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PERM(TTEE NAMEIADDRE558+~+.F~wry,vewlaula„JD~eu:q <br />NAME Trr£~.TT'!IL~ COAL C'? <br />ADDRESS9101J ;:'AST "IK~'RAL CINCLF: <br />P.~: 807[ 3299! <br />~TiNGL6R00D CO BU1S5 <br />FACaITV TrEtiTY."!ILF. COAL CJ <br />LocATIONG A X C P. E P t: C O 8 0 4 6/ <br />RTTh: CIlS L' KPGL£Y. G£fiEi'tAL ATTORNfi7 <br />NATIONK POLLUTANT DISCXARGE ELIMINATION SYSTEM //NPOESI <br />DISCHARGE MONITORING REPORT (DAIR) <br />(1-r6) i17-19/ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MO ITURING PERIOD <br />Y6' MO DAY YEAR MO DAY <br />FROM ~ ~,I)$ Q TO 49 Cb JO <br />i <br />" Z- ~ /7F751 176271 /18-19/ 134311 <br />Form Approved. <br />f'0l:D •~E" DISCHr?is~~~.°'~Ol~-RO04R. <br />(5 U p R Nil) PProvel ~x~lu a 05=31-58 <br />P - PIItAL t <br />rLnrR <br />NOTE: Reed Inswetkorr Mfore eompletinp thL form. <br />PARAMETER 13 Gr0 <br />QUANTITY <br />O <br />6 O 630NCENTRAT~~ <br />QUANTITY <br />HQrd <br />~ NO. FREOU <br />ENCY SAMPLE <br />l37-371 /~ ( <br />6 <br />3/ ~ ( <br />B( <br />~ <br />/ EX F TYPE <br /> AVERAGE MAXIMUM NkTS _ MINIMUM AVERAGE MAXIMUM UNRS Es2.s,T/ ANALrss <br />161-681 163701 <br />IL AND GRLASF' SAMPLE ~: yYpY;,t ( 94) PVOO r+C Y<do~ •.•--'. ASK n <br />~3 I <br /> MEASUREMENT l l /E< <br />I) <br />VISUAL ) <br /> <br />40b6 1 0 U .P,ERMIT'. ~~~ ~ ~.. ,; <br />~,:O~iA~:. <br />?#EP01t3 ~' <br />~ <br />S=1 ... <br />Ott#iPt~;:'. <br />,:,::'i!p+ti~~zv <br />,D4~CN+vYk.:. <br />r,=.^•;: <br />E>'(tIY . <br />:I:iG7RL <br /> REQUIREMENT : ~ . <br />.. :.:.. :... <br />T <br />F I - rI ~ t I <br />- <br /> <br />, _ <br />_ <br />..gz.:~s~ <br />[ d'. <br /> SAMPLE <br /> MEASUREMENT '" <br /> ~.:: PERMIT:. ~. ~ ~ ~ ' ~: <br />i~~ <br />' <br />i:~ <br />~' <br />°/~~ <br /> rREQU1RENIENT. ~ ..:. . <br />. <br />.; <br />: <br />: <br />. <br />;::. ':., ..l. ~ .. ~ ,.: .. . <br /> . <br />_.: <br /> SAMPLE <br /> MEASUREMENT <br /> :~ PERMIT. ~ ... ... .: :~ .. .,::~..:.: y.:';: ~:~:~.::~:.: ~:::: <br />~ ..:.... ~ <br /> `REQUIREMENT .. .. =:'.':'~: <br />:.:~,~~~~:.~ . <br /> SAMPLE <br /> MEASUREMENT <br /> 1:.:-.PERMIT .~ <br /> :;hEQUIREMENT ~ : ~ ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> r:.`. PERMIT ~'.:.. ~~ ~ ~ ~ .. ~ ~ .. <br />..:: <br />:: :.:.: .. <br /> ;REQUIREMENT <br />... ~• ~ ~ ~ ~ ~~~ . <br />~~ ~~~~~ <br />.. .. <br /> SAMPLE <br /> MEASUREMENT <br /> ~~~ ~ PERMIT.,.. <br /> :REQUIREMENT: ~.: ~ .~ <br /> SAMPLE <br /> MEASUREMENT <br /> `~.: 'RERMIT,. '~ . ,.. <br />... .. .,, .~. ... ~ . <br />.. . <br /> <br />~ <br />~ <br /> 'REQUIREMENT'. ;~.; ~ ..` :.:' ~ :..::. ~:~. ~:;. ~ ~. ~ ~ . ~ ~ . ~ ~ ~ <br />~ :... <br />NAMERITLE PRINCIPAL E%ECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF lAW THAT I HAVE PFASO <br />MNAR WITH THE INFORMA710N SUBMITTED X NALLY EXAMINED AND <br />EIIEIN; AND BASED ON TELEPHONE DATE <br /> <br />MY INQUIRY OF THOSE INOiVIDUAl4 IMMEDIATELY RESPoNSIBLE FOR , <br /> <br />ichard MII7$ GRINNING THE INFORMATION, 1 eEUFVE THE SUBMITTED INFORMATION IS n <br />, <br />nvlronmental Mena @r TRUE, ACCURATE AND COMR.ETE. 1 AM AWARE THAT THERE ME <br />SIGNIFCANT PFNAiT1ES FOP SUBMYITING FALSE INFORMATION, INCLUDING /~ <br />,- <br />97O-B7O-271 Z <br />7 n <br />20 <br />99 <br />9 THE P059&LITY OF RNE AND IMPRISONMENT. SEE IB U.S.C. 1 1001 AND 77 SIGNATURE OF P111NCIPAL E%ECUTNE <br /> U.S.C. E 1710. N1ur.kW utlr drr .err:.T.. ^,rY ircN,di BruA ,P m 710,000 AREA <br />TYPED OR PRINTED uM>nr..Ymn•rwiFaTnl.nr or b.nrwn 6nN+,n).rtl6YAA'A/ OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND E%PIANATION OF ANY VIOLATIONS (RsJeroncs sll ettechments hsrel <br />TS ~ 6 TGT.iL IR0:1 LI"IT.`, :ILL ag YAIVeD, AND 5LTI'L'•APLF, SOLICS II!1IT APPLIt'C FOP <=70YFFZ+IHfa FRF.CIP FVE'iT- <br />;;Ee. HUHll£N OF PROOF RF.;~UIRE!ENTS UNDER I.A. 3, P. 4. OIL & ;REASR - 5£E I,B.1.P. 30 DAT AVP.P.AGE IS <br />A'F -332 - $ 1' Prs ' di bdid6n 'e ~Be • . ~ ~'v "1 U( 8 EP F RM T40 _ RICH MAY NOT BE USED.1 PAGE ,~OF <br />Q.0021/461~d1-9915 < <br />