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PERMITTEE NAME/ADDRESS (1Mie. FrWry Ns••~lx+Nm I/D~..wq <br />NAB POYDEflHORN COAL COiyPARY <br />ADDRESS ROAUSIDi; '^IN°, 1~ ~ 5 POkTA:.~ <br />P.O. Bi),i Lu3U <br />PALI~AD° Cil 31~2b <br />FACILITY <br />LOCATION <br />ATfh: JOd!1 A. !"::NAB, Ft;ESIDENT <br />NAnGN[,1-SCMZ CE MONK; I~91pOf$1 <br />PERMIT NUMBER DISCNMGE NuMBERNUMBER DISCNMGE NuMeER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM I(.' ~-'I TO D0 ].2 31 <br />110-7 11 !TT-731 !74751 !16171 118-191 !36311 <br />FArrll Approved. ~ , <br />TO 91111lD TRIG/COL yotgo-~opg y=.... <br />(SOAR WC) ^PProve e.~R~~e~O"55''31-tJ8 ; <br />F - FT AAL 1 9 <br />":ItlOP <br />Ytr;: YO DISCHARGE )--~ ;f~:: r <br />NOTE: Reed Irntruetione belon e~o rlpletin0 thb form. It <br />PARAMETER !3 Grd 0ntyl QUANTITY OR LOADING !4 Grd Ontyl QUANTITY OR CONCENTRATION Np. FREGUexcr SAMPLE <br /> 1a6-531 154611 l3B-15/ 14E53 !546/1 E PE <br />131-371 X MKyytis TY <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !FS-sal 15d-5g1 I69-]OI <br />fli SAMPLE ~;:#:'-#~` 4##;:s GL~~### ( I2) <br /> MEASUREMENT <br />Uu00 I 0 0 PERMIT ,=faaa;; #aa>; #~z v ,a .5 Aax#>s.>a 9.0 EEKL:L NSITO <br />tiFLUENT GRO55 YALO :REQUIREMENT #~~ M . <br />:;JLiDS, TOTAL SAMPLE c:~Cu;=`• ;fr::;:;.-.: ~##~~# ( J,9) <br />USPENDbD MEASUREMENT <br />'0530 1 0 D `::.PERIGIIT. ,-:;~#~S: ')k~#~## :~;: G##IO## .~$ . Ta NC'>Sf iHA9 <br />tFf'LUENT GROSS BALD :=:R.EQUIREMEN7 ,,.,ry <br />IRUk, -jOTAL SAMPLE .,.,-., y.::;:#;:: ###i`#Xt ( Ig) <br />(AS !'$) MEASUREMENT <br />LG4S 1 d D PERMIT -:r~~r:) ;;>>r#:~M ~v;: p~l>EtIl01# 3.5 7.0 t NCE/ 'RAB <br />:F'PLUENT CfrO$S VALU REQUIREMENT #### 3 Y <br />AIL AND GA~,~ SAMPLE ., ;:~t;: ;: :: ;F~i:>.r:• ###Y:#.~- ( I9) <br /> <br />Y MEASUREMENT <br />i.. <br />,i5d1 1 •.0' '~~ ~ PERMIT ~::-.')#~k>x =t'~it#~r$ ~ 3#~ GtEF t,~~A! BE FO RT ~a ~ONTIN :RAE <br />.,'F'LUENT G@pS5 VALU REQUIREMENT #„=x 4 T <br />'LUY, IN CONDUIT UH SAMPLE ( 03) ###r:#'. t-7##9# #aY++G :: <br />H1tU TflEA?8$NT k'LAN MEASUREMENT <br />OU50 1 D D PERMIT HEpORT flEPORT D~4»~>a #o#tRlo~ ~+o?!~~>x ### gEY.LY NSTAN <br />FFLUtiNT 68055 VALU .REnuIRENIENT 30UA AYG DA X GD ##aa <br />SOLIDS, TOTAL SAMPLE ;,::7=kC:C< 4#;:;:;•O ##4#tt) ( 19) <br />IJ501YED MEASUREMENT ' <br />70195 1 0 D PERMIT Yv;t=xu ~~a##>x u #~~ ##L`#rs# REPORT RE6GRT TREY ~$AH <br />:FPLUENT 68055 VALU REQUIREMENT ~#:# RTR A9G RTf KA% MG L <br />:ILL AND GREASE SAMPLE .{--D :::'. ( 9(C) #4t''.)>i' fi':##{I# !; Ai~r'r: <br />159 A L MEASUREMENT <br />uUbti 1 0 0 PERMIT Y##Oi+fc REPORT Y ES=1 A###~~ ~#YAlgl# #.-!#>~>r ### EEi<LY ISUAL <br />FFLUEIIT 68055 VALUE REQUIREMENT YNgZ .tlAX tl0=0 #>}ri>r <br />NAME/TFFLE PRINCIPAL EXECl7T1VE OFFICER I cERnFr UNDER PENKTY OF <br />AM FAMIUM MATH THE INFO uw TNAT I NAVE PERSONKLr ExAMINEO MD <br />RMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> MY INQUIRY OF THOSE INDINDUKS IMMEDIATELY RESPONSIBLE FOR <br /> <br />- I• <br />. • • ~tOV1'T- <br />OBTNNING THE INFORMATION, I BFLEVE THE SUBMITTED INFORMATION IS <br />TRUE. ACCUMTE AND COMPLETE. 1 AM AWME THAT THERE ME <br />INCLUDING <br />SIGNIFCMT PENKTIEB FOq BUBMITTING FKSE INFORMATION -~ <br /> <br />~`) ' ~ ~~ . <br />THE POe5181LITY OF RNE MD IMPNSONMENT. SEE t8 U.B.C. ! t00t MD aJ <br /> <br />BIONATIAIE OF PRINCN'AL EXECUTIVE <br />a <br />~' -t ~ ~) ~ <br />rl ~ _ <br />; ~ <br />~ ? <br /> U.B.C. 1 rate. IMWaY+uKr dt... mnm+ m.r InrA.l+ rm+ w ro r lO,ooD <br />OFFICER OR AUTNORRED A <br />ENT AREA <br />NUMBER <br />YEAR <br />MO <br />D <br />TYPED OR PRINTED ..s ormMim.e hprlmnw:r o/brwwn emmMWeY+ra/ G CODE AV <br />Sj <br />6 <br />COMMENTS AND EXPLANATION OF ANV VIOLA !lures urerorenn sn ertscnmenn nets! <br />7t1IS OUTFACE IS NOS ELIGIBLE FOR EXE6PTIONS r^!ti0'1 TCPAL SLI",PEhCED SOLICS (TS S), 7CTAL IRON AND/OR <br />SETTLEABLE SOLIDS LIPITATIOYS - SEE I. A, 2. <br />EPA Fotm 3320-1 108.951 Previous editions mey be used. /REPLACES EPA FORM TalO WNICN MAY NOT BE USED.) 00 7 7 B / 9 H C 2 2 3-12 S 6 PAGE I OF <br />