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PERMITTEE NAME/ADDRESS pndude Facilip~NamdLacmion ifDi$erenp NA <br />NAME CO;,ObYO COAL COMPAIiY, L. P. <br />ADDRESSCpLOkTO MIKE E <br />SfJl STAT!~ fiIGBMAT 1J f;' - L <br />tlEEK?R C~` N16111 <br />FACILITY .'. s <br />LOCATION <br />FROM <br />ATTN: J. D. FtAR96N, C`_.P%Fic~L !1ANAGER <br />IAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR; OMB No. 2040-0004 <br />fafsl .fn-91 FI NOR <br />Approval expires 05-37-98 <br />nnUC.TS,T -~:', nnA a (gp9R N.4) <br />PERMIT NUMBER x.~!fiiscHARGE NUMBER p - FINAL ~ flOF11T9 <br />MONITORING ERIOD ^fhZ'~G PIT TC 4EGT PIt PONU <br />EAR,,;•MO,. DAY,~•~ YEAR MO DAY _ <br />.~ Ol. To: DG DO 30 ~~?'~= N7 UISCEIAAGF. ~ ~~*} <br />'o_z~~azz~z3f fzs zsl ~'' (zs~zrl fze-zsl (3031) NOTE; Read Instructions befor completing this form. <br />PARAMETER 13 cad Only) QUANTITY OR LOADING <br />' '" <br />~ /6 Cerd Onlyl QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLEI <br /> (46-53) (54-61) (38-05) ~ ~ (46-53) (5461) EX OF TYPE <br />(3230 AVERAGE ~ MAXIMUM 75~ MINIMUM' <br />~ ~~~ AVERAGE MAXIMUM UNITS ~ <br />a <br />S <br />Alc <br /> ,. f6z~s31 a <br />s <br />) 89-70 <br />:i,1LI D5, T~TRL SAMPLE 7D4b44L OAgt~tit: -~ ~:•;~re a>~r; ( Iq) <br />i 0 5 Y H }i i L 1~ MEASUREMENT <br /> <br />Ui,7~U I U U <br /> <br />' <br />' PERMIT >P#4 '3 <br />"ky'r YF <br />~~ T~.i" OO•"• <br />-~- ~ ~ <br />~ ~ <br />¢~-:T~ ,w r~: :'- -' <br />~y '.. _ <br />C <br />N1. Sl~ ' <br />YR~ B - <br />;:E <br />t <br />LUF.`~T GROSS YP.LU} REQUIREMENT' ,. 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YFSTA#>y;li +RaG1A~?C <br />TakU TRfATNF.NT PLRNI MEASUREMENT <br />yUU~U 1 U U <br />• <br />' T PERMIT '~-~ ~~~,~ <br />~r <br />y5` <br />~Q ~'~`~~,, ~ e <br />~ <br />'~ ~ <br />~ C'~h ~ ~ <br />`s ~~r" ' <br />~°' YTS ~ <br />~~ <br />EPF <br />LUE,Y <br />f R!?OSr YALUe REOUIREMENI, <br />_ , yq ` } <br />_''+~M'~'4 ':~'Y~ j <br />,y <br />p <br />+MA d+i.'~ x~'~~. ~>- <br />!? ' <br />,:'~ <br />"~'3w''k$.i:~. eY tti ;rC~'~ , <br />",~5 ~. , <br />11'i "'4' .: <br /> SAMPLE <br />~ ` <br />~ <br />r - <br /> MEASUREMENT ~ <br /> } ".PERMIT <br />REQl11REMENT.. <br />..~ v° <br />., <br />~'~ <br />;7~. <br />r ", ~y~: <br />~° ~ d?„ ` <br />=-z~ . ~+ I~y,~°' <br />+`R, <br />.r s , <br />F:. '- ~• <br />x~. <br /> <br /> MEASUREMENT <br /> <br /> I"-•`-PERMIT. <br />R <br />- . , • sr ,• ~x~„. z .., <br />x7 <br />. : <br />4r +Y~' ,) <br />~s;' ~ ± <br />'~ <br />' "•, ,~. <br />:. <br />'~ <br /> EQUIREMENT ._ __ .~ - ~it~l, ~4~ s <br />~,, Fx f,x <br />I <br /> SAMPLE <br /> MEASUREMENT <br /> `~ --,~P,ERMIT <br />REQUIREMENT• ' ~t; <br />y. ~.15: , , " ` <br />> a1, ' <br />. ~' ~"~ -' a :•u <br />"` <br />9a:, .,,~ rye, : <br /> <br />a~.t + ~'"ry +A_s~ ~+. <br />.~"~`h"'"",~~`` ~ `~ <br />+, a.5+ :€ ~,f v>z <br /> <br />- ,x iti ~,.,~ y <br />t~g ~ t <br />S£-t'v~ •~.y a ~., <br />A`'%" -... <br />i`S:.~ -Y~+-'-~, <br /> SAMPLE <br /> MEASUREMENT <br /> 1. ,., ~pERMITx <br /> <br />4 <br />E <br />U ~ <br />-;s~ <br />^ ~' y ~ ~' ~ <br />~ t* <br />'~ " s~; <br /> <br />~ <br /> <br />'• r + r '~" <br />t K -~ <br />- x' <br /> R <br />Q <br />IREMENT ~ <br />. .~ ~ ~ " <br />u - <br />y ~~ <br />om_ <br /> <br />t4t.-ik ~ <br />r <br />w _~ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND <br />AM FAMILIAR W <br />/ <br />~ <br />n <br />/ TELEPHONE DATE <br /> fni THE INFORMATION SUBMITTED HEREIN; AND BASED ON MV <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />THE INFORMATION <br />I BELIEVE THE SUBMITTED INFORMATION IS TRUE <br />~JL <br />.j/y <br />~ <br />/~ ~~ <br />\~~~~ <br />~ <br />~ <br />K1/ <br />- <br />_ <br /> <br />/ <br />:! , <br />, <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING THE i~~{ <br />'` <br />j <br />V.. ~'~ <br />~ ~ <br />1 <br />~ I \ ' <br /> <br />"' -' , <br />POSSIBILfTY OF FINE AND IMPRISONMENT. SEE f R U.S.C. § 1001 AND 3J U S C. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />~ ~!1 ~nj <br />' I4,D.: <br />/1 <br />7 <br />J~('7 <br /> <br />TYPED OR PRINTED 4 1319. (Pene/fias carder these sfetules may include Hnes up to Sl0,AN1 a+d a <br />VGF <br />FICER OR AUTHORIZED AGENT _ .. <br /> meximum,mpnsonmem al henvaen 6nronlhs entlsyeers.) , CODE NUMBER YEAR MO DAY <br />~~~•~ ~.+ ~+~•.+ ~..r.,.~ .+~ vrv yr .,,.. nvv+i viva Lnererence an erracnmenrs nere) <br />IDNITO.'?ING REGUIH~"1t;tiT5 iE:.°. I.i7.l.b, FC.. 5. 'U 9UE?1 f'.° Pi40CF RE:~UIRENENT$ - SEE I.A.2, PG• 4. <br />EPA Form 33267 (08;95) .Previous editions may not be used. (REPLACES EPA FORM T-40 WNICH MAY,NOT <br />j00G~t03-2987 PAGE ~ OF <br />