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PERMITTEE NAMEIADDRESSpdLFaMiryN~/Lorarion iJD~) <br />NAME St; ::oCA COAL CUi7PA!JY <br />ADDRESS URANF,~k D <br />NATDirA <br />CD d1639 <br />FACILITY <br />LocAr10N R A Y it E fl C O 816 3 0 <br />AT'fM: 6. bUD dkJ~h, GE;f~isAL TANAGER <br />NATIONK POLLUTANT DISCHMOE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMRI <br />(I-151 (17-19I <br /> CCUOOGT::] COE A <br /> PERMIT NUMBER DISCHARGE NUMBER <br /> MONITOR/ ~~ERIOD <br /> YEAR MO DAY YEAR MO DAY <br />FROM '1 v l TO y ~ ~ =- <br />1,172-13/ 111-75) (16-771 /28-291 (30371 <br />Forrn Approved. <br />r'T -- :: H A F G G. T O i Fi I FgAE18;~}0. 20~-OQ04 <br />('i L~ F P I14) Approvelle~p}r4>j05-31-Stle <br />F - fI.NAI '~ <br />"INCF <br />AOhs~~.. flISCY.AS: E (__~ rr,~ ~: <br />NO Reed inefrudione before eompHfinp ffiie form. <br />PARAMETER 13 Grd Onlyl QUANTITY OR~Z, (1 GN Onlyl QUANTITY OR CONCEN ION NO- FREQUENCY SAMPLE <br /> <br />137-371 I46-531 /5651 /38-151 /4653 /54511 <br />EX GF <br />TYPE <br /> AVERAGE MAXIMUM ITS MINIMUM AVERAGE MAXIMUM UNITS /sr-e31 ANALYSIS <br />/54581 /59-701 <br />U ND UFf ASF SAMPLE C4rf ~%'~ .^>•CIPA d{ACfi .• tr'~~ •'.~'~ 1 <br />Y I v J 6 L MEASUREMENT ~ ' <br />tl4Ub6 1 U D ': PERMIT ~~ . ~##=a'>A## ~ R$ CI& L-~=1 r`a''+~''•'fi ~~ YA# ~'";' EaF:LI' YI`.iUAI <br />EPPLUBNT GROSS YALU .REQUIREMENT . <br />ztrsx.. MAx <br />Nc=o " " <br />~.:,:-: <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . . <br /> REQUIREMENT <br /> SAMPLE ,{. <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT •~ <br />~ <br /> . <br />REQUIREMENT ~ <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 />:--+ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER 1 cERnFV uBDER PEN~uTr GF uw THAT I HAVE PERSO <br />M <br />TT <br />D H NALLY EXAMINED AND <br />EREIN <br />AND eASEO ON ~ , ~ TELEPHONE DATE <br /> ; <br />AM FAMILIM WITH THE INFORMATION SUB <br />I <br />E <br />MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNING THE INFORMATION, 1 BEIJEVE THE SUBMITTED INFORMATION IS <br /> TRUE, ACCURATE AND COMRETE. I AM AWARE THAT THERE ARE <br />INCLLIOING <br />iIE$ FOR SVBMITTNG FALSE INFORMATION <br />SIONIRCANT PENN <br /> . <br />. <br />THE P055IBIDTV of RNE AND IMPRISONMENT. SEE 18 u.S.C. 1 1001 AND 33 <br /> <br />U.S.C. E 1310. IIi1WaY. uYr N.r mruM. n,/Y M/u!. ~ a w ro 570,000 610NATURE OF PRINCIP L EXECIRIVE <br />AREA <br />TYPED OR PRINTED wor nM,im.n MPrialnrA.r orl»w..nsmmSrs rWSyral OFFICER OR AUTHO /ZED AOENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference sl/sttschments here) <br />TSS E IdUh LI!^ITS 9I LL nE fiAIYE'D A9D STTLEA~Lr SULIuS LI"I7 AFFLIFC FC5 <=7CYn',24H8 PRF.CIP F.YdHT; TSS <br />IROtf LI:".I1'S YAIYED FCA ~lOT8,24NR PR;.CIP EVctiT SUHJECT P'1 FUFCF!< CF FFCCF IN 7.'.2. OIL L' GREASE-SFE <br />1 N t n Tna +lnNTTr1GTr1i'-S C: r :T.T . F <br />EPA Form 3320-1 (08-951 Previous edidona mey bs used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.1 CUD 7 C ~ 9'1 ] G 31-151: PAGE iOF <br />