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PERMRTEE NAMEIADDRE55 (Ge4ifrreyN~/tsrmm dod'".~.1 <br />NAME 36Yt~s COAL CORtiAhY <br />ADDRESS DRkYER D <br />H>a7DBY CO 91b39 <br />FAaLm : ~ . <br />LOCATION ~ '~' ' <br />HATUGR CO 81639 <br />aT1h: (;. dUD BROYY, ;~• BkYkGER <br />PARAMETER 13.q/d Onlyl <br />l3Z-371 /46531 <br />R SAMPLE <br />MEASUREMI <br />UnDD 1 1 D PERMIT <br />FFLU6FIT GR055 YALU nEniiiREME <br />Ltir, iN COItDUIT pg SAMPLE <br />adU TREAT!{err PLA l17 MEASUREMI <br />UUSU 1 L O yq};PERMIT. <br />~~... <br />YFLUEi:T GRDSS YALU i;RE,quLR.E.ME <br />IL AtlU ., IiEiSi S/CNIPIfi <br />I SU 4L MEASUREMI <br />4066 1 1 D ': PERMIT. <br />FF'LU~pT i:ROSS YALU ,REQUIREME <br />SAMPLE <br /><-A,VERAGE <br />R E.Pq ii r <br />3U.Dlt AQ:, <br />vaac~-~ <br />'.'x/'_:.::4'::1' <br />}: <br />uTa <br />MAXIMUM <br />aaaaaa <br />i gal <br />t.BpQR:T 71+.J=1 <br />II33 RkI : NG=D <br />;i :::,.: <br />iaaaaa <br />NPDES) Form Approved. = <br />9L~ D 15 C N 1 P.G 8 10 SRI 99~~2y°' 2 4 <br />a~ .. II LSUtiR Yfi) ApproGe~2~l5~~31' ~ <br />t. ~fD~ <br />JMeER F - lI11dL ,.."~ o~ <br />nIUOR <br />DAY ~ <br />2E+ aaa NO DISCN+RGB oaa Ittttt~ <br />U !34311 NOTE: Reed irrtruetlarr before o pletMp thb form. <br />TY OR CONCENTRATION ' NO, FREDUENCY. SAMPLE <br />14663 /54-61 OF <br />EX ANALrss TYPE <br />AVERAGE MAXIMUM UNITS lea.am 154-egl 168701 <br />as#eaa ~ 12) <br />ataa~tLa aaaaaa <br />aaaaaa aaaaaa <br /> <br />.:;A::e <br />.... 't~; ~J. <br />aas <br />:PERMIT a~ ' 4~,. <br />REQUIREMENT: :.~ ° E ' ~` ~ t' <br />...... .. .....~:~ ...... M,. <br />... .. ........ .. .::u.:..:..........:...:.: <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLr EAAMINED AND ~ ~ TELEPHONE DATE <br />_ AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON <br />t MY INQUIRY OF THOSE INOINOUALS IMMEDIATELY RESPONSIBLE FOR I ' <br />I h+ V. v ~, .V Q h LCJ j OBTNNING THE INFORMATION, 19ELl EVE THE SUBMITTED INFORMATION IS <br />L ~ ~ <br />TRUE. ACCURATE AND COMRETE. I AM AWARE THAT THERE ARE <br />( j ^--~~ SIGNIFlCANT PENALTIES FOfl SUBMITTING FALSE INFORMATION, INCLUDING ~ '~ L <br />~y ~ -j (~'V '~~ I :~'-; Q ~ J •~ THE POSSIBILITY OF RNE N10 IMPRISONMENT. SEE 1S U.S.C. 1 1001 AND S3 610NATURE O INCMAL E%ECUTIVE ~~U ~ ~ ~ ~ D <br />U.S.C. f 1 l1 e. !Mr'sr WFr NFw .blvn. m.r AckW ~ • W ro J 10,000 <br />'~ ~ TYPED OR/PRINTED .+4n ~n..~m.n inFrbo,tm.rtr W eFrr..n e,eetrA..ee s YAnA/ OFFICER 0 AUTHORIZED AAENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference el/ sttechments here! <br />TS:; t: IHGli LIMITS +tiLL BE YAIYED AND S6TPLHABLE SOLI05 LI!!If A?PLIEp I4R C=107R,24Nk paECLP..!•EYT, tS5 E <br />1dUN LIMITS iiAIYEU FQ& >lUYa,24R8 PRECIP cYENT SUBJECT TO BURDBA OF plDQT IM L.1.2. OIL E'C~=~SLF-SCE <br />n n n ran' to <br />EPA ortq 3 20.1 ~- 1 ~ rsvious moos mey a us (REPLACES EPAFORM Td0 WNICH MAY NOT BE U6m.1 ~ ~, PAGE OF <br />,_~... <br />