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PERMITTEE NAME/ADDRESS lIMi6FxdryNav/lawlm pDld...,p <br />NAME PGYGtti(tOdli CGAL C(il"PANY <br />ADDeES U•ALSICc". ?'I:IY.r h :' ~ PORTALS <br />r P.O. I+DX 1430 <br />PALI3AUE CU B152o <br />FACILITY <br />LOCATION <br />i1TTN: JOHN A. ~':C'7A(j, F;3r5IGENT <br />Y.~ .. ,.u {._ .. .. ...~.~ .. _ <br />D19CHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM tl TO _1 <br />/T0.TI1 tlT-T31 /TI-T51 /16T71 /IB-I9l !363/1 <br />„ fOt/il APProved. ~~r~Cv <br />POND 5 TO COAL CR~'4,~°'2oao-ooo~' <br />{SUBR YC) PProveLslfP~rp4OS-31-98 <br />P - FI6AL 1L6AL i77 <br />CI NOR <br />k#'~ NO CISCHAAGH {~ ot;: <br />NOTE: Reed frutruetione befw~ c pletinp this form. <br />PARAMETER 13 Ord OnlYl GUANTITY OR LOADING I/ Grd OnlYl QUANTITY OR CONCENTRATION ND. FREQUENCY SAMPLE <br /> 116531 /5461 l38-I51 14653 !5451/ <br />EX OF <br />TYPE <br />l31-371 MN.ysls <br /> "AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lsaefl 15a-6g1 !63701 <br />IL AIiD VtiEASE SAMPLE adkkk# ( 94) tin#II## ###4## #t##4L <br />VISUAL MEASUREMENT <br />a406b 1 0 0 PERMIT. ;=Mfr#4kk $~,pQ~{'LL ES I ffklkill+DL¢. 0!Ai7Pb701 :. : IOr;tlY,"06!t< . O+i# ;" ~~:~!~fbg j;~UA <br /> <br />tFFLUEHT GRUS~ VALUE REQUIREMENT ~ ~ ~' ~ " ~ ~' <br />':Ilt$.T."Ali'. <br />N0~0 <br />'::. .::::... ... - <br />..: ... ., ~::.::: <br />...:'".:: -: <br />o### <br /> SAMPLE - _ ~ _. f <br />` <br /> MEASUREMENT ~ ,. - ill <br /> PERMIT .. <br />. .. ::.~.. ~ : <br />... . ~,: ;.~ ... <br />~•. ... <br />- <br /> <br />~ <br />~ ~ ~ <br />:- _ ;.: <br /> <br />.. . <br /> REQUIREMENT ~ ~.. .:., ..,. .:. ~: ~. r <br />. <br />. <br />.:. :. _ ., . ': '.. ~._ . <br /> SAMPLE <br /> MEASUREMENT - ~ ' <br /> PERMIT ... ~ ~ ~ , .. ~ ~ _, <br /> REQUIREMENT. ~ ~ - ~ ~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ .. <br />~ <br />- - <br />~ <br />~ <br />~ , <br /> REQUIREMENT ~ '-~ ~ ~ ~ ~ ~~ ~ ~" <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT ~ <br />" ...:. ~ ~ :..,: :.. <br /> :REQUIREMENT ~ <br />..:" .'~ . <br /> SAMPLE <br /> MEASUREMENT ~ - <br /> PERMIT ~ ~ ~ ~ ~ - ~ " <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT ". " ~ ~ ~ ~ ~ ~ ~ <br />~ ~ <br />~ ' <br />REQUIREMENT: .. ~ ~ ~ ~~~~"~• ' " ~ <br />"~ <br />~ ~ " <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I c¢aTI <br />FA FV UNDER PENN.Tr of <br />H THE INFO <br />M <br />M uw rNAr I HAVE PERSONALLr ExAMINED MD TELEPHONE <br />RMATION 9UeMITTEO HEREIN: MD RASED ON DATE <br />/~ ~L '] <br />J /,`L ~,I~ ',J/-I L-~A C. ~ AM <br />IU <br />WIT <br />BTNN NG THE MFORMATIONDII I9E EVSE NE ESUBMETTED EINFOaMATION014 ~ ~ <br />FV TRUE. ACCURATE MD LOMq,ETE. I AM AWME TNAT THERE ARE <br />MITTING FALSE INFORMATION <br />INCLUDING <br />T P <br />TIE <br />OR S <br /> , <br />SIGNIFICM <br />S F <br />UB <br />ENAL <br />7 <br />7 <br />V /~ <br />6 <br />Q <br />u <br />Y ~ - ~ / THE POSSIBILITr OF RNE MD IMPRISONMENT. SEE 1B U.9.C. 1 1001 AND 97 ATURE OF PI <br />NCIPAL EXE NE . . <br />' u.9.C. 1 17te. !/Ye.RM/ NM// dNM .owns my h[A.dI /MM. yl ro S IO,OGO SIGN <br />II AR A <br />TYP DOR PRINTED rMnntuYm.n inprismw+r o/bnrrrlemorrths rldb YAVa/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANA I IVN U~ ANT V WLA I IVNJ VIII//BOCB el/ eLleCO/nMrS n.I9/ <br />~tTTLEA6LE SOLIDS LIMIT APPLIES ONLY IF C=lOIR/24RR PRECIPITATION EYE IT IS CLAIlBD. PEHHITTEZ dAS <br />ciUiEUEM OF P.R00P WHdN AEQUESTIMC kk:LIEP PRO!! SETTLEAHLE 50LID5 PfII!AAY LIRITATI015. <br />EPA Form 3320-1 108-951 Previous editions may be used. IREPLACE6 EPA FORM T<0 WHICH MAY NOT BE USED.1 0 046 A / 9 A C 2 2 3-12 5 E PAGE «tOF <br />d~ <br />{Y{~ <br />i <br /> <br />,. <br />