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PERMITTEE NAME/ADORE55 pn L4 FssiryN.wJlx.um pD~p..vnp NAMQ'.°POYDBRfIOR9 COAL CJRPANY ADpMES~rRO.AUS IDE KZY_°, (i E 5 PORTALS 'S ,I P:O. Box lu3o PALISADE CO 81526 FACam LOCATION L~TTN: JOHN A. `t L;t1A~, FfitSIDENi w NATIOMK POt-Lr~RT OIBCMMOEOathE"IAi(olYsysr~EM~INPOESI- DISCHARGE MOIVITORINWtEPfiM1f'-IDR1R/ /1-I5/ I7-791 000027146 C 4 PERMIT NUMBER DISCHMGE NUMBER MONITORING PERIOD YEAR MO DAY YEAR MO DAV FROM TO 1267/1 l77-731 171-751 116171 IIB-19/ !36311 CARED SINE ~SUBR iC) F - FI eAL RINOR ' ~9nn Approved.~~~ --~ f ApproveL e~~N4~05"-37•at8~ ~~ .• I 11' I~ ~#+ NO DISCNARGH ~ _~ #aC %;v` NOTE: Rud Irutructlans baton completing thb form. -. , PARAMETER 13 Grd Onlyl QUANTITY OR LOADING !/ Grd Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE !06531 !54611 138-~51 //5-531 /5I-61/ EX OF l3I-371 YSIS MN TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e7-eJ! . (54681 !69.701 k'H SAMPLE ##aaa# aaaa a# #oaa#a ~ 12) ' MEASUREMENT ~ B v O /~ 'U4U0 I U 0 PERMIT.':.: ". maa>~Iaol 'aaaa#a #ac 6..5:. #a+e?Y'G :. :c}~0" ..... .. gBKL X b "~k~?I2d FF'LUHNT GROSS VALUE .... EMEN7 ;REq IR.:.::.;n:; "" ..: `. :: .. #aa .. IIt.~I140lI :. , .-. .: ,. ~:: -i:~ ~' . ... ~U;,iDS, 'iuTAL SAMPLE #aaaa# a###aa aaaa#a ~ lq) iiU~i•ENDEU MEASUREMENT IJ ~~ OSSU I 0 U ;L;:i:PERMIT::~::': a##gxLltA:::;: ;:::;:aai~~aaa #Oa :.!0°Ir?pRA>ri". ,: ~5". ;::" ~ 7a`:, :"'<:<:`. ~"~`` : '<i.: ~~ c FFLU BNT vROSS YALU >,REQ,UIREME~JfL ~ ~~ #aaa ~ OD Y ~ t:.> -~~", N, U AL SAMPLE #41Faaa ###a#a ###ar~a ~ 19) ~ , (A5 FL) MEASUREMENT I~ 5 ) ~ ~ Q 1045 1 0 U '.~":PERMIT :.#~Ol~i,.,~~o:"..:: ..aa##aY ~~ Iit_oa glasaylla: ~3.5 ..~ ~ 7r0, ~..`':~:.":.~~.::".~. ~ .'~iCE.E i$'AB E:FFLUBN G&oS5 Y"11LQ QUIREMENT :".:.~;'~~ ... ....::.:. :~' ., >~wa a .. 3 a D A :.:~ ... .. ~ .: , ;::,,:. AIL AND kF.ASE .SAMPLE A a#~4d0 aaaa## aa0#aa 1 N/ ~I f ~ lq) ~ ~ ~ „ ~ SUREMENT ME . -. _ ~'T-, , _ / . :J ~}. ~, Q ~ 0 j 782 1 PERMIT - ::Iaa"Ola ` -'a#u~4ra #aa 'a aaa~A# &E FO~}j4 lad ~"~~~~ ~ ~ 'ONTIN i$AH FFLUENT a5:i VALUE REQUIREMEFT< ... ' ,. < :.• #aa# SODA "AYG >rt.~llAi" RG •' GEAT F' UY, IM "Crii1DUIT OB SAMPLE ~ ' _ ( p3) #a#r0#v CO#a## f, ac#A ~ 1 AMU TBe/~l4E9r P~6AN MEASUREMENT -~ o ' ~ .S 2 ~ ~ ~/ ~JUSU 1 :• 0 0 PERMIT::"'::' :: BcPOR" ' .:'"$BPOflT A. +9fil3#k a70a**.~ : #ioElya:aa #aa EEKLY liSTA'i FFLU$NS BR055 -ALU :REQUIRENIENT:. '30DA" AV6 $AIrL~ RX RGD '. h:;":.' ~ as#a ~OLiDS, TO?A4 SAMPLE #a4aaa s#a4aS ##aasa ~ ~ lq) I.iSOLYED MEASUREMENT 5 ~ `~` I/ G I'J2y5 1 0" 0 PERMIT; .. s##aau as#ata# " #ca o~o-aaaa R,EFOR1' R~FORT TflLT ;RAE PFLUENT GROSS YALU REQUIREMENT. ~ ~ aaYa RTR 11YG: RTE- R X RG/L L ND ti". ASE SAMPLE #aaaaal ( 94) #0#aam #aaaa# a##a## ISUIL MEASUREMENT O 1/ r uODO 1 0 U PERMIT:;.. a#eaa"*~.... .: REPO$T Y ES=1 as"aaaa >5~a~~a ': .:a#aaaa r . a## EBKLY ISURL FFLUENT GROSS YALUE ;REQUIRENIENT' .,. - ;:::<. " ::INST:.RLX.. NO=0 ; ;.. ':. Baas NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY OF UW TRAT I NAVE PERSONALLY E%AMINED AND .) TELEPHONE "GATE AM FA MILIM N11TN THE INFORMATION SUlMITTED HEREIN; AND BASED ON WiL L l~ ~" ~'A ~ ~` OBTNNNOTNE NFOMIATIONDII^BELIEVEITNEESUBAIITTEDEINFORMA710N~3 / ! d' ~ , TRUE, ACCURATE MD COMPLETE. I "AM AWME THAT THERE ME ~~ SIGNIFICMT PENN.TIES FOR SUBMITTING FALSE INFORMATION, INCLUDING ~ 7J ~~~~ ,~ 1 ? P THE POSSIBILITY OF FINE MD IMPRISONMENT. SEE to U.S.C. ! 1001 MD 9J BIONATURE OF PRINCIPAL E%E E U.S.C. f t]t3. /ae.len udr N.r mrvna my hcleA. riwa rp ro ! 10,000 TYPED OR PRINTED rMa+mrinun Mplawlsnt o/Mtwwremansrs rw5yw=1 OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rslerence s/1 sttechmsnrs hare) THIS UU'PFALL IS NOT ELIGLItLF: FOR Exf:RPTIONS FROR TOTAL SUS FENDED SOLICS (TSS), TOTAL IRON AND/OH SSTTLEAyLE SOLIDS LIMITATIONS - StE I.A.2. 3 7 f •~"} ll )'~ d ,. s EPA Form 3320.1 108-95) Previous editions meV be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE U6ED.) 0 0 3 u 7 / 9 8 ~ 2 2 3-12 5 ti PAGE IOF