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PERMITTEE NAME(ADDRESS /].elude Fncdiry Numr/Locmmn ijDijferem)
<br />NAME
<br />COLO,YO COAL COPF!. 9Y, L. P.
<br />ADDRESS~~LOMYO NINE
<br />5731 STAT$ NICtiI:AY It ~'
<br />FACILITY *tEEXE:H CD 816U1
<br />LOCATION . ~ y:y"ti .: ~~
<br />ATTN: J. D. HARtSON, GE7 E':tAL MA I: AI; P.u
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT (OMR1
<br />R-I6) (t1-791
<br />_:f~f1 f71U S1 i.1 f1'AQ a '
<br />PERMIT NUMBER DISCHARGE.NUMBER
<br />MONITORING PERIOD
<br />VEAR~, ;,'MO DAYY~ YEAR MO DAY
<br />FROM 0'8 '' O~ ;,~ TO 00 OG 30
<br />(ZP2r) (22:23)',-,(29_25 R6-2 ]l (2H 29) (3031)
<br />Form Approved.
<br />OMB No. 2040-0004
<br />"f I NO R Approval expires OS-31-90
<br />(SUER NY)
<br />P - PINAL CbFA4
<br />s2oxeR eoAL LoaDauT/TAIioR cR
<br />NOTE: Read Instructions before completing this form.
<br /> (3 Card Only) QUANTITY OR LOADING ~;~ (4 Card Only) 'QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (46-53) (54-61) %38-45) -., ', (46-53) (54-61) EX OF TYPE
<br />(32az) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(szc3) ,wALrsls
<br />(6a-6B)
<br />69-70
<br />L'H SAMPLE rSfi44.'141 4QrY17UP ~] ~~ "toSi-: sk Lr ICC•!": ( It'~
<br /> MEASUREMENT " ~" ~"
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO
<br />AM FAMILIAR WUH THE INFORMATION SUBMITTED
<br />E NALLY E%AMINED AND TELEPHONE DATE
<br /> H
<br />REIN; AND B45ED ON MV
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING /
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<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE.
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<br />AWARE THAT THERE ARE SIGNIFICANT
<br />PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING THE
<br />
<br />) , ~1~,_ ~ ~, _ ,
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 16 U.S.C. 4 10D1 AND 33 U.S.C.
<br />? SIGNATURE OF PRINCIPAL EXECUTIVE r~-~
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<br />TYPED OR PRINTED § 131 B. (Penakies untler Mese statutes mey intlutlo lures up fo E10,000 enC or
<br />menmum impnsonmenrolbelween6mrnthe entl5ysars)
<br />~~''G~FFICER OR AUTHORIZED AGENT
<br />D
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
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<br />UUMML:N I S ANU E%PLANATION OF ANY VIOLATIONS (Reference a/I attachments here)
<br />Si;':TLF.ABLfi SOLZGS LINT FPPLIF.S ONLY IF C=10YP.~?,4HR PaIiCIP EYGXT IS CLAIM'D. IF CLAM' AFP`.?OYE.C 9Y M[CD~
<br />TSS E IKON LItlITS MLLL NOT BE APFLIEb TO REPORT~Eq M, IIREMENTS - SEE I. A. 3, PG. 5 FOR BURDEN OF PROOF
<br />~- _-
<br />EPA Form 9320-1 (OB-95) Previous editions may'not.be used - ~. ~ `~(REPLACES,'~P.A.FORM~T~40 WHICH h1A,Y_NOT BE:U SET): v °a ~ `~ ~ ~ r °' ~' _ PAGE. OF
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