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PERMITTEE NAME/ADDRESS (T-'''-FsmryN••JTawu,JD,p ..d <br />NAME POYDERNURN COAL COMPANY <br />ADDRESS ROA D::T 1)E ."II~e4r h ;: a tOHTAL:i <br />P.O. 30K 14 J'7 <br />PAL1:iADE CO ~152D <br />FACILITY <br />LOCATION <br />AT'1'N: JO;ih A. Y. L'kA ~- P~. r.51I)F'NT <br />NArwNN.PceLUiANYtyISCHARDEEHMINA SFDA lNPDES/ <br />DISCH1Agl61E 1wGNrtARING~~T i oA(91 <br />coooa~ln <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM U U U TO ., <br />r~r>,~r, nzzv Il4JFl labzn !ze-zsl l3a3u <br />Form APProved. <br />YORG B 20 GOVT flI~Pe~le~r~~~b5-'~1~se <br />(sDE3R yc) i ' <br />F - FINAL F <br />"INGF <br />#r# NO CISCNAHGE #'''` <br />NOTE: Reed Inetruetlone befor' ompMtlnp this form. <br />Y9.: <br />~, <br />E <br />PARAMETER 13 Grd Onhl QUANTITY OR LOADING !4 Grd Onhl QUANTITY OR CONCENTRATION NO. FREDUENCY <br />f SAMPLE <br /> !46531 !54-611 138-451 1a6-531 !54611 EX o <br />rsls <br />A TYPE <br />l32-371 AN <br />i <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lstss! !54581 169-701 <br />:'ti SAMPLE ##O:tr# 5><#C### #~##xa ( jl) <br /> MEASUREMENT <br />i:4VU 1 0 0 PERMIT. xxt#xlx'4 YFLE~F$>Ott ##;• •5. oxxa~x~a 9.0 8$HLY IFSI'tU <br />e,FE'LUENT GRO55 YALU REQUIREMENT <br />, >p,~p I$XJX. <br />~JL7 U~, 'fLiTAL sAMPLE 014ti#4# OLt#4#4 x~xebpY ( 19) <br />G S P E N D E D MEASUREMENT <br />' U 5 3U L 0 0 :,~: PEaIN1T::',a : *OIAFIIMrP..:.::<: ; .. tik+M+M+i'- .: ~#R i. ~~~>~ .: ~5.:::. 7g <br />~: <br />' :.::: ~k/ %l4-B <br /> <br />5 VALU <br />FPLUEhT GH05 .... <br />gEMEN7.: <br />EQUI <br />R . <br />~ <br />~ <br />.::: <br />: <br />~~ .~ <br />~` <br />: <br />':: f ~ ~ :_~ :~ ~ <br />?ia#4 <br />~~ - <br />'~ 3YkDl ;:. ~:• G . <br />. <br />~..4;h:~ ... . <br />~ . <br />.. . <br />: <br />. <br />. <br />,. <br />. <br />. <br />~ LIDS, SE I;EADLF. SAMPLE #tStp## #####;Y xxOx01# ( 25) <br /> MEASUREMENT <br />' V745 1 ~Q' U PERMIT %;: #ir#C/i# ~. =<#Li:-#~ #,`•-x ~k ~R~~S# R£FO:kT ~~'B.E #ORT ~~ .11CE/ ~ :~.~8 <br />FFLUENT QIt055 YALU REQUIREMENT #i # 3008 4G tla2.L'Y Es L fl0 <br />LHOFi, TUT~.>L~ SAMPLE ••r+:ZY Y#C##: ##s#xm ( 19) <br />(AS ~~ MEASUREMENT <br />J1U4S j Q. U PERMIT #:=i#-k^r v#14raxc >t OfiC '.<Rltpl6x¢ ~.5 Te0 MCE/ iRA9 <br />E'FLUENT GROSS YALUE .REQUIREMENT •##4 -3Ofli AIIG ES Y MY MG E4 tJ H <br />AIL ANll GRHASE: SAMPLE ~:#%~~ #'•O### #O#### ( 19) <br /> MEASUREMENT <br />J.i~ti2 1 0 0 PERMIT #=%~'~#G #~#~#~ tN #c GAIL#?C# R.$fQS'~° 2a.... t OSVTlk ~SAfl <br />2FLUEN'f 6R055 YALUE REQUIREMENT xxa4 30D1 1tC • xN !E % G L G N <br />L , N CONDUIT OR SAMPLE ( 03) #x###t G#~t49# #~#.## <br />:t!4U 'f REATMENT PLANT MEASUREMENT <br />>UUSU I U U PERMIT REPORT REPOET 4>Q9LtIIS# ##~~~# :x+.#x#'N#.' ##x EEKLY :IESTAN <br />FFLUENT GROSS YALUE REQUIREMENT 39DA AV6 ~D~AILY K~X GD ~ ~ ~ ~ II### <br />~UL , TAL SAMPLE 'k###t<~ #~*#### x##### ( 19) <br />.L:iSULYEii MEASUREMENT <br />/Ul9S L U 0 PERMIT ##xx i'- . it>:crX4A1'0 'xl .x ao+eAmo RE &OflT E1 F. F0 A3 TRLY ~AAH <br />FFLUENT GROSS YALUE ;REQUIREMEN7 >v~-a GR:Tb AitG ~R.T:b .rid.Y MG/L <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENILLTY OF UW TNAT I HAVE PERSONALLY EXAMINED AND <br />AND BARED ON <br />BMITTED HEREIN <br />T <br />O <br />S TELEPHONE DATE <br /> <br /> <br />T c S-FO v~ ~-• ; <br />AM FAMILIAR WITX THE INFORMA <br />I <br />N <br />U <br />MY INOUIRV OF TNOSE INDINDUAlS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATON 19 _ <br />~,f' 1.. TRUE. ACCUMTE NID COMRETE. I AM AWARE THAT THERE ARE <br />E I <br />FORMATION <br />INCLUDING ` /jI~ <br /> <br />, <br />N <br />SIGNIRCANT PENALTIES FOR SUBMITTING FALS <br />9/(/ <br />y5- to A <br />l7~ <br />O, <br />4 THE POSSIBILITY OF FNE AND IMPRISONMENT. 9EE le U.S.C. E 1001 AND 3J SIGNATURE OF PRINCIPAL EXECUTIVE <br />~ u.s.c. E r B rs. lPF,W4.. uw eM~ mnn.. ,,.r Inca.W r... w ro t ro,Dao <br />..~ <br />TYPED OR PRINTED .+/>mui,wn Ynry/oala,r of srrwwn 4nv,elaaMSr.a+l OFFICER OR AUTHORRED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Retarenee all ettechments here/ <br />:;E'I2LEABLr SULillS LIMITS APPLIES ONLY IF <=l0YR,24HH PRECIPITATION F.VENT ZS CLAIMED. P£RMITTEE F.A.i <br />dUi20EN UP PROOF YREN REQUESTING k:LZEF FflOM SETTLEABLE SJLIDS PfiZMARY LIMITATIONS. <br />EPA Form 3320-T (08.95) Previous editions mey be used. IREPLACEB EPA FORM T-40 WHICH MAY NOT BE USED.) 0 0 44 9 / 9 d L 2 2 3-12 5 b PAGE I OF <br />