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PERMITTEE NAME/ADDRESS pzYdr f•ed~ryNw/Gxmlm UDfp..ap <br />NAME SEN:.CA COAL CCf".FF4Y <br />ADDRESS J R A w d F D <br />iiAYG~'N CO 81639 <br />FACILITY <br />LocATIDNHAYDct: CO B1b30 <br />:LTIA: G. BUD 2F.:~uti, GENE5AL EIANAGt;R <br />NATIONAL POLLUTMT DISCHMOE ELIMINATON SYSTEM /NPDESI <br />DISCHARGE MONITORING REPORT IDMRI <br />!7-r s/ n 7- rs/ <br />CUOOr,0221 CCU ~ <br />PERMIT NUMBER DISCHMGE NUMBEiI <br />MONTORING PERIOD <br />YEAR MO D YEAR MO DAV <br />FROM ~ TO - <br />!?6711 l27-731 /24751 176-771 179-791 !36311 <br />Form Approved. 4 <br />n I cr H .9 f ~. f' T O T h I fl9^?BI~!°r{IR44'eO°.4 <br />(5 fi F H R w) Approvaie~~l~505-31.9 <br />9 - FIFt.L e <br />rlr:cR <br />"~'~ NC DISCtl1RGE )__~ 'f~' <br />NOTE: Reed inetruedom before eompletinp this form. <br />PARAMETER !3 Grd OnIW QUANTITY OR LOADING N Grd Onlyl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE ~ <br /> l46-531 !54611 l3B-451 /46-53 /54611 OF <br />I3I-37/ E% MA <br />YSIS TYPE <br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS !s7-sal L <br />164681 16.4701 <br />~UL • <br />SUSPENDEL SAMPLE <br />MEASUREMENT •`•r'-;rOC+4 r#F4~: ;t C~00>S9 ~ ~ ( 1t3~ <br />~ ' <br />~V <br />r,~ <br /> <br />U053U 1 0 0 PERMIT Cs911SsOILL~ G1014bn0i+C Y. CC: rfOAtlp~r :'.~~..: 70 NC£/ .RAa <br />tpFL'JENT GROSS VALU' REQUIREMENT rya=.: ' .:::.3GDA AYG DAIIy t?X "'(:/L '40NTH <br />5 L S, SF:TTL.°At1LF' SAMPLE <br />MEASUREMENT ~rf#:F4~ v.C4GY COg001 <br />~ b ~ C ( <br />~ ~ • L( <br />( r 5) <br />O ` <br />/ t <br />~ <br /> U . <br />00545 1 U 0 PERMIT ~~ t~;trk rx4:at#Ik u"~: r:~:ltfYF9 ,11pFCAT FF.FOP.F IVCF/ ;3Ati <br />cYFLUEtIT i;ROSS VALU REQUIREMENT <br />.; ...., <br />.. ',~Q.yA AYG DAIIY MX !!L/I, "Jt.T!'. <br />L). <br />TUTAL rtLCUY ERAaLE SAMPLE <br />MEASUREMENT Yf ~f 4.:G^ ;s ;cv:x :^-~,: <br />IGLa0a0 <br />Qe' S <br />O. I S <br />( I /) <br />U <br />I/3 C~ <br />~fp <br /> <br />OG9dU 1 0 U PERMIT /a r +~ ~'++##y O t ~:: ;: <br />LIDOC.C <br />.~,L.Q <br />PSFOP?' <br />iNCf/ <br />;ZAP, <br />EF'FLUF.NT GRO55 YA LU. REQUIREMENT ~`~''~` ;.3QLJ AYG <br />~ DAILY !!Y t!O/L HONTH <br />U L N .,n .A~ SAMPLE '+rY•"R ~.:`-S: :f t:. r,::Z ;: R~:a~+aa ' oxca-: ( jy) <br /> MEASUREMENT ~ - - ~' <br /> <br />03SbZ 1 ~? U PERMIT ~~~ fx :'*.f+~;<:n YO;: 404YSQfi OaQx+10# Lp t :OYTi~ :RAF <br />iF'ELUtNT i;ROSS VALU 'REQUIREMENT ~xv::::x INST MAX M;/L >uNT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> :REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ' <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMERRLE PRINCIPAL E%ECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENN.TY OF LAW THAT I RAVE PERSONALLY E%AMIN <br />MILIM MIITM THE INFORMATION SUBMITTED HEREIN <br />MD BA FD MD <br />SED OM TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOSE INDINDUN.S IMMEDIATELY RESPONSIB LE FOR , <br />\ <br /> OBTNNING THE INF011MATION, I BO.IEVE THE SUBMITTED INF011MA TION IS / <br />1 <br /> <br />TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THE <br />S <br />P <br />RE ME Y/ <br />.lJ <br />1 <br /> IGNINCMT <br />ENALTIES FOR SUBMITTING FN.SE INFORMATION, INCLUDING <br />THE POSSIBILITY OF RNE MO IMPRISONMENT. SEE 16 U.S.C. E 1001 MO SG <br />SIGNATURE OF NCIPAL EXECUTNE <br /> U.S.C. E 1110. fPwWdr• utlr ehrr •uema nIFY NcM.d• r•wa Ip ro t IO,000 <br />TYPED OR PRINTED •M wmvinun Mrimlwnr PE anY..o a PNM1Ul,Y14s YAFrtI QFFlCER OR HORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND E%PLANATION OF ANV VIOLATIONS (Reler~ncs ell sttechments here/ <br />':S~ LI:1II NILE hi: .AIY:L' AhU SETTLF,ABLE SOLTi`~ LIt:IT APPLIFC FCF C=ICYF,24RF FFECIP `:VEhT~ T55 <br />~cTTLEAbL" _>OLiDS LIHII' 4'AIVED FDF, ~l0YR,248fi PR£CIP ?iYE'!iT SU°,7EC1 TC BL'.9DL'J (?F' PfICOF IN I.A.2. OIL F <br />Se~_G-$P--S F. M. T. H.I.D. TIIS !I EIN TTl1p TL`:-C~`F T-W.1-C- <br />EPA Form 3320-1 108-961 Prsvloua edmone mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.( ~ 0 0 3 5 / 9 7 ] C 3,1-1513 PAGE IOF <br />