Laserfiche WebLink
6PERKiITiEENAME/ADDRESS pe64i~HN../lncn,eMX151~ - <br />~^~ POaUEi?riORN COAL CORPR1tT <br />ADDRESS ROI.G$I Ca .'.ISE, N ; ,; PURTA L3 <br />PALISADE. ::G :'lb:.b <br />fACILT' <br />LOCATION <br />ATIVS JJI:~ A• °j~Sn!'. Fd65ILt~i7 <br />_ ~ - __ <br />- ' "-' ~NAiIONAL7'DECOt 15EN-ARGTELiIpIMIWSN` f~"~~' ~`' ~``-- '" Flimt Approved. <br />_ ;QIS~HARG (AONFTORINCrf{EPOpT OMRI '- - - ~ -~ J <br />la16~ rn-191 ACtlTE ti[T Y~4TSRG°~t~%D'3+~-Pooa <br />~ ' ~1 C ~ A p oval ex lel OS-31-BB <br />PERMIT NUMBER DISCHMGE NUMBER ~'" n R ~ C) ~ 1 `~ <br />F - FTNAI <br />MONITORING PERIOD ~ ~ 1' ~ r <br />YEAR MO DAY YEAR MO DAV ~~ <br />FROM 9d Cu CI TO as qfi ?0 ry.:' RO CISCF+AflGE ,Y\1 "'-' <br />ll6lfl lI1-131 111-151 116-171 !IB-191 !34311 NOTE: Rssd Inetructlone be~6n-EOIIiRlelinp this torn. <br />PARAMETER 13 Grd Ontyl QUANTTY OR LOADING /1 Grd Onlyl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br /> !46531 !546!1 l38-151 !4653 16451/ <br />EX OF <br />TYPE <br />l31-371 Muras <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS l61-631 !64681 169-701 <br />,CSG ~TAInE. 4N:id ACU SAMPLE {.r-;;:::;r O•kS:{•rcp / Y, ,,t p: i- rtp~;I{I:1.. ~ 23) <br />Cc:RIOUxrn0.:F MEASUREMENT lJ / / ~ ~~~ <br />A!1Jb 1 G ~ PERMIT ~:-::{rrFrXK+. i:4'7i$L:# 4 t:{:G UO.OD01. ~L-d{+e}i: ?:.`•.+)#r IR- t+3LY ,RAU <br />FFLUBHI ~F0~5 IiA LU REQUIREMENT r?#FL y ' > P. s• <br />_~SU SI'A: nE ybf;r ACU SAMPLE wk#{E4# ####{a# *.IAY.bfi;l ,l9Yi#k-:} ( 23) <br />L~i:`1E:PNALrS MEASUREMENT <br />:.LNbC L G J PERMIT::~~.:~: : it#4G#~Cr .. ".~$9r fti'VIR'4' TYG ©(1U1 <br /> <br />LII'0 r <br />pRAr,..~tl.: <br />.., >'Y L'l >EAIR4:: <br />L'R- <br />T3LT <br />i°,A:. <br />'YLURNT .,Y.US~ VALUE: .REQUIREMENT " {„},}:} . " f F•!yT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . <br /> REQUIREMENT ~ ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :::: ~:: :~ <br /> REQUIREMENT ~ ~ ~ ~. ~ ~ : <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT . <br /> SAMPLE <br /> MEASUREMENT <br />- .PERMIT . <br /> REQUIREMENT ~ ~ ' <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW TNAT I HAVE PERSONN.LY E%M11NED MD <br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br />/ <br />~~ <br />1 ~ <br />U~~ <br />I <br />l MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />I BELIEVE THE SUBMITTED INFORMATION IS <br />OBTNNING THE INFORMATION / <br />/ <br />~~ <br /> <br />Q <br />1 <br />~* <br />V <br />`- r <br />v <br />, <br />TRUE, ACCURATE MD COMPLETE. 1 AM AWME THAT THERE ME <br />INCLUDING <br />SIGNIFICMT PENN <br />TIES FOR SUBMITTING FALSE INFORMATON ~}/ <br />.`~ ~ <br />~.ZG2/`^-"' ~ ~y. <br />~) <br />/ / <br />(~(~ <br />~J <br /> <br /> <br />/ (J a <br />, <br />. <br />THE POSSIBIl1TY OF RNE MD IMPRISONMENT. SEE 13 U.S.C. 1 1001 MD 37 <br /> <br />610NATURE OF PRINCIPAL EXECUTNE / / <br />~~~ <br />(/ <br />J <br />~ <br />/ <br /> U.S.C. 1 iS1P. IAwWaI.. l.:/1/ law NNh. nrY htAA. rn.s Le ro f lO,D00 AREA <br />TYPED OR PRINTED rq or nlNrir..n lnplanwN Olanrwnsmsreu snd6yrra/ OFFICER OR AUTNORIZEO AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRsf~rsnce sll sffschments hsrsl <br />5hz PAR': I.D.u r'uh ['E.`.kIL$ OF TI'.ST PROCF:CUr,::. REPL7i~.T LORI ~T CLLU*IO'r (; °i'FLUi NT) u:ilC!I L~ 1.°.T'iAL :U SOa <br />L1F TE5T UkGANIS"5 (LC~,I) AND A?TACK ACUTF. TOYZCITY TI:57 Rr POET FOFM ?C C!•A. ~OFIF$ OF ALL INF'Jrcr.ATION <br />.m ou ,•u•w <br />dorm 3320=7.108-9~ - Pre'vioui editions may bs used. (REPLACES EPA FORM T<O WHICH MAY NOT BE USED.) PAGE OF <br />00792/980223-125c I <br />,~ <br />