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PERMITTEE NAME/ADDRESS p„dr0. FsWryN~/(ermm /JDi1J .wq <br />NAME POi1Dt:hHOkN COAL CO,ypANY <br />ADDRESS dOnD[iIDL ~.i'~,`, N ~ i~JflTALS <br />p.0. Fox 1431 <br />PALI~AL'E : u :Sj52b <br />FACILITY <br />LOCATION <br />A'rIN: J0;1R A. ~!.~hA;~, F:•..>:TJt:;~T <br />NAgoNALPOLLIRANTljISCNMGfEUMINATIQN SYSTEM INPDE$I <br />OISCHARGEMONITORINO REPORT lOMR <br />11-I61' 17.19/ <br />PERMIT NUMBER DISCMMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM 00 j0 ul TO rb j2 31 <br />!10.1/1 /11-231 /11-I51 1I5-171 /18-191 130-3I7 <br />` Form Approved. <br />fOhD 1 ?0 COLGRAD~`^~q ~D-oooa' <br />($11BR 4C) PPoBrgx~p~14~06.31-98 <br />F - F7!1A1 1 <br />".IVOH yy <br />r <br />`NOTE: Reed Inetrvetione before plstinp this form. <br /> <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !1 Grd On/yl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> M6531 !5461 l38-051 !4853 !54611 E GF TYPE <br />l3Z-371 X MALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS r01-esl !54681 169-701 <br />IL AND CREASE SAMPLE .'~F%.::~ ( f4) ~.?A.:.O .Y;t;Y7s:: -;;rr-- <br />I S G A L MEASUREMENT <br />4UDb 1 U 0 PERMIT ~v.;f.~=~ REROR.T ES=j ##y3gi## #*At~##:. ~##~### 0'.:z ~. EBI(LY ISOAL <br />;:i'FLUERT 6ROS5 YAL;I, 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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ' <br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I cERnFr UNDER PENALTr of <br />AM FAMILIM WITH THE INFO uw THAT I NAVE PERSONAUr ExAMINED MD <br />RMATION SVBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> <br />7; E <br />Si-p Y~r MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION <br />I BELIEVE THE SUBMITTED INFORMATION IS <br />, , <br />1 AM AWME TNAT THERE ME <br />TRUE <br />ACCURATE MD COMPLETE <br /> , <br />. <br />SIOMIFICMT PENALTIES FOP SUBMITTING FAISE INFORMATION <br />INCLUDING rA'I <br /> , <br />THE POSSIBILITY OF NNE MD IMPNSONMENT. SEE to U.S.C. 1 1001 MD SG <br />SIGNATURE OF PRINCIPAL E%ECUTIVE <br />~V ~~~ ~/Q/ D / O O~ <br /> U.S.C. 1 t St e. IPUWe4. vtl.r N.r mnrrn. nIFY Mtcpd. rn.s K ro f 10,000 AREA <br />TYPED OR PRINTED rMsmulntvn 4rwNaa+utwnr olMhwn emoners rw 6Yelva! OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference e/l sttschments here! <br />SETTLEABLE SOLIDS LIRIT APPLIES G6LY IF C=lOYN/14NA PRECIpITATTCN FY5NT IS CLaICEC. PE{iMITTF..E «PS <br />?URDEN OF PRUOF YHEN Hi:QUE$rING RtiLIEF FROG SETTLEABLE SOLIDS PBIf1AQY LiHITATI0A5, <br />EPA Form 3320.1 IDS-961 Pravioue editions mey be used. /REPLACES EPA FORM TAO WNICN MAY NOT BE USED.) PAGE OF <br />00570/980223-1256 i <br />