|
PERMITTEE NAME/ADDRESS (Include Fanlire NamelGomtmn tJDiffercnt)
<br />NAME COL041Y0 COAL CU"'!'A'.'{, L.f,
<br />ADDRESSCO LOrYU RIME
<br />5131 STATE HIGHyAY 13
<br />"SEF,KF.R CO d16u1
<br />FACILITY
<br />LOCATION
<br />A T'fK~ .1_ fl_ H~i7Mrl!_ fPN R'A~~~l.l'Lt'-•.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR;
<br />{2161 (t ]- 91
<br />CnAntl 41F1 AA R
<br />~~RMIT NUMBER DISCHARGE NUMBER
<br />~- MONITORING PERIOD
<br />YEARe I~M©~. DAY. "YEAR MO DAY
<br />FROM O;I~~91 .,,-~I 70' 00 06 30
<br />(20-21)~jjg:•g2d:2$) 126-2 )1 (28291 (3631)
<br />Form Approved.
<br />oMe No. zoaaaooa
<br />'I I N 0 P. Approval expires OS-31-98 ~ .
<br />(SUER NW)
<br />P - FINAL !lOFAT
<br />!:7tISNG PIT TO ,11L~H A FOpL'
<br />NOTE: Read Instructions beforr,~Ompleting this form.
<br /> (3 Card On y) QUANTITY OR LOADING'
<br />, }(4~Ceid Onyf: ~ QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER ,
<br />(4s-s3) (s4-st) (38:45) (4s-s3) (s4-sv) E% of TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS AVERAGE
<br />MINIMUM~r~ MAXIMUM UNITS
<br />162631 ANALYS/s
<br />(64-6s)
<br />(69-70
<br /> ,
<br />SOLIDS, TOTAL SAMPLE ~ ' `~ ~ ##A4i1+R tlr#>lI.IIn11t~ ( ; 9)
<br />SUSPENDE:C MEASUREMENT "Sd-: ,.
<br />UUSlU 1 U 0 PERMIT #GI~ml1? j' Y}4# i+ _; `";' ;
<br />c
<br />i~cEf
<br />:RAC
<br />
<br />EFFLUCN3 c;kOS,. YALi;. REQUIREMENT K ,~i -+.,
<br />`"w ~`
<br />.~
<br />,
<br />~
<br />#t>'## 4 t '~; ~ti: Mr,/L .D Iffi Ck 5
<br />IItUV SAMPLE :~ ri:t ,::r :: t:^Y. r,-:k ~##II1!!11'.~.. ( Lg)
<br />'CO'['AL ~f°CUYBRANLr MEASUREMENT ._~`:,.;,
<br />.
<br />
<br />U U 4 tl U 1 U U
<br />':'PERMIT
<br />19d0uP$HCllr .
<br />dk?tcllk#Sf#_'.;t~
<br />~:O ~- .
<br />..
<br />'"~ r .
<br />,~'~
<br />~~'. •.
<br />- ~1,
<br />1)1:' ~ ~ '
<br />i ~'~;~t
<br />t:rFLUEHT GROSS VALU[ REQUIREMENL ~ ':. +}e-':;: `°-;?
<br />k'L(ia, IN C.)NDULT. OF SAMPLE ( ~3) a+>'9T!~.'; 4+?fi#+X# at r,#-3r4
<br />• P t
<br />T:, ..1 TP,P.ATC!EtIT PLAN7 MEASUREMENT ~ n
<br />~;,~•
<br />5 u u ~ D 1 U v 'PERMIT: ': S%PK~T^ ~ a ~ - Yi $E+~C'F' E; ,
<br />+# . ~, II#Cb T9 # .:~ ` ~ MCL f '~ Fii~'~'i~l~
<br />I•:FFLUE!IT GHG55 YALf'F "REQUIREMENT, ,~~i~~"_~~~- ~`~~"Z.~Y'1-Q~ "'GD ': .•]b:o •c". ~L'j(n ~'; E:";,~
<br />
<br />SAMPLE . e:, r ..
<br /> MEASUREMENT
<br />i
<br /> ;PERMIT -
<br />~„ `t•--5: .r~*°' ~~ 4~ ~g ~y `-
<br />
<br />y. 'i
<br /> =REQUIREMENT '
<br />_
<br />`Y
<br />_
<br />_ ,
<br /> SAMPLE `°
<br /> MEASUREMENT _
<br /> PERMIT
<br />~
<br />~ ah'
<br />° ~
<br />'V~ n,
<br />~ - ~
<br />r '?' ~,-.
<br /> F;EOtlIREMENT. ; ~ :
<br />-
<br />-C -'~„
<br />'v- 5i ~. (
<br />vA. I ..~F..,f ,~
<br />~ :;_
<br /> SAMPLE
<br /> MEASUREMENT ~y . ~ ~~.
<br /> `' PERMIT , ~ i~. ,~. ~3', _ ~~° < wx r.J.. r_t,. ' r ` k)!~~' r `'
<br /> REQUIREMENT- ~ :
<br />.+3
<br />~J ~ . ~,w-.
<br />x '
<br />'
<br /> -..
<br />t,
<br />~ -
<br />..., ;,
<br />a ; y
<br />~.,, ;
<br />-
<br /> SAMPLE
<br /> MEASUREMENT
<br /> `P,ERMIT ~+p," :. ~ ~ ,~ ~ .Yx
<br />~~ ~* ; : 'tl ,~,
<br />`'~
<br />~ _ + :r ".,w ~
<br />-s
<br />~k~
<br />~ ~R,ft"i~tGfAtl'
<br />~ rV ,1,
<br />~ Fs',+„t ,,`
<br />`
<br /> REOIiIREMENT+
<br />2
<br />R ' { r
<br />1 L ~i`
<br />r Qt ,
<br />kk
<br />ti[. ,.vim-EF w _ _
<br />=
<br />"c$~
<br />r °~ +
<br />~.}r
<br />..
<br />NAME/TITLE PRINCIPAL EXECUTVE OFFICER PENALTY OF
<br />1 CERTIFY UNDER LAW THAT I HAVE PERSONALLY E%AMINED ANO TELEPHONE, DATE
<br /> AM FAMILIAR WITH THE INFORM ATION SUBMITTED HEREIN; AND BASED ON MV
<br /> INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMATION, I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE. f / ,~
<br />/ / .y[
<br /> ACCURATE AND COMPLE-f E. I AM AWARE THAT THERE ARE SIGNIFICANT Y
<br />/~
<br /> PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE
<br />POSSIBILIN OF FINE AND IMPRISONMEM. SEE tB U.S.C. § 1001 AND 33 U.S.C
<br />! 4
<br />SIGNATURE OF PRINCIPAL EXECUTIVE
<br />1 l
<br />1 1_r.
<br />n ~ /'t
<br />_
<br />TYPED OR PRINTED 4 13t9. (Ponerees under Ihate smMes mey include lines up ro St0.000 entl or ,
<br />merimum imprisonment of befween6morrths ends years.) .: ,
<br />~ OFFICER OR AUTHORIZED AGENT
<br />~~.~~
<br />ODE
<br />NUMBER
<br />VEAR MO DAY
<br />COMMENTS AND EXPLANAI ION UH ANY VIULAI IUNJ (hIBlBrenCe all af(aCnment3 nerBJ
<br />,. l3F.ITOF:IKG RtiVUIH61"Stii:i ,::E 4.3.1.4, Pd. 5. i+l!Pf?fA UP PRO' T REr~'UIf(Et!ENTS - SCE I.A
<br />EPA~yF~orm,3320,1 (OB-95)~ Previous editions may not be used.
<br />PG. v:
<br />PAGE 1 OF
<br />
|