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PERMRTEE NAME/ADDRESS p.d~d, FaWryNsWlx,nw yD~....p NAME sErdcA coAL ConPANY ADDRESS DRAYEk D HAYUEN CO 81639 FACILITY LocnnoNRAYDdN CO d163U dTTN: G. dUD i]HDWN, GhtERAL I4ANAGER Form Approved. ~ p DISCRAAGE TO TRI~9M4K~a209P.-P49P (SUER Rv) Approvals1c~i~s05-31-98 ~, - PLNAL `: N!)N, • -'~ NO DISCHARGE ~~) #~~x NOTE: Rnd Instructloru bdon eomplHlnq this form. PARAMETER l30rrd4n 153 QUANTITY ~ %OADINO Onhl QUANTITY OR CONCENTRATION NO. FREOUENOY SAMPLE !ffi-371 ~ 1 I d ~ I3B-15 a663 16b6/ EX GF ANMY519 TYPE AVERAGE MAXIMUM ~~.•UNITS MINIMUM AVERAGE MAXIMUM UNITS rsz-sar I6b6B1 !6¢701 :i0 , OTAL SAMPLE +rrrS: raca~-- - ~ t--.~rs# . ~ ~~ ( 19) ~ ~/ SUJPSNUEU MEASUREMENT ~. , AQ 3 J UUS iU 1 0 J PERMIT•'.::. ,: 7r~#11'4:: );A[Ck~L##~ g41'.ir;~?'F : . : ! ~~......:...., ,.:. . ..:: N~' ' " :1~~ $ : 5 CPFLUENT f.HDSS YALUI REQUIREMENT.. : ~ ~~ ~ . :.. ... .:.:...:::.:.w: . ~~~ A:$N. F?RILT .El.X. ~G/L , . ZI91FT11. . : :; '. SU US, .iETTLEAuI..'•.' SAMPLE MEASUREMENT ar#aaar o~sssa ~;=;~^vT L ~~ I ,~ [ U ~ I ( 25) ~ I~ d , ., U~45 1 U J :.:.PERMIT >r.r.a.r.:.~ :~..~.wR.ol:a~~....;, ~:;~s>t ;a~z.: ~.:: ~ ..R~ea~~43r .: .~~. R~E~P~vxT.:.. . I1~~d~~.. :.mss%: ::: eiFFLUENT ::ROB'S YALU :REQUIREMENT ~ ~ ~ ~~ #~ ~ _v , : .s?xs3*t:.:,;._::,;:. 1DDA A96: ;bJf:ILI:.:'8~.: dL/L . tlOtr.T.11 t1U t: TOTAL kdi:OY ERA7LE SAMPLE MEASUREMENT ~^+~ ~ 4`+?#~•' ~~ *C#4 '°'S; / 0. ~ I ' O. I ( ( 19) ` 1 d r~ DU9tlD 1 0 D PERMIT P##iKR: .: 'i F;1C# C... 8~C `. r:.'i' ~ir~:p: R:E.~U$'X:' ~J/.. :~AB.' :. EFPLUhNT uHD55 VALUE REQUIREMENT• ~ #Yr;a: ' .. .:: ?"..#1~.11::.:~~0: :p:AL,I.;..s41t: f7G/L .'tppTH NU ~, S SAMPLE -~;• .i 6C .'$.^-~':C i=Y#^# ##3#~7Y ~ ( I9) D _ ~. MEASUREMENT .i5d7. 1 D O :•.~:PERMIT~~.~ .... ~ .....d Y , irn. d;t~>,....Ig>a?V~;.. '.. OMlF11. ~8~1H:s; EFFLUdNT GROSS YALU :REQUIREMENT ~~••~' - IxS T SAMPLE MEASUREMENT :i;: ~.. PERMIT... ~ ~. ::. ~: :::..::~: :;~~.:: ~ ~ 'S 'REUUIREMENT~: . ..:::::~ ::::... ..:.:::.. ~ .. .. ~ ~ ~ ::.:..::;: :i':.:~~::':~:::':.:~ :.:.~.:. SAMPLE MEASUREMENT :. ~: ~~PERMIT. .. . ~ ~~ ~ ~~ ::::~:.a~;:: .::....:..:... .. .. :pE~UIREMENL ~ ........... :..:...: .. ..:.. : SAMPLE MEASUREMENT :REQUIREM.ENT: ~ ....... .. .. : . .. ... ...... ~:.:. ~.:.:.,r ..... :....... ~. :: ... . . .. .. , NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENMTY OF AM FAMILIAR WITH THE INFO UW THAT I HAVE PERSONALLY EXAMINED AND RMATION SUBMITTED HERDN AND BASED ON TELEPHONE DATE ; MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTMNINO THE INFORMATION, I BEHEVE THE SVBMITTED INFORMATION IS TRUE, ACCUMTE AMp COMPLETE. I AM AWM1E THAT THERE ARE BIONIFICANT PENMTIEB FOR BUBMITTINO FALSE INFORMATION INCLUDING // L/~ I , THE POSSIBILITY OF RNE AND IMPRISONMENT. BEE 18 U.S.C. f 1001 MID ]] F E L u.s.c. s I era. rr•Nww. uw a.>. mnm. ro,r hcA.d, nnr, w ro tro,aao gIONATURE O P11 gPAL EXECUTIV AR A TYPED OR PRINTED wnnwMln inMo+nwrc o/Mtwwl6 mon41s rHB Nrt/ OFFICER ORA ORIZED AOENT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rslersncs ell stfsehmsnts hsrel TSS LII4IT HILL eF. YAIVED AND SETYLEABLB SOLIDS LIHIT APPLIED POR <=lOTR,24NR PRECIP EVENT; TSS li S1:TTLEAtlLE SOLI JS LInIT JAIYED FUR ~IOVR,24RR PRECIP EVERT SURJLCT TO BURDEN OF PROOF IM I.l.?. OIL S L,REASE-BEd C. B.I.D. TOS NONiTORTMG-SSR T~.I.P• EPA Fam 3320.1 (08.951 Previom .ditione mey bs uesd. IRFPLACE6:EPA,'FORM TAO WHICH~MAV NOT:BE,USED.1 ~. PAGE ~ 1 OF~ 00066/98091Y-09Z~:'