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PERMITTEE NAME/ADDRESS (lnduJe Fanlin'Nome/Locution JOi$erenrl NATIONAL <br />NAME f GLOaITJ COAL COf:FAYY, L.~. ~;,4x~;' _ I <br />ADDRESS -;ti>;`~.'it+_,. <br />C(:IL041Y0 f!INE rnn <br />5111 STATE HZCHwAY Ii PE <br />Mw'ggfrr Cr; t764I . <br />PACIUTY <br />LOCATION YEA <br />FROM :Sys <br />nTTN: J. D. HARROy, GEv°" AL ~•;,na.. •-~. ~~izo_:z <br />TANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />4R <br />GE MONITORING REPORT (D <br />MR; OMB ND. 2040-0004 <br />J <br />1 <br />e) HI;70k Approval expires 05-31-9$ <br />NUMBER ~~ _yDISCHARGE NUMBER F FINAL t4O F AT <br /> <br />MONjORIN_G'P,EBTOD' a <br />aAdLHOUSF Sf:D7 TC TA710R C.P.?EP, <br />AO ~, :+D.QV•, n YEAR MO DAY <br />p#'~9i TO OD OE 30 ~'°'"= NO DI^_CHAN~E ~ ( ari°~ <br />I:P3 '. 1za zil ~ -'' rzss~J 12629) t3a9+1 NOTE: Read Instructions before completing this form. <br /> (3 Cartl Ony) QUANTITY OR LOADING ~ (4 Card Ony) <br />:QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-61). , <br />(38-45) (46-53J (57-67/ EX OF TYPE <br />(32-37J AVERAGE MAXIMUM, UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />16PE9) ANALYSIS <br />(64.68) <br />69-7Q <br />F;i SAMPLE <br />MEASUREMENT .rvt:5a0 re>,n1r4>r ~~ ' . <br />,~6:© briri'.:es-: <br />SZ <br />B ( 1: } <br />G <br />~ I <br />y <br />~n <br /> ,,: , Sl <br />0U4UU 1 U U - PERMIT.. 44~.?b~R ~:-44a4ix4 -9 ~..«: ^~ `~„ ",? -; ~"EPaLY ENSITtI <br />c ' F' L 7 ?~ ti T ;: R O `.~ :i V A L Ii i REQUIREMENT <br /> <br />.... ~ ~.. ~ ,y <br />^~+* "ryy¢¢ ~ 9 £ <br />v a'/,3e k.§1,....~:.~ ,.F p~~ <br />~i1 ~..1'1.0aE a "• <br />~ D , - <br />S'vLIGS, TOTAL SAMPLE *:r'r-g [c [c .G:+`.::,t4 ~"`#49141r9T. <br />r ( Ii) I <br />~ /- <br />SU5PBNDSP MEASUREMENT L <br />j <5 Q ~p Grah <br />U q S U U 1 U U - +P.,ERMIT 444RrFrt .~ r .4LOR7)tr7~'# '-9 '7 ., - _ i`',:I ` ~ ~ <br />° <br />• •~~'~ - <br />f:FFLUtN'f GROSS VALUE +REOUIREMENT - ~ ;~ is ~~t~j : <br />l ~`~ <br /> ~ <br />. ~ Y.G/L NF <br />. ~ <br />^ <br />a^CLII:S, SF.TTLEANL_° SAMPLE ~ "°;°"°"°'~ ': :'--~~• <br />• 4fi49ti*~,~ ~ <br />{ 2S) <br /> MEASUREMENT ~O.S <O•S D 1~5u ~r~~ <br />Ur/'.)VS 1 U 0 - rPERk11T-. <br /> <br />~ >0t4f?91•tkt ' :._..m[ffirR'OC,!-:p :`•yra fM~- <br />_ ,: <br />~-~'`~ <br />'" <br />- <br /> <br />' <br />,. :;( S~ ~,+3t; <br /> <br />" <br />~ <br />Lf'FLU£\T GROSS YALUE ,REOUIREMENT ' .. .. x,t,,,; ;.~.~ <br />Y . ~ <br />CL .:• , <br />~ <br />IR!JH, TOTAL SAMPLE ! •~ `` ',"„ ". *•ri##wri { 14).. <br />~ / <br />I <br />G <br />( <br />(AS FC) MEASUREMENT D,IZ., D,IZ ~ YO /6o , rr. <br />~, <br />UIUYy 1 U U ''--.PERMIT-:- '>K#ikYpl±i9 <br /> <br />~` -•.)i aS491>pl9!:-; +'r `: .TC4+p 'tt <br />h [•:x '°j ',~" <br />tFF:,U''4T .; HO$$ YALU4 REQUIREMENT` > <br /> <br />. <br /> <br />- ;j:; ,ze _ y, <br /> <br />~ <br />~:::_ ,. <br />. G / L <br />:~ `~ <br />GIL ASU GREASE SAMPLE ~:'°:';:^'r '?''r,.?;<.:: ~.C#'xriG 4#4~?## ( 19r . <br /> MEASUREMENT ~ <br />fl a„ ~ ~ • <br />'J ! S d l 1 U U "-~ PERMIT - ' 491+b 4±-4 dypl>Q>Alrpf(L ':Ip r;::: <br />~~4~ ~"' ;;-'. <br />~ x, r''t <br />~ <br />FF'1.U E'5T GROSS VALUE :REQUIREMENT <br />. ~ <br />~ ~ ~ ~^,', <br />~ - ~ .; ,,; yYn ~,:o-z " <br />^ <br />f'L'JV, IN CONDUIT OH SAMPLE ( '~3) #X<wrFritA 4t:;k4t:;: :':+,`•r,:fwr, - <br />[ <br />PHN.U Titt:ATN°NT PLAN'[ MEASUREMEN7 'O.CL~ GrC'TO Q /,,+ L'S1'• <br />~OUSU 1 U U f `"PERMIT ~$@ w ".-pQ>~`= ~ <br />'F~ #~ ~ #84 ~ <br />i?F'FLIi E'NT C,PO$5 YALUF ,REOUIREAiIENT _ <br />f'.~~D,~'~Y' ~,:)O~TZ~ c~.. yrD » <br />,,.:' t <br />,f "~ ,. :.: file _'F.f':: 4.Y40 §'.1.'.: 3~f <br />`OLILS, TOTAL SAMPLE ~'~='rj'%°- "• '•: ":^-xYCt4 <br />( I9)' <br />I <br />D.ISSOLY:iD MEASUREMENT 2tSU zi,O D /'~ G+.i' <br />7tILY;, 1 U U -PERMIT •' #T#~Qf~ h I¢y144`9t~ i~ ": at r: >¢:,>¢¢#~# ~' r ,T <br />hFFLUEbT L~P,OSS YALUE !REgUIREMENT- < ~ ,~ _ '-"__ `- -+~,:•x .', sg(I~y,r~;~~+ D~"I`"L! l1~~ ~G/L .'~~ ~:Y'ti <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY EJ(AMINED AND <br />IN <br />A <br />E <br />V <br />~ TELEPHONE DATE <br /> INQUIRY OF THOSE INONIDUAL <br />THE INFORMATION <br />I BELIEV ; <br />ND BAS <br />D ON M <br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />E THE SUBMITTED INFORM <br />TION I$ TRUE ~ <br />f <br />'%) L <br /> , <br />ACCURATE AND COMPLETE. <br />PENALTIES FOR SUBMITTIN A <br />, <br />I AM AWARE THAT THERE ARE SIGNIFICANT <br />G FALSE INFORMATION <br />INCLUDING THE .t. <br />.. <br />IJ ~/7 rr ! /~ <br />~' <br />( <br />~ r ~ , , ~ ~ ,, ,, ~,,,, ~ POSSIBILITY OF FINE AND IMPR . <br />ISONMENT. SEE t8 U.S C. § 1001 AND 33 U.S.C. r <br />SIGNATURE OF PRINCIPAL EXECUTIVE Gl f) Q V - (....+ !n / ~n <br /> § 1319. {Penetties untler these srelules may inclutle fines up ro ff0,000 sntl or `OFFICER OR AUTHORIZED AGENT <br /> <br /> <br />..,'.. „~ TYPED OR PRINTED mavimum,mpnsonmeM al beA,een6months end5yeersJ O NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ae/erence all attachments het) ~.,. ,. ~ ' ' <br />Sf:TTLF.AEiLE SOLIDS LIi'ZT FFPLZF'S OSLY ZF C=.lOYP.,?4'NP PRECIF LYFNT I5 CLAI?'1ED. IP C' APPDOVEC PY 1~CD, <br />T55 6 ZRON LIffITS PILL NOT HE APFLI~D TO 3Ei'CP.TcJ `!F4$UREMf: NT$ - S8E I, 1. 2, PG. SP.URDlrH OF Pk.COf <br />.,~EBAFFOirn 9320;:1 (08A5),~Pre`vious editions~rriay not be used ~- ~ ` ~ ` (REPIACE$~PA FORMrT30 WHICH MAY. NOT BE USED'.). <br />. ~ r `• r v' "' PAGE OF <br />' , <br />, <br />N.~s~e/iY0'i~ '.i.iL. ..u. .,. ...~a...,.,,._... •i a..- ~...~~.:w-i i.- -.. ...r +4 .--'vd~.. s~d]L6~.: ~1.. _,~ .~"J.r~.,._ _. ..... <br />