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PERMITTEE NAME/ADDRESS pirAr6 Fsdrry Naw/fa,ua. 1/DIQ.ar) <br />NAME P011UEkHOkN COAL CUEPAdif <br />ADORESSNOADSIUE: rIN~, N ;: ;i PUHTAL.`i <br />P.o. acx l~~c <br />PALISADt CO 81526 <br />FACILITY <br />LOCATION <br />ATTA: JJHN A. :'CAA6, Pltit'SIUiNT <br />NwnoNN. PoikuT;wT OIBCNhAriEEhMINArioN Mg~~ IN~+DfS! ' <br />DISCHARGE MONITORING REPOHI (.OJNRI <br />/Z=I6/- - 19-191' <br />co Da~iue <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM tl TO ., <br />!76111 /22-731 !74751 176171 l18-I91 !36311 <br />.. fGYrl'1,~Approved. <br />ankb9i e z e/z z~a 9r~"~sLL?,049t;~~,¢ <br />(SU®R IiC) PProveCa:lplrp~0 1-98 <br />P - PI IAL 11 LLJ4 <br />!1INOP. <br />### NO CISCHARGE ~_ ( 0'00 <br />NOTE: Read Inatructiaro before completing thin lorm. <br />PARAMETER 13 Grd Onlrl OUANTRY OR LOADING !~ Grd OnlYl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> 146531 !5461/ l38-151 !4653 !5451/ E% DF TYPE <br />137-371 ANALYAS <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS 1s7-sJl (54551 /69-701 <br />PH SAMPLE .1##LrC# #4:r##',A / <br />G #0-.t#fi+? ~7 <br />7 ( la) I <br />/ <br /> MEASUREMENT IO r r / U /,e/f /ly <br />G04UD 1 0 U 7;e-egMl.T :: :. to161044 .: #O+i#+R# #0# 5;.5 #IbsLifi+O 9'Q EEkLY' ~SI'~ <br />cFFLUENT G&059 YALU 'Rgn.agEMgNT, y <br />:: a#a# iS: ISU <br />SOLIDS, TOTAL SAMPLE. AI#q>0101# 4AIYF#tk# 100##O# <br />* 19) <br />~. <br />~ <br />SUSPENDED MEASUREMENT ~ ~ .L L /~~ ~~ <br />0530 I U 0 PERMIT `, :, r01411.~tgtlpl ": ..':#Qil!§~M?1M::_ ¢OP ::c!F:+r+00?gllE=..: ~~ <br />. <br />?.~ NCE'~ ' i~°~ <br />~: <br />cFFLUENT G$OSS YALU REQUIREMENT :' '-:.: :. <br />~ ;, :( <br />~ <br />~ ¢y#q ODA A9 l ~ }1.. !IG <br />•H , TUTAL SAMPLE #~a#¢# +OIANROla4 #o#>a>d# ' ( 19) <br />~ <br />~/ <br />(AS 8E) MEASUREMENT , ~ <br /> s e . <br />1045 1 O 0 PERMIT #¢u#a# .. ::' Oi17ra~0## ##a oa4jF?Po 3.5 <br />EFFLUEN~:Ci0S5 YALU yliEnuwEMENT ~.` #w:# 34DA=-xllLi' ~.:::R11I2T NI G/L N.T <br />JIL AND t SAMPLE =':FOv# <br />' OOKr t~#rr OOO>f/~0 <br />N/~ A <br />~~ ~ 19) '> <br />~ <br /> MEASUREMENT _ N - ~(/ ~ <br />/ ~~ <br /> ,, V <br />35dI 1 0~ U PERMIT ###gcgc!¢ .: ;„. Q#{+#alA #p0 :XEO.'>f#?.` RpbQ~T (J <br />.- <br />1 '.OiiTIN P <br />:~AB <br />tffLUENT GflOSS YALU REQUIREMENT ~.:::~' <br />. <br />. ~OOf ~ 3Q 1'~~AYG . <br />. <br />.".i}~~":RAi AG L' : GCt~ '#s'^. <br />'LUY, IN CONDUI'C Od SAMPLE <br />' <br />~ <br />~ /, <br />4 ~ p3) ##4##0 q0##0# 4Nfi##4 <br />~I <br />HHU TREATnY.NT }'LAN MEASUREMENT ~ <br />~ <br />~ 3v <br />Vr /A/Sr <br />SUUSO 1 0 U ..PERMIT NGpQQr j}~p.QpT 'i~-IIi#1p9g1 >Di+0104r7baC:: :'::Q1~l:i~>P.O..' #~O ELRLI .~ST~M <br />F}'LUENT GRUS~ VALUF REQUIREMENT 30UA :11-YG R1TLI..Mx RGD ? :. ##¢# <br />ULID5, TOTAL SAMPLE :=#41### pOYi## 4#AOiO ( 19) <br />~ <br />1:i5U L Y E V MEASUREMENT ~ 7'~ s D ~ ~ <br />1GGy~ I U U PERMIT 0###>k# -4+IIOIkO/fi ##a fi0il.?OIfi01 FE FO t{? SEfONT TRLY :kAB <br />Ct'fLUEnT JItOSS YALU REQUIREMENT #### ASF AEG RT$.MA% NG/L <br />L 1 L: it F:A:i' SAMPLE +'"5 #'+~#'~ O ( 94) #0#Ofi0 40#fi#L #>0#04`:5 <br />~/ <br />' I :iU A L MEASUREMENT (~ v/ fy~ <br />14046 1 U U PERMIT ~ #S:#ir$O,~ - ~ NEP98T Y <br />~. <br />.: .. ES=1 ':#~it44#?7 ~ d##~lcLnR ~~;~~A:l+D## ### EERi.T ISUAL <br />"Fp'LUENT GROSS VA LUF .REQUIREMENT .. : .. - .. -. <br />NAME/TITLE PRINCIPAL E7(ECUTR/E OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF UW THAT I HAVE PERSONALLY EXAMINED AND <br />MILIM N11TH THE INFORMATON SUBMITTED NEREIN; AND BASED ON TELEPHONE DATE <br />_ <br />/7, ,wF d +~ <br />~~~ ~ ~~"~ ///I ~-/' ~Z~- .~~li MY INQUIIIY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION <br />1 BELIEVE THE SUBMITTED INFORMATION IS <br /> , <br />TRUE. ACCUMTE AMD COMPLETE. I AM AWARE THAT TNERE A11E <br />SIGNIFICANT PENALTIES FOP SUBMITTNO FN <br />SE INFORMATION <br />INCLUDING ~ <br /> <br />' ' <br />U <br />C <br />r ~(~ ~ ~ / ~N ~ , <br />. <br />THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE to U.S.C. 1 1001 AND ]] <br />SIGNATURE OF PRINCIPAL EXE NE JD / <br />/fF ~ J ~U <br /> u.s.C. 1 I]1a. lFVtilw, wMw dNr. mvnr, nNr icA.d, fin„ w ro ilO,OW AREA <br />' TY ED OR PRINTED ,Mwmuvmn iawlsmwnr olMrw,xlsmanN, Ands rr,.l OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EJCYLANA I ION OF ANY VIOLA I I VNS IHI/e!e/ICe e// IRICDmsnta AI/e/ <br />IHLS OUTFACE IS NOT ELIGIHLE FUR EYENPTIONS FP.OH TCTAL SUSPFNGpC SOULS (TSB), 90TAL IAON AND/Ok <br />StTTLEAdL}: .iOLIDS LINITATION:i - SEE I.A.2. <br />EPA Form 3320-1 108-951 Previous editiana may be uead. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 p 0 32 9 / 9 8 C a 2 3 -12 5 6 PAGE lOF <br />r <br /> <br />