~4 :, 1 TO 'J ~ (,' F, : r,
<br />!1671/ (1Z-131 11I-761 11G771 118-191 /30-311
<br />PftND ~ Td CdLOP.AD~Mk~~~~`~°"0004,--
<br />(SOPR 4C) PP lezPirj~05.31-98
<br />F - FI "AL "I
<br />' J('n
<br />NOTE ~ Reed inetruetione belore Y'dTn IainY this form.
<br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING (1 GM Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> !16531 154-611 !38-15 !46531 154611 E DF
<br />I37-371 X
<br />MALYSIS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /s7-s]1 !64681 169-701
<br />:t SAMPLE .~4'r::: r,::}r:::#:} ,`.{gagb{, ( 11)
<br /> MEASUREMENT U ~.r '~ iz ~~
<br />,wily 1 ! PERMIT ~ r.4d: C%k.F #{::Y:k{:# II K::,C .•.y IIfiO{c t}t,. 7.:1 P. fik LJf> .lf ~$~I~
<br />1'Y:.Uli ;+T DV Y.`,LLIr
<br />~ REQUIREMENT ~
<br />. pr}r•r ~+ TN R +c /ER ~:
<br />~vi.lOSs :i t." `..
<br />., _, `- SAMPLE r,.:}r}IIC:II L•ir.:~Ya {r# SrCt10:}A ( ~S)
<br /> MEASUREMENT
<br />„`,45 1 G " . ..PERMIT ###4#'4' b4ytlR Rl .{( tY +}ra 4'#I~d4fi jtgQGKT U.S I NC'i:/ .RA I'.
<br />1'i LUtnf GF•I [r 'vim L'JL REQUIREMENT ~ ~ r•{,.•.II ~ ~ ~ ~! C H /t ~ F~'P;
<br />~L., ANO Gnf:A `. SAMPLE :;;G ,Y ~}II{; ;r;.; :a#~: t}{,p:y ,;: K, ~ ( 19)
<br /> MEASUREMENT
<br />;)_111. 1 0 u PERMIT ;: {:{:ry3>r :;=#;<r,•: +~ .:^~: p{:rl,}r:::: EitCUHT 1Q ( ')\ily :F'S^
<br />. h r L 6'F1 H T ., Fi'~.i r7 ~~~ Y p, L U : REQUIREMENT
<br />
<br />fn .~..,. .,. /~
<br />1, ~i
<br />N4T _
<br />1~1'h~
<br />~LuBr IN LG\'JQIT (Ik SAMPLE ( 1/3~ .. .''i: r•±: .. .. .. ...
<br />. :I r. ~a ;'hteTf'c FT i'iRti°, MEASUREMENT
<br />,i,JSJ 1 D ) PERMIT rf;fJ;{1` it t':P'JHT (':yYe:};: {,;:{era^,~ nIIC~::;: :: :: LY `.[i'
<br />'A+:
<br />FFLUihI L.F IJ`i5 YAL9c REQUIREMENT 30 J;, AY'~ L%A Y M"' '+~'r C.::: :
<br />+J~IUSF iJTAi, SAMPLE , ~ r.:?r.:: :;::}:,:~ r}:} `.~ : 7'
<br />( 1
<br />ULV f
<br />U
<br />i: MEASUREMENT
<br />,
<br />,
<br />,
<br />FDiy~ 1 0 0 PERMIT ...^::;yl :p{c}:a.',: :; C !.;,r. .~iattdt: REFOR's R£FpH1' T"L'f NAi;
<br />.t'FLUEGT '.;ROSS Vn;. ~~, REQUIREMENT ',: a}r. :, n it .0 t!AY h:
<br />.1L ANU G,IEA`.:` SAMPLE +:+i: .}r,:{; ( yl;) L::r::k0 rII0II0r r,{{try4{,
<br />' i :,U A i MEASUREMENT
<br />1u0E,b 1 U l/ PERMIT K:::::kl;t;rC: itFl'J.T'T T F,_=1 !:IIGKrC,; II:aC{eIIq IPCAq,-II : F}J{t Pt-'r.LY" I UAL
<br />_rFI.UENI .,F:bS:i YALUF REQUIREMENT IfiST %AY tiC='1 r::C~•'.:•
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT
<br /> REQUIREMENT ~ ..
<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI
<br />AM FA fV UNDER PENKTY OF
<br />MIUM WITH THE INFO LAW THAT 1 HAVE PERSONALLY E%AMINED MD
<br />RMATION SUBMITTED HEREIN: MD BASED ON i TELEPHONE DATE
<br />
<br />~^I , c
<br />/~T'L7 C~ I~
<br />~O}•1~ ~:
<br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IB / %
<br />/ /
<br />~ i C
<br />/
<br />,
<br />/ TRUE, ACCUMTE MD COMPLETE. I AM AWME TNAT THERE ME
<br />9GNIFCMT PENN
<br />TIES FOR SUBMITTING FN
<br />BE INFORMATION
<br />INCIWING .
<br />/
<br />J,
<br />7~(f/
<br />{{- ~ ~
<br />` /~}
<br />'-J
<br />M " ^ ~
<br />J U
<br />1 .
<br />,
<br />.
<br />E P
<br />SIBIUTV OF RNE MD IMPRISONMENT
<br />SEE 1B U
<br />S
<br />C
<br />1 1001 MD ]]
<br />T ~ - ~
<br />`/' !
<br />YVL .
<br />.
<br />.
<br />H
<br />OS
<br />. 610NATURE Of PRINgPAL EXECUEIVE 1 ~~/ JJJ
<br /> U.9.c. f t ]t e. IAVWI.. ,M.r NFr .Homo nrr !x'1,.W rn.. w ro ! 10,000 AREA
<br />TYPED OR PRINTED .nd rnrrtinun inyiewwwrr orerlwNn emonmA W 6 yra/ OFfICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLA I I VrvS !/fererence a// ertscnments nets!
<br />F.J:.I' ,9It1II:G LI:"ITATICks A;f~LY - Sr.E I.;.3.
<br />
<br />Epp Form 3320.1 108-951 Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 PAGE OF ~
<br />' OOc72/yPC2'3-1256 ?
<br />
|