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PERMITTEE NAME/ADDRESS (1«-idr F«WryNw/fxanm yD~...«/ <br />NAME SLGLCk COAL Cr!~PA!iY <br />ADDRESS URAkc.°. D <br />HAYDEh <br />CO 41639 <br />FACILITY <br />LOCATION H A Y u .L.~ Ir C.0 B 1 E 3 ~ <br />Al"CN: G. n!t0 HuOii!i, GEnchAL MAKAG:,'tt <br />NATIONK POLLUTANT DISCNAROE ELIMINADON SYSTEM INPOES) <br />DISCHARGE MONITORING REPORT IDMRI <br />11-161 17-191 <br />CUI)000s21 CQS A <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAV <br />FROM ~J t l TO "' ~ ~ L <br />" 6711 l72-131 171-151 126271 !ZB-191 130-31/ <br />Form Approved. - <br />I `_' C fl 4 F .; F, T O T i. i ~~~0~20`4(~-U404~ <br />(S L' F F. R 4) Approvelle~p~r ~e OS-31-9: <br />F - FIbAL ' <br />~IhCA <br />NOTE: Reed inatructlone balore~omplatinp thu form. <br />PARAMETER !3 Grd Onlvl QUANTITY OR DING /I Grd Onlvl QUANTITY OR CONCENTRATION IJD. FREQUENCY SAMPLE <br /> <br />132-371 /16531 /546 I39J5) !4653 154671 <br />E% OF <br />YSIS <br />TYPE <br /> AVERAGE MA%IM 'UNITS ~ ..MINIMUM AVERAGE MAXIMUM UNITS /6I-6J! ANM <br />/64681 169-701 <br />H SAMPLE ~:: :: ;:.;: t~ ;:k?O CELYtY; ( ! ,~,) <br /> MEASUREMENT - <br />004GU 1 0 0 PERMIT 7~?ty'.`•K= :k;a::~:ref r: $.S gtpt;pxAq 9.C '~'`:YLY :!t~Il`I <br />CFFLUENT ~NOSS YALU ;REQUIREMENT ~1Z 11LlSQ.~.:!. ::. (~A~IMUr, 511 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . <br />. <br />~ <br /> . <br />REQUIREMENT <br />. <br />~ .~.'i":, <br />~~ <br />~~ <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~~REQUIREMENT. ~ <br />~ r.~ <br />NAMERRLE PRINCIPAL E%ECUTNE OFFICER OF uW THAT I HAVE PERSONMLY El(AMINED AND <br />I CERTIFY UNDER PENMTY <br />TTED NEREIN <br />AND BASED ON ~ TELEPHONE DATE <br /> ; <br />AM FMIIUAIi WITH THE INFORMATION SUBMI <br />MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNING'THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCUMTE MID COMPLETE. I AM AWARE THAT THERE ARE <br />INCLUDING <br />NF <br />RMATION <br /> , <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE I <br />O <br />THE POSSIBILITY OF HNE AND IMPNSONMENT. SEE to U.S.C. 1 1001 AND 3J E <br />E <br />TNE <br /> <br />TYPED OR PRINTED u.s.c. E rata. larl.ra.. w« IMr man.. rr..r IncArd~ rw. rm ro sroaro <br />.nsnrn.+:m.n:nrvim+.nr P/erwrn6mandlaAM6tvval gIGNATURE OF PRI CIPAL <br />7E <br />CU <br />OFFlCER ORA HORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS IRe/erance sl/ettechmenrs hare/ <br />TSS E; IRON LIMITS GILL ut 1(AIVF.G hND Sr'.TTLEARI6 SOLIC_~ LIMI; -FFLIFL FCA <=1CYF,7-4HR PPECZ't f!VE11Ti T:iS 5 <br />IRU:i LIMITS iAIYED FGN. ~l0YR.24Hk PRFCit' EVEtlT SUE,]FCT T) ?UF^E t, CF FFCCF ZH I. A, 2. OIL GREASE-SF,E <br />i H l n TUC NE1N TTf7RTNl^-CKF T A 1 7 <br />EPA Fwm 3320-1 108-951 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 0 0 1 O E ~ 9 I 1 O 31-1 S 1 j PAGE lOF <br />