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PEAMITTEE' NAME/ADDRESS (include FanLO~ A'ume/Location i/D~erenrl <br />NAME <br />C?I'rt'.i5 YA:1PL YALLF.T COAL CDk.i%. <br />ADDRESS+ILC3 1, 1~~3 SOUTH, D EC{VAN PF <br />7LUO i:ASY !1I:IE.rtAL CL,{CLc: <br />FACIUTV"~,GLi•;«UGU CD bUI7S <br />LOCATION <br />A'fT?+: rDt1RI3 r. F_GLhY- GF'K'HAL AT'IY <br />NATIONAL POLLUTAM DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCNARGE MONITORING REPORT (DMR; OMB No. 20417-0004 <br />(z~1s) n7. 91 nAJD' Approval expires OS-31-98 <br />r r~fi r177 .U fi l11. A (~i;nv \Y) <br />PERMIT NUMBER DISCHARGE NUMBER P - F1 it A L ilJ U T'. <br />MONITORING PERIOD = )~ r: 1, 1' C ;+ p F T C FO I D E L C R E N R <br />YEAR MO DAY YEAR MO DAY <br />FROM VU b U1 TO t%U Ob i0 `x,y'" !i0 DI`_~CRr'.?GF (~( =tom--'%• <br />(za~2t) fzz-z0) !za-zs) fzs-z7) (zB-29) poap NOTE: Read Instructions belore completincd this form. <br /> (3 Card On/y) QUANTITY OR LOADING (4 Cerd Onty) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (48-53) (84-s r) (89.45) (46-53) (8+-sT) EX oP TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />fsz-Gi) ANALYSIS <br />(6468) <br />(69.70) <br />i HGi1, TDTAL SAMPLE +:: ~Sr .YF:o 4+F'X .#+.: +Vtn%rk r ( 19) <br />(A S F E) MEASUREMENT A <br />11UUS D U U •,PEFlMIT ~ #>a#.aiLlq ~~9~" o <br />~ afir, C4'>k?d## H QRT ~ REp@)fT , :yt1 NC~, / I 'AA <br />i F:E CD`t,~£ti1S 9ELGa REQUIREMENT• <br />y iq ~. ~' <br />~'.,; <br />... '~ri. Y1:. "- 30DA J-f6'= .t1AILY KX i!G/L ,~~"", lIO,NS'N - <br />I[:DN, 'rDT41 <br />(AS F 6) SAMPLE <br />MEASUREMENT 4plcvgss CtCl:l4## #4%rR#fi <br />O. 2 Q9 /, <br />. L I ~/ ( 19) <br />O <br />JIUUS 1 1) 0 ~ <br />P`a~n1T" s ? ~'~ '6+~ a#>r q~~a4>7r, , 3. ~. 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'~.' r E ~t7r~tY *t ~~p <br />~<~*2gg~+6~1 <br />~ d3''•~~. j, <br />/.`d 4 p+ <br />:~p <br />' <br />1~ <br />, <br />g t.::.` r <br />~ ~ .. ~ - ~ ~ ?~~ <br />~i.p E' I ME <br />N , <br />W <br />' <br />' <br />"i <br />' .. <br />~ ~ <br />~f <br />~ <br />~ <br />~ <br />. <br />li <br />' * <br />i <br />~" <br />'~"' <br />s' <br />' i <br />a.%~ r,4 it~. wi r+ <br />~d <br />M <br />~ f~.rYt.. <br />~:i4 <br />flhiY 25.t n <br />, : <br />_ <br />a nr. <br />~~ r SAMPLE <br /> MEASUREMENT <br /> `PERMIT „ yAi a*.' <br />' l-'~' o- x t rI^ v; o'( l~cr ,>~ r` ~ 1 _ . <br /> REQUIREMENT- 1 <br />`'-'- 't ' r c e <br />t ' t r .: .. <br />,. ; <br /> . I . a ~, - <br /> SAMPLE <br /> MEASUREMENT <br /> ' PER IT - <br />~ t ;: ~' <br />-` - ~~ - - <br /> REQUIR <br />fv1ENT e <br />~ ~ ~ ~s ~ . <br />NAME/TITLE PRINCIPAL E7(ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WRH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HER NALLY E%AMINED AND <br />ANO BASED ON MV <br />EIN TELEPHONE DATE <br /> ; <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING , <br />n ~. <br /> <br /> <br />Richard MI119 <br />THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />INCLUDING THE <br />E <br />FORMATION ~ <br />/,y/ <br />Environmental Manager PENALTIES FOR SUBMITTING FALS <br />IN <br />. <br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE tB U.S.C.§1001 AND 33 U.S.C. <br />lu <br />0 <br />000 <br />tl SIGNATURE OF PRINCIPAL E7(ECUTIVE 97D -S7D-2712 ~/ 7 <br /> <br />TYPED OR PRINTED en <br />res up ro E/ <br />, <br />w <br />§ t3t9. (Parnttins antler These statutes meY inclutle <br />marimum impnsonmem of behvean6months entl S yetus.l OFFICER OR AUTHORIZED AGENT <br />p <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerenca all attachments here) <br />r.L?E'RIIATF LIMIT:. POn 255, IdON 5 SF.TTLEA[iLF s'OLIDS (LOC 'G') APPLY C`NLY IF <= 10-Y F., ZU-Ht; P:iECIP °_vENT <br />I,; rLgI1L'U. 56E I.A.2, PG 1H, FOf? 9JFiDEF OF FHDCF P.£QUIRc.-.?NTS. GIL 6- GitF.ASt.-SEE FC~f~;f,?I" ~/, a; 2. <br />:•EFA Form 3329-1(0895) Previous editions may not be used ~ ~ v(REPLACE8 EPA FORM T-40 WHICH MAY NOT BE USED.) 00 07 U/ 0 0 0+10 5-15 01 PAGE ~ OF ~ <br />iM~ I- <br />