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IERMTTTFE NAMEIADDRESS pnJ~i FrfbryNr'lrrlw Vq0 ~tl <br />"A"'~ EpERCr -DELS cOAL, INC. <br />ADDRESBSDUTNFIELD nI/[ <br />16S s. UrLOp BLVD., SUITE n60 <br />LAKEYDOD CO 80228-Og89 <br />EAGLET' <br />1OC'IiT1ONPLORERtrE CD 41212 <br />A2lM: GDERGR Y. PATTERSON, tlINE MGR. <br />NATIONAL FOILUTMT DISCNMOE ELIMINATION 9YSfQ1 /INPOf$l <br />DISCHARGE MONITORING REPORT /DAfRI <br />CD0036595 002 l <br />PERMIT NUMBER ~ axNAwE NUMaEr4 <br />MONITORING PERIOD <br />YEAR MO OAY YEAR MO DAY <br />FROM 1 V Ut 'TO VY ~ <br />f ' Farm APPraved. ~ <br />' - OMB No. 2040.0004 <br />(SD'tt T~) „ <br />P - PINAL PRNRT <br />FDND 4-AUNOPP TO YCNLIM CRLS[ <br />afa p0 DISCNAIiGE (~~ aaa <br />NOTE: Rw•rd hvtluc}lar be}ae eompleElrlp thlrr }orm. <br />PARAMETER QUANTITY OR LOADING DUALITY OR CONCENTRATION NO. <br />EX mEOUENCr SAMPLE <br />' <br /> <br />~ MALrss TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE ~ MAXIMUM UNITS <br />py SAMPLE 74774 fOfafa a4aaQ0 ( 12) <br /> MEASUREMENT - <br />00400 1 D 0 ai PERMIT:~:B +aaa- <br />6PFLUEAT GRDSS tALU! ~~aUIREMEFiT 7047 SD <br />SOLIDS, TOTAL SAMPLE 7f 0774 O7'Ofa7 aai7P0 ( 19) <br />6U$P[pDEB MEASUREMENT <br />DDS70 1 0 D '.:PERMIT;..:.,' afa <br />ErrLU[NT GROSS ~AL~It :pEQUIREMENT. 77Rf l11G L <br />SDLIDS. SElTLEl8L6 SAMPLE aa7777 faa777 O77fOP J/ <br />V <br /> MEASUREMENT <br />0054 1 0 0 PERMIT.: °.': A'Oa <br />[rrLB[NT GRDS$ ~ALOi :REUUIRENIENT aaaa n(,/], <br />I6DN, TDTAL "SAMPLE 746x77 P1a77!• R7afa0 ( ], ) <br />(AS FE) MEASUREMENT , <br />01095 1 0 D °;:::PE,RMrr.-;; aaa <br />[PPLU[NT CRDSS VALO :pEaUIgEME-fT' <br />~~,~~~ a#a7 AG/L <br />OIL AND GREASE SAMPLE '77770• -R'a4777 Oafaaa a4faa0 ( I,q) <br /> MEASUREMENT <br />0362 1 U 0 PERMIT ::" aa0 <br />EPPLUErT GA035 tALOI :a~ou~REMENf.. aa7s HG/L <br />PEON, IN CDr DUIr ON SAMPLE ( C3) aaa0a4 SEaaa F DaDa4 ,w <br />TpRU lR6ATRBN! PLA N' MEASUREMENT <br />50050 1 D 0 .:::..PERMIT~~~~.-~:'~ aaa# <br />[PPLUENr GROSS PALO ipEDUIREMEN7'. MGD Oaaa <br />DLL AND GREASE SAMPLE fa p y) Da DQ• D qR PlpY - <br />YIEDAL . MEASUREMENT <br />BR066 1 D 0 '.PERMIT::,' E5=1 aaas <br />EIPL.UENT GROSS YALU tfiEOUiREINENT. <br />~ NO=0 - uaaa <br />NAMERITLE PRINCIPAL EXECUTIVE eerory <br />OFFlCER r <br />prtp.IM . .. pen. IT. .n In.l u <br />.Mw mT Olreclbn r w <br />r b d.avsenl . .p nrrn <br /> <br />e..men In rmN.nee +lln mmle..n <br /> <br />..Tnem e.dE,.a <br /> <br />TELEPHON <br /> <br />E <br /> <br />DA <br /> <br />TE <br />- <br />. In.Yirt In.r,u.eMd peennM.e.F•dT e.leN..nd nehNe I M Inrmn.Ibn <br />~~~ ~ "~ <br />~IG'Ew~ti~•~ld~C )C. <br />^ e.AMU.a.u..a.om,mamnslnew..nn«p.~..~.n.. <br />s use penem dlne.l, e'av..+eN ror E.ueAq u. lnromuu .n.nu..m.~n ~ <br />en, Ine Inr.rm.u.n 7~It <br />> ` <br />71 <br />'~ O/ ~~ ~Q <br />~ <br />/ <br />~ <br />" ~t~ s~lmlNedK IoNeEeIMm,YIl.1ed(e,ndNYM.re.e..eer nr...ndampNN. 9 <br />5 <br />/ b3 <br />1 <br />t <br />! I.rt...nu.e uert.n/pnlnonrpm.les ror wlMltlnp r.l w lnronsnw <br />f10NATURE Of -RINCI-AL , <br />EXECUTIVE <br />. TYPED OR PRWTED IntlnNnE lM padeluq Mne..nd mlprl..n.r r>.n..lnf. , <br />r,l.uge OFFICER OR AUTHORE D AGENT BODE NUMBER ~ YEAR M O DAY <br />COMMENTS AND EXPLANA I ION Or gyn. r101.~ I wns I/ra~renn M m~cnmmn nrr~l <br />lSEJ 6 rDriL ICON LIARS YILL BE YAIVED, AND SETTLEABL!~ SOLIDS LIBIT APPLIED FOR C=10YA,Z4HR P6ECIP EYENT- <br />SBB BDRDBN OP PROOi AEQUTAE!lEYTS UND[R I. A. 3, P. B. OIL E GREASE - SEB I.B.1.C. 30 DAT AVERAGE IS <br />Y~ arw nriy~~ =•~0 ••••---3 - -nn ..awnns ww ceo f n .. <br />EF~A'Fortn'3320-1 (Rev. 3/99) Previous editions may 6e use_d. ~ ~ OO 4 9 B I Vt":.5~~'I~~RLO~' PAGE iF <br />