|
PERMITTEE NAME/ADDRESS pnrlude Farilin NamrlLorafion i~Dif(eren0
<br />NAME r;OLII~YO COAL Y•CM~ANrT L.F.
<br />ADDRESSC~LOii CO !4I'M.E •.~
<br />5/31 STd.St ;YIGNAAY 13
<br />tlY.EREii ~ '.:,gyp x1641
<br />FACILITY ~,
<br />LOCATION ~'~e ~~~=""~,y{~ -~~'
<br />A'fTN: J. D. HAri :1UN, rEt: EHAL t"A VAL, ~'R
<br />NATIONAL POLLUTAM DISCHARGE ELIMINATION SYSTEM (NPDES) FOfm AppfOVed.
<br />DISCHARGE MONITORING REPORT (DMR~ OMB No. 2040-0004
<br />II^>~$1~`!I[itiC'l nn t ~ (S U 3 R N M) 'Approval expires 0531-98
<br />- ~ ~ ~ " EBMIS~NUMBER DISCHARGE NUMBER I ~ P I A A L - ?I O r` A T
<br />'~!' MONITORINGPERIOO..~:` STREETER Gt1LCd TO GCOD SPGS C?
<br />'Y,E[^~tMO DAY,:; .~ -.=~,YEAfa; ''~-MO`' DAY
<br />FROM ~•O1 'tA~. TO'- 'O], • 03 3i '~*= NO DI SCRAHGF (~~. +k43:
<br />lzo-zll, (zz zsi , vzs_zs7lliiu~~ ~ ns-izP~*:l2e z91 tao-3+l ~ NOTE: Read Instructions before completing This form.
<br /> (3 Cerd Only) OUANT,ITY OR LOADING :~ ;','~
<br />
<br />~
<br />~-
<br />(4
<br />CardOn ~ ..::+.OUANTITY OR CONCENTRATION
<br />~
<br />~ NO. FREOUENC SAMPLE
<br />PARAMETER (46-53) ;;(56-60 ~
<br />~>
<br />"~ .
<br />-
<br />'..(j8A5)~,; },~~~', (a6-53J ~/54-61) EX OF TYPE
<br />(32.37) ~
<br />AVERAGE ~~~ ± ~ "i r
<br />`,y,,;-°MAXIMUM tom.
<br />UNITS ""',' .
<br />MINIMUM.v ',; •~ AVERAGE
<br />MAXIMUM
<br />UNITS I
<br />szs~l ANALYSIS
<br />(sa-EB)
<br />(69-70)
<br />Fli ...
<br />. :
<br />::
<br />>`
<br />t ,
<br />'
<br /> SAMPLE
<br />MEASUREMENT ...
<br />. , ~
<br />-
<br />f ~
<br />A ,~
<br />,
<br />4####ri
<br />''
<br />5
<br />:
<br />l7fS
<br />8 ~Il
<br />__ ( 1~)
<br />>;
<br />~(9/
<br />1~1
<br />1
<br />G
<br /> ,
<br />r
<br />n
<br />'.
<br />3 [trl~( !! fin .
<br />r15
<br />00400 1 0 0
<br />,~ ,~''iePaERMITt -..,
<br />~ , , ~~
<br />~
<br />~ . ay
<br />A'# ` ,+w<, ..
<br />a _ ..
<br />A
<br />~t~~+Xr:
<br />(NS ~-C
<br />EPFLUEVT GRO55 Y~ALIJF ,RE~UI,REMEyT~; ;~.+~~ y
<br />Yla ~~4~ ,,;~ ~7~~ `" Ell
<br />m_
<br />S:1LIU5, '"(]TAL
<br />SIJSP£R'li~
<br />U SAMPLE
<br />MEASUREM
<br />T '''#{°r`¢ #~ ##• °~,^ ( ] ~) ~~/
<br />, EN ~. ~IDD 100 . ~ 30 arU~
<br />I
<br />0 (, 5 j U L U U
<br />U
<br />•
<br />'
<br />~~P1ERMIT~,~;ti
<br />Q
<br />st ~ s..
<br />~
<br />'
<br />'
<br />' '~
<br />~ ~` ~`
<br />~_~
<br />-.7
<br />r5`
<br />~
<br />:. YF
<br />L
<br />t
<br />hT GHOS:; YALUC IIIR~EMEN•T~
<br />FFE,~ i„
<br />,y
<br />~ra„~.
<br />_ c' i #'•1 •'S: f
<br />~. ti C+/L >s:
<br />m
<br />'
<br />;>i1L1'15, tiI;TTLt:A°Lc SAMPLE 't .yl't sk `v 4t>}#~3# ~..;.?F~i~101###' ~
<br />~ ~ ( OS): :~~ I (
<br />~
<br />
<br />MEASUREMENT
<br />'
<br />,: ~ ~O. S
<br />,+.:::
<br />~ ,S
<br />Q ~... .
<br />/'}
<br />D
<br />ra
<br />G ~J
<br />UOS45 L U U
<br />
<br />F.FYLUEH'?• C;K:)55 YALUA .., s~ EPEP RMI7 '"~
<br />}a..x 333.
<br />FIEOUIREMEN_T_' ,~ ~
<br />s i
<br />' =;~i~i ~~ IF a
<br />'`y
<br />~ ,~f~=, -? ?##
<br />
<br />;;~;t;~
<br />~ ~A
<br />I 'yUi
<br />~ ~ ~
<br />' il} , 'ak, * ~..:~
<br />T
<br />~''' ~
<br />c .'~`"'
<br />
<br />
<br />L/L ~~
<br />
<br />-~`a '
<br />~.~
<br />„3~,~?!
<br />...
<br />IHU`I, !'uTaL SAMPLE .._.~,x~
<br />.' .:r'N##6 .`t"`#k>P '.
<br />~° ~ ~ ~
<br />` ' ( 19) ,I
<br />(AS F£) MEASUREMENT k
<br />(,I.q(~
<br />•';
<br />'t:frr. y (~
<br />(~ ~..' 7jD Olr0.~
<br />ULU4S 1 U U
<br />' ~rPERMIT :-
<br />R
<br />' ~1k-'
<br />'' M°~E~~a~
<br />`'
<br />°
<br />" nt+;: - ..~q „~;,
<br />~ ~~ ~
<br />~ rl ..:
<br />.:Ff
<br />LUE'1T :H~7S5 VRLU3 ~REQU7REME
<br />T
<br />b .. ?:`~ ~
<br />~ ,
<br />,+~ti
<br />:i."=+
<br />~ w:•a~ Fe..
<br />•; ~ ", YiC./L - ~
<br />i~'~s)
<br />JIi. P.NU GF£ASE SAMPLE r~tq
<br />~.;# .~C•t..,; #O" -..'.OAt10rt•#'< ( 19) .
<br /> MEASUREMENT
<br />...~-v.. ~
<br />n /~
<br />UJ'~3l 1 U 0 . `,PERMIT "., yyeew~
<br />c~'4-~~•^` „-~`
<br />~'
<br />` - r ~~ y~ F
<br />! '
<br />~' ` ~~+A "'
<br />~
<br />~'~ `~~ ~
<br />EFt'L06'!T GROSS YALU! '~.I3EOUIREMENT{ s ~-= "t- r4
<br />~-*"~:~ #~:-- •'^'v. `
<br />r^'
<br />t:ikU''I'REATMEHTIPLAN'[ AAEASUREMENT O.~ly( QI~I~Z ( 03) -.#4.G0~Ij, .. 6#~+~-x,
<br />Y~i~
<br />1'
<br />s . a., .:s.`1'
<br />
<br />~
<br />'
<br />
<br />~
<br />
<br />~'~
<br />' lay. LL~
<br />
<br />~51A 11
<br />'100`_11) 1 U U PERMITM, , ~m~ €~~~ at I I rFr
<br />~ :i## -
<br />HFPL[IL'dT GROSS VALJf REQUIREMENT- ~ ."" 1 a ~~~ ~ ~~~
<br />4 ~ , ;~~a
<br /> ~7 ~ ~ ~
<br />r<## ~ 4 t
<br />J
<br />SOLIDS, 'T.01AL SAMPLE :'~:~^~# '=~ae{c:z;~ r#ai~i-7p':'
<br />( Id)
<br />~
<br />L`ISSOLY',U
<br />~ IEASUREMENT
<br />t(,3o
<br />1~~3a
<br />-
<br />~qo 1^
<br />ara~a
<br />I(11'lS I U U n.>EFMIT .~. e .t
<br />'`~
<br />~ ~ T.;:n ,,
<br />Pa ,•r~ F~_'"" ~
<br />~
<br />~ a '~~':
<br />~
<br />~~
<br />
<br />i;PFLUcNT GROSS YA'J..
<br />E~TtYk.
<br />~U
<br />I~
<br />9E
<br />:#rR }
<br />~~ _ _
<br />:
<br />r
<br />'~
<br />~'
<br />r
<br />,
<br />.
<br />„
<br />,
<br />~~, _~ .~
<br />Flr/L
<br />•~ ,
<br />~~ N
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY E%AMINED AND ///
<br />:'a TELEPHONE DATE
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HERE IN; AND BASED ON MY
<br />rq /
<br />I
<br />.
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAININGS //
<br />\ '~ I ~1
<br />+
<br />
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br />~
<br />~ ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />PENALTIES
<br />FOR SUBMITTING FAL ~
<br />~
<br />`7r~'/'] b~'9i
<br />.
<br />SE INFORMATION, INCLUDING THE
<br />. LLr
<br />t1Dn POSSIBILITY OF FlNE AND IMPRI$ONMENf SEE +e U S
<br />J
<br />C
<br />§
<br />001
<br />ND 3
<br />~
<br />,
<br />.
<br />A
<br />.
<br />1
<br />r
<br />3 U.S.C.
<br />§ 1319. (PereRies under Ihese s1eMe5 mey inclutle lines u
<br />to 510
<br />000
<br />nd o SIGNATURE OF PRINCIPAL EXECUTIVE X70 R9d -/Lnn n I b Da,
<br />p
<br />.
<br />e
<br />r
<br />TYPED OR PRINTED maximum im sonment of behveen6manlRS ends
<br />~ '~m'I ~ r
<br />OFFICER OR AUTHORIZED AGENT
<br />
<br />NUMBER
<br />
<br />YEAR
<br />
<br />MO
<br />
<br />DAY
<br />,.,.....~.._,....., _.._..... _..... __ ........_.._.___ ._ _ .. E
<br />..•.~•~~•~_~• ~ ~ ..~._ =~r•+.ea.., i ivrv sxr nrv , vlvua l l~na Irtererence an arfacnmenrs nerel ;~,,
<br />5ETTLEANLE SOL7D5 lI"It AYPLIBS ONLY IF <=1CTRe249E pRECyp EY6NT IS CLAIHF:rT IF CLAIM APPf(OYEC RY M',Ci`,
<br />25y G IRON LItlITS MILL YUT Rf; A.~1'LI"l:' '"(l REPURT£D'NEAStlRElfE)11'S - SF.E I. A. 7, PS;. 5 FOR BORDEN jJF PRCOF
<br />'D V•.-. •. x'xx OTIC.•.•R ~r• C nn 4, F.'. ~ ~ nn. ~ ~iiSSLi ..tea. .,1. '' '
<br />• • .a .. .`P-^~~v~. lava., aT~.. vI rAT v•
<br />EPA Form 3320-1 ~(OB 95) -P.revlous edltlonsrma~not be useiJ~ . ~ ~~ (REPLACESaEP,{yFORM T~40 WHICH=M$Y NO'T,BE USED) - PAGE OF
<br />
|