|
PERMITTEE NAME/ADDRESS para. F'swryNar/L«mren yDy....p
<br />NAME FUiiUti:r09}. COAL CU N.I=A~1
<br />ADDRESS FUnV~I U'~ "f `:d, !. :, t:}i1TAL:.
<br />F.O. r.;?: LuiO
<br />FACILITY
<br />LOCATION
<br />i.l =:.. ,:U!. .. ;t. .,:VAr'., i~'. i..J i.i Lrl
<br />NATIONAL POLLUTANT DISCNMOE ELIMINATION SYSTEM (NPOES/
<br />DISCHARGE MONITORING REPORT (OMRI
<br />l2-161 17-191
<br />C lJG0i71ub ~QfJ ~
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM 7 Y JIL U TO 7'r U h ;!!
<br />!/6211 l12-23/ !26251 126-271 12B-19) /3D311
<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !I Grd Onlyl QUANTITY OR CON
<br /> 146531 l56e11 !38-45 !46531 !5667/ of
<br />l31-371 EX ANAirsls TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e2-eaf lIS4-581 159-701
<br />' !~ SAMPLE
<br />MEASUREMENT ..... ~-. .... ~
<br />~J ~
<br />~ .y r;=H,.,•. ( :~)
<br /> ISt~ ~ ~~y ~.,
<br />.. ~fu JU 1 ll :J PERMIT YI #T;tp;FF r:G=:==?„c :} k' +:::•'.. ~~C is f•>r t}Kt Y,. 4,A. ~ EEKLY ~N$lIU
<br />r k'LUiti: t. 4:iS': ~.4 LUr. REQUIREMENT ~ ~ '74~}:' MI NI!:UM. ekX I`"UtI :iU
<br />~V L.:/~, 1J".'AL SAMPLE _);: ?144r S: L:=f is ;i{= 'tkp,}4=} ( ly)
<br />.~ v ., d i h U h U MEASUREMENT
<br />J L'~~J 1 (i t7 PERMIT' .: G#yaV## #[:#i+GL fa ~ tr .•G Dm>D+p i}4 .3.5 ~ 7~i7~ KC}:/~~ i1iAF
<br />:.FtLULGT vclSS YALUi= REQUIREMENT Y,c=~E:G 300A A9G' OAI Y BY ': L- L $O!I {S '
<br />.i L..i fi• -=ET: L£AdLF SAMPLE +r`>'}+k0 '.19;:4: ':p ''L`D#fiq ( [5)
<br /> MEASUREMENT
<br />.:tip 1 0 0 PERMIT .:{r?'~~ ',: =f~uSt:i"v 4 ^:y.;: r: :^; r:,'}': fl': FIJ TeT R::fGP. ~T r {1Ct:/ ~yc.
<br />t}:.ULS: L: F.O.; :; 9AL'JL REQUIREMENT =~:rC::7 3!1iiA AV; if 7,IIY CY "L/L MVt.°'d
<br />: Ir'.r t., 1'L)TAL SAMPLE :+.. .. .. :?; r~i. r; :5 r "l)
<br />1
<br />(AS Fi.) MEASUREMENT
<br />i .J.rb 1 0 U PERMIT ,.:=4< ='s=.,n:;=r: ..
<br />+.'+. ~-:':C •~ 3,5 'J,r. ' vii./ :%iA;.
<br />~iL.U ttuT GkOL- '!
<br />(n L l t REQUIREMENT
<br />rt'V 1~' If
<br />f`
<br />)Oi:A AV„
<br />T N
<br />G~..[!' A ~.!I.
<br />
<br />1
<br />r ~<);.Ta
<br />... ANU GnEA~.. SAMPLE
<br />..... .....
<br />... ^:}: :; ;--} ~. =fir}:}~: r' (
<br />La)
<br /> MEASUREMENT
<br />~~:rl 1 J is PERMIT c::;r 4::k r:=n :A r.<:;cc .~4 C 4=4r I I=ACID kI>a Ak: l: a~@T 1
<br />G . tin; I!t :
<br />K;'
<br />'>'t i-UE1.T GHOS`.~. 9F :. '.:; REQUIREMENT +}=.~C. •~ JGDA ~AYfr .
<br />~IN5.1 ~/iX 1:G/L , S; "c E'~;~ 1
<br />~-L1A, 1tJ I:GYf)fli :~ SAMPLE ( L3) ~Y: =}O.C 41dR ~: =,A :Arpr,, :::,
<br />=.~ 'tst.A iCE=+1 I ; MEASUREMENT
<br />..)'J''-J 1 U t; PERMIT :: ::i~.iiii ;i:~i•J}.T S=r4'}'X0 irJOOGfi #Rc[''=::7{c E ',/,~i+
<br />Z'
<br />?
<br />iY r•
<br />Vja.
<br />
<br />.ii LUcI='i GF:OS'. ~: .. .. '-
<br />REQUIREMENT
<br />.tvi3fl AV.;
<br />aA.T.LY :16~
<br />P..SL
<br />4-:; 4''s .
<br />. .
<br />a:.. bS, ~IU SAMPLE •'~r'P': '' Y.rce h:} Y~:`f,. 4: ;•;: ( id}
<br />1-i~ULY iU MEASUREMENT
<br />/~.:•di 1 U ~, PERMIT ;=t's4•~-x::: :x:}:~;:>~=r
<br />V ., t: not}r.; i<;:I:JfiT BLFi:ST ' t;i.Y : .k;,F
<br />'r'r L'J iN'I .;SJ~ CALii ' REQUIREMENT .'0: ;= !r P?A A
<br />YG i;~R,F "A% Y~:/L
<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF uW THAT I HAVE PERSONALLY E%AMINED AND l TELEPHONE DATE
<br /> AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED OH /
<br />
<br />~I0111J ~
<br />~ /} LTC+ZS MY INOUIRV OF THOSE INDIVIDUKS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION
<br />I BELIEVE THE SVBMITTED INFORMATION IS ~~
<br />//
<br />//
<br />//-
<br />//// ////
<br />.
<br />I / ' ,
<br />TRUE, ACCUMTE AND COMPLETE. I AAI AWME THAT THERE ME
<br />SIGNIFICANT PENKTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING C~
<br />~
<br />~/
<br />//VV
<br />//
<br />'!~
<br />~-r
<br />1 (1L
<br />(7
<br />~
<br />
<br />~
<br />J ,
<br />THE P059BILITV OF R
<br />1D IMPRISONMENT
<br />SEE t
<br />S
<br />1 1001 AND 3]
<br />E
<br />C r
<br />/,(/ ~
<br />~
<br />/j( 7 ~ ~ /
<br />M J
<br />t
<br />f .
<br />.
<br />N
<br />N
<br />8 U.
<br />. gIDNATURE OF %11NpPAL E%ECIlfNE
<br /> U.B.C. E tBte. IA=rWW, anew Nrt. ,ben„ rn,Y irtA.O~ rw, ~ ro s IO,OOD
<br />TYPED OR PRINTED wwnraFrl.n Mpiantrrr oran...ner.rmre,wey..r,f OFFICER OR AUTHDRIiED AGENT CaDE NUMBER YEAR MO DAY
<br />COMMENTS ANO EXPLANATION OF ArvT VIULAIIVNS IMererenee sn srfeCnmenrs nets/
<br />~c;fL6AULL SVbi/:l ilCi':5 AL.FLIc~ ~::L}' lF' <=1JYR,2~!li Pi+r.:IP;TA':IO!= k.YF6". 7`_ r-L/.]"': G. PLF.'sl'iEc !:A~~
<br />;,U:c/i:a .lr F?IJJk Fii;cM :!Lruk::,'i1crG .KLLIiP ~ri'i" :;t.T7LcnoLE SJLIDS FFI:".A1%Y LIMITS TICt.S.
<br />P040 U TC GCYT
<br />(SU5B f;')
<br />f' - FIA.4L
<br />Or
<br />Form Approved.
<br />Q g Nop 040- 0
<br />R I/Ip~p oval ~ pi eeR05-~-98
<br />NOTE: Rud Instructlorr baton eom Istlnp this form: -
<br />CENTRATION ND FREQUENCY SAMPLE . r
<br />Epp Fam 3320-1 108-851 Previous editions may be used. IREPLACE6 EPA FORM T~0 WHICH MAY NOT BE USED.) U n 0 ~ T / ~ n (. z ` j -1 ~ ,~ q. PAGE L OF
<br />
|