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PERMITTEE NAME/ADDRESS pnclude Faclhe~ Nume,Zncalion i/DiJ/erenll <br />NAME CJLU1fY0 COAL CU."FA.rY, L.P. <br />ADDRESSCOLOilYO MINA . <br />SIl1 S?AYE NIGHMA[ 1.3, <br />FACILITY !!FEKF.R -.~ CO 91681 <br />LOCATION -,,,w~~7+*%+~r=~'~'~~L^~' ' <br />A'!'TN: J. D. HAft'+. f;Y, :, *_N SRAL !f A,1'AG 6H <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR; <br />(2-161 (Il~ 9) <br />_ Cflf1 !'I rl G1 ql A/17 ~ <br />- PERMIT NUMBER DISCHARGE NUMBER <br />.,;,, . MONITORING PERIOD <br />YEARS HMO DAY.. '~ ~ , ; YEAR' ~. M0. DAY <br />FROM 0°1' ~ 4I. TO:~~itl~ 03 31 <br />(2021) '(2 ~23 ',f2d..5) 126+271 (18:291 (3030 <br />Form Approved. <br />OMB No. 20400004 <br />~- I ~ I C) •°• Approval expires OS-31-98 <br />(SUER Nil) <br />F - FINAL l~OFA; <br />STREETF,A GIILCH TO GOOD SPGS CP <br />...^ %O .DISCHAR~h. I .I ~'~ <br />.`NOTE: Read Instructions before completing this lorm. <br /> (3 Cerd ONy) QUANTITY OR LOADING (<Card Ony) ~ "IOUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4B-53) (54-61) (3845) .`a:' (46-53) (546/) EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM~'r; i AVERAGE MAXIMUM UNITS <br />f6a63) ANALYSIS <br />l64-68J <br />69-70) <br />OIL AND GREASE <br />Y I SO A L SAMPLE <br />MEASUREMENT ~M1z~zTZe f''~ ~ <br />`~.'~r.:y ( 9LL) I~~341'O'f <br />~,ky ;' ~ >a>kA#~~ C;tfi+~#: O 13/ <br />~I O <br />G/A ~j <br />tl4Ubb 1 U U ~,'FERMIT ~ ~~ .e3r <br /> <br />~ ~ S=1 <br /> <br />~ <br />''~gg <br />~.~ <br />r `~~"~~ ~ <br />x <br />ro~ <br />+~ <br />` <br />' `'^'~ i F.EKLY iISUAI <br />'YFL'J'•ST ::$OSS VALU} <br />° REQUIREMENT 5 ~0 ~ r~ ~ <br />~> <br />-' ,:};: .. <br />. <br />. . <br />~^ <br /> SAMPLE -~t'~" <br />, MEASUREMENT ~~ :. . <br /> .p~~ERM1T ~ .~ <br />~ nti ~ ~ <br />~ <br />~ '.• x`'°`!'Vi s ,~~zl ', y <br />~ <br />: <br /> REQUIREMENTr. r <br />-x t~ <br />> :t%tt;'- <br />te' r <br />:°:~s <br />tf,I=n <br />~'~ <br />~ '~'r - <br />O <br />-. <br />t ) t . <br /> a <br />y ~ <br />~> <br />. <br />- : <br />,ya ~ <br />t <br /> SAMPLE ~`~ ~`~ ~~-)'~ <br /> MEASUREMENT !m` <br /> t, PERMIT '~- ~ ~ <br />a:t <br />~ ~ i~t~ ~; '1 <br />Y£~ :~'~`vh - +, " t+ ~ <br />~ 5 ~ j ; ~ - <br /> REOUIREMENT y <br />~ <br />e *s y <br />Ti~ <br />- <br />'?- ; <br />~ <br />' t <br />-' <br />•xa <br />" I ,~ <br /> . ;~.. , <br />~a <br />, ~ <br />, <br />,rak Sr <br />::~ , <br /> SAMPLE <br /> MEASUREMENT ~;'~ <br /> .r w <br />xn.PERMIT <br />' y,c ti aal >d <br />t :. ..~, <br />~~. <br /> <br />- <br /> <br />I <br /> REQUIREMENT- ':~'y3f <br />>t. , <br />+ tc' <br />±~~'3 "` ~ <br />a "v <br />'~ e <br />r~ r r <br /> ~~ ~ <br />- e ; u i E <br />. <br /> SAMPLE <br />. <br />~ <br />~ _ <br /> MEASUREMENT .'. <br />,. ji' <br />~ '~ !'..~ <br /> ?PERMIT <br />' r x t .. s E <br />~ "-~,., y c ~~ <br />}~ <br />, <br />t t 4~ e ~~,~ <br />i r ra„ w ,tt~ ;: <br />` ~ <br /> REOLIIREMENT ~~ <br />" <br />_ ~ <br />y~{, <br />£ ."+- .y: t <br />' ~$' <br />aG <br />: ~ t• i,. <br />._ <br /> ~ <br />, Y <br />, .,: <br />,m <br />s <br /> SAMPLE .m~ <br /> <br />MEASUREMENT , <br /> ~~;,PERMIT g- ~4 ~~ t~__++~~§~~ <br />~ <br />F f ~,Y4 a fay ..' <br />N3 <br />f ~v~,• _. <br />F ~ ;. +$yx ty"K~*'~'w;~ ~- <br />i ti~ 4: <br />t <br /> R <br />EQ gIREMENT :° <br />e <br />r <br />''.yvt <br />~'`~ t}' <br />;' <br />4 ~. ~ ~T'~Ar`~~ ~'Iti ~ tt <br /> ~ _ r <br />a <br />.-. <br />u . <br />,, <br />i a _ v{,4 <br />,. ~ <br />; <br /> SAMPLE ~ ~ ~ ',;'F <br /> MEASUREMENT <br /> <br />1 ,~:'~PERMIT ~ f <br />~ y `. d ;, _~jarc <br />; : <br />.,fit x {+as x#,3 <br />~ <br />~'~ <br />` <br />.;. <br />s u7.~- <br />:~ ` : "' <br />r*~ ~_ <br />~' ",. <br /> REO'IREME <br />NT e <br />-r c <br />~~~ <br />; <br />~~ + <br />L~ <br />''a Y <br />t <br />+r»~~ <br />' <br />~~ , <br />° <br />~ <br />- t <br />y <br />~ <br />r ~' <br />- <br />' <br />~ <br /> _ <br />r~ , <br />S <br />3 ~ <br />~=.. ~~' a? i. 1154 <br />rt <br />_ e <br />r .r. k <br />.. ,- <br />" <br />. P i <br />t <br />- <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER l CERTIFY UNDER PENALTY OF <br />AM fAMIUAR WITH THE INFORM LAW THAT I HAVE PERSONALLY E7(AMINEO AND <br />ATION SUBMITTED HEREIN <br />AND BASED ON MV <br />///~~~~ <br />/ TELEPHONE DATE <br /> <br />. . <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING 1, <br />((( <br />~~' <br />~\~ ~ 1 <br />Q/ <br /> <br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE: ~ <br />I <br />` <br />., <br />( <br />Y <br /> <br />' <br /> ACCURATE AND COMPLETE.. I AM AWARE THAT THERE ARE SIGNIFICANT / <br />` <br /> <br />~ ~ PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE <br />~7 r~ ,I <br />D I <br />~~ <br />~ <br />/~ ~ yy~~n POSSIBILfTV OF FINE AND IMPRISONMENT. SEE 16 U.S.C. 4 1 Wt AND 33 U.S.C, ~ SIGNATURE OF PRINCIPAL EXECUTIVE (] R 2~ ~LAn nu n <br />_ <br />TYPEDORPRINTED S 1319. (Peneroes untler these statures may include lines up to Sto,oo0 entl ar ' <br />mexrmum lm <br />nsonmenl ol6etween6mmths entl5 <br />eers <br />) OFFICER OR AUTNORIZED AGENT AEA - <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> p <br />y <br />. C DE <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attaohmenfs here) , <br />5C'T?LcADLE SOLIDS LI!"IT' P.FPLIES ONLT IF C=I OT R,24;iq PRt;CIP SYEh? IS CLAItlED. SF CLAIM APF$04E4 8Y WL'CL', <br />TSS 6 IHON LIl1ITS WILL NOT bE. P,PPLIF.D TO REPO"RTP.D REASJREMENTS - 5.£E I.A.2, PG. 5 f'OR $U$DEN QF,PRGOF <br />aW:. <br />Z OF <br />