Laserfiche WebLink
PERMITTEE NAME/ADDRESS Qnclude Fanliry A'amelGocation ijD flerenU <br />NAME SEIiECA COAL CCCFANY <br />ADDRESSU F A M E R D <br />HA?DEh CO a16l9 <br />FACILITY <br />LOCATION~AYDEN CO tlIL.3U <br />ATTN: G. BUD BROWN, GENERAL lIANAGLN <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (OMR~ <br />(246) nl- 9) <br />CCC00t^ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM tl TO ~ <br />(2P21) (22 231 (24 25) (26 2]) (2B 291 (3031) <br />Form Approved <br />nI rc R OMB No. 2040-OOd4 <br />Approval expires OS-31-98 <br />(SUBB Nfly <br />- - Fta~i ficuTt <br />fI3CHAFCE TC TFIE/LFY GfiEFk <br />d4z NC CiSCNAFGI (__( ~~~ <br />NOTE: Read Instructions beforln completing this form. <br /> (3 Cartl Onry) QUANTITY OR LOADING (s Card Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-6/) (38-45) (4653) (54-61) EX OF TYPE <br />(32-3r) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br /> (s;r53) (po-68) 69-70 <br />L A E $ <br />V I S U A L SAMPLE <br />MEASUREMENT '•." .:'`' ~ ( 9u) 6AC0'-tC a~g9CCC- , <br />o <br />' (, <br />• S <br />uubb 1 0 1 fiBpMlr. LfUN FS=1 as + s I ~ , ~ caa •. ,3S L <br />LFFLUEMT GRO55 YA <br />LUE OFJli3EMENT ` ~ I>o9T lIAY FC=U ~ t" '- . ~ aloao '~8 <br />. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~ ~~r~-~ - ~ - ~ - y; . <br /> R~"OF71R 94 ? <br /> SAMPLE . "'•.; <br /> MEASUREMENT <br /> "" r <br />r <br /> f~ ~, <br />i #; n+ti3 <br />--5"~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> • ~~ <br /> SAMPLE .~4(~•; " - ~ '~~ <br /> MEASUREMENT <br />r. <br /> <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT _ <br /> , . _..., .: <br />~ ~ <br />t <br /> FIEf~01REMENT' - - ~ <br />,, T~ <br />~"i ~ <br />~ <br />• <br /> ~ ~ j _ ~ <br />' <br />NAME/TITLE PRINCIPAL E%ECUTR/E OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PE <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED LLV EXAMINED AND <br />N; AND BASED ON MY TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RE IBLE FOR OBTAINING <br /> THE INFORMATION, I BELIEVE THE SUBMITTE~ F ORMATION IS TRUE, <br /> ACCURATE AND COMPLETE. I AM AWARE THA E RE ARE SIGNIFICANT <br /> PENALTIES FOR SUBMITTING FALSE INFOR IO N <br />INCLUDING THE <br /> <br />POSSIBILfIY OF FINE AND IMPRIBOt1MEN>'•S~E IB <br />C , <br />§ 1001 AND 33 U <br />S <br />C <br />Y '` <br /> .. <br />fie <br />j <br />l <br />h <br />t <br />d <br />1 <br />P <br />tti <br />tl <br />tu . <br />. <br />. <br />. SIGNATURE OF PRINCI L EXECUTIVE v <br /> y. <br />es an <br />er I <br />ese s <br />a <br />nc <br />u <br />e <br />4 tat e. ( <br />ene <br />e <br />meS <br />7i <br />' <br />ths <br />ny' <br />5 p ro (10,000 entl or <br />S <br />OFFICER OR RUTH IZED AGENT <br />TYPED OR PRINTED . <br />n <br />g <br />ma+imum lmpnsonmem of oelwaen- <br />r <br />years) NUMBER YEAR MO DAY <br /> COD <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference an attachments here/ ~• • " <br />T55 E IRCR LItlItS GIII BE MAIYEC li+D SETTLEABLE SCIIDS LIi"iT I~~IIlC FCF <=lOYfi~i4lF ifiECIF EYF6T; TS° L <br />IRGA LIMITS MAIVEU }CF )lOYR~~4ak PRECIP 9YEN1 `CE,]FCT TC eUBLEN U! GfiCCP ZN I.A.s. CII b GFEASf-EEt <br />T 't• Nrtr#eur-e es r u r c <br />EPA Form 3320-1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ~ ~ _ <br />CC%cS/59Cfi7- ,5 PAGE i OF <br />