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PERMITTEE NAME/ADDRESS9Mr4irlGryNwWLocnru yDrp...,p <br />NAME -_~}fFBii&HORfi COAL CRI7PAYt-__ __ . -_ <br />ADDRESS RDAU:ID:: '"INF, N :, ~ POi;2ALS <br />P.U. 6U7t 1430 <br />PALT~ADf CO H152b <br />FACILITY <br />LOCATION <br />AT'1'N: JUltN A. !1CI:AP• i~?F_tiiDl?NT <br />^ ' ' ($UBR IiC) 12345 <br />PERMIT NUMBER DISCHMGE NUMBER <br />F - FINAL <br />MONITORING PERIOD >•INOR <br />YEAR MO DAV YEAR MO DAV pT ~~ (, _ <br />FROM 170111 l77-UIE31 !ZA-751 TO 176771 178-79I !36311 gNOTE~ Reed fnitr0uct!oru bifor~~mpbtinp this form. <br />-- PARAMETER - - - !~•Cerd On/p OUANITTY OR LDADIALG~-_~. I~Cird_Onlyl, ¢UANTITY OR_QQpIS'ENI$AILDN -. 'NO, RIEDUENCY SAMPLE- <br /> l~6531 l5b51 - l38d51 14653 ~ l51-5/1 EX GF T <br />l37-37I <br />MALVSIs YPE <br /> - AVERAGE MAXIMUM -UNITS MINIMUM AVERAGE MAXIMUM UNITS Ie3~eJl (50-591 !5&701 <br />E'H SAMPLE <br />M +80034# 40a0G# - 00004:8 <br />~ L 2 <br />' EASUREMENT <br />- <br />~ <br /> <br /> <br /> <br />U~uU 1 0 D . <br />... PER.. <br />c:: ~..:. <br />,~.:::.. FAIT' <br />.....:... ...~: ....... <br /> <br /> <br />.~la:oa~z .. <br />##Gfrtr:tr <br />#aa <br /> <br /> <br /> <br /> <br />, . <br />6.' <br />5 <br />qb#*e>i:. ... <br />.9 <br />•8 <br />.. .: <br />:- <br />E$gLY <br />NSSS <br /> <br />.FY UKN GRD Y ~REDUIREMElV7.:. <br />::: ~ .... ..' .. ... .. . <br /> <br />... <br /> <br />. <br /> <br />.. . <br />.. <br />. <br />. <br /> <br /> <br />. <br />sULZUS, TOTAL SAMPLE ~#btra# <br />' tr#s4q# tr>fAq*0 ~'19) <br />~U~PI;NDt;U MEASUREMENT ~ <br />" <br />GOS30 1 0 0 PERMIT .,. .. . ,. .,. <br />#~ipiigns;:::'<: <br />~ <br />' <br />" ,. .. ..:,.:.. ~, ...: , <br />'::'#glts~lii?Oi:.. <br />' ~ <br />sqa ... . ...:..:..... . ... <br />A;#~~i~~ :: ...... .: <br />:35 ~ ..... . <br />? ::... <br />E: <br />- <br />~~~L <br />>1N110, <br />Y L 1 ~ REQUIREMENT ~~ <br />: <br />=-~ ~ -~ ~ - <br />:......... . <br />;.. <br /> <br /> <br />. . . <br />. <br />:,ULID$, SF,~?L£AlfLF. SAMPLE t,00*.0a 0;80003 bggatrq ` fig) I <br /> <br /> <br />' <br />MEASUREMENT - <br /> <br />~. <br />• <br />OSUS 1 0 PERMIT , Oq%kC;?IG : ... ##LtrtrE1 3#0 084!IIOq AFFORx ltE.gQA <br />? dCEj..; <br />M V A L 11 REQUIREMENT .: h r . <br />t <br />~ <br />~ <br /> <br />IRON, TUTIL SAMPLE <br />:x4a4t:4 <br />aa~ta#3 <br />OOatP#e ( , <br />19 "I <br />' <br />' <br />(AS FE) MEASUREMENT " <br />~ <br />U LU4S 1 U~ 0 ~~ PERMIT ~~: ~. ~:.q#qr?~#!x ~ ~~ <br />~~ #'.80811# ~ #AS a#i4~#tr ~3.5 ~ 7~0 ~..~ - ... .~NC E/ ~ :1LAi <br /> REQUIREMENT:" ~. ~~ <br />uIL AND Gh£ASL SAMPLE- Olp#a#a ##a404 ab#4#4 (19) <br /> MEASUREMENT . <br />v 3>b 2 1 0 0 PERMIT.:. akfOlYtRR?k'; ':?,~>YIS444 800 SF d!iM#IDA <br />I~A:T <br />~.~~:~ <br />~~ <br />~ <br />~:a'~.~:'.~ ...~ .~ <br />:~~ <br />:'OH?IN <br />n$A® <br />'FEED NT 9EQUIREMENT ~ . <br />. <br />: <br />!~ ~ <br />,. . <br />FLUE, IN CONDUIT ON SAMPLE (, D3j #400YE8 q0#qq# Oi0#00 <br />l:lNU TREATMk.NT PLAN MEASUREMENT <br />iUUSU 1 U U PERMIT YEEPDRT REP4R? OR+OOOa trq#$#p g8.161Ltt(r0 tr#IR EEKLI d-5?AN <br />cFFLUEdT : RO$S YALJ[ REOUIREMENT : UDt AY >,y # <br />SOLIDS, TOTAL SAMPLE 44074# tr44#tr4 tr#g0l9 ( lq) <br />J1J$OLYED MEASUREMENT <br />/G295 1 U 0 PERMIT. ~npc#M/i~u'. .. <br />~ AIXt40t84f . av4 RtMCtDlnp RE~f7RT "::REEIIA'T TEiLT :RAB <br /> <br />i:Fi•'LUENT GRO$$ YA LUk REQUIREMENT <br />........ ...... ~;: <br />~~ <br />0004 <br />NAME/PRLE PRINCIPAL EXECUTNE OFFICER I ccenFr uFIDER PENALTr of <br />AAI FAMILIM WITH THE INFO uw THAT I HAVE PERSONALLr FxAMINED MD <br />RMATION SUBMITTED HEREIN; MD BASED ON ~ ~ TELEPHONE DATE <br /> <br />-T- I'" c } V J I r . <br />C J <br />J MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IS <br />MTE MD COMPLETE <br />I MI AWARE THAT THERE ME <br />TR <br />E <br />ACC <br />/D <br />, U <br />, <br />U <br />. <br />INCLLIOING <br />SIGNIFICANT PENAlTlE4 FOR SUBMITTING FALSE INFORMATION <br />\ ~, ~ ~ , <br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE to U.S.C. F 1001 MD 31 <br />IONATURE OF PRINCIPAL EXECUTNE n CIS. J n / <br /> <br />' u.S.C. f tGte. fAwWtl.. uWr tMr mron. nrr McArM Nra w ro JIO,000 AREA <br />J TYPED OR PRINTED .nsrmrhtun ntenotntrtr olbM.rremmNaeMSyeral OFFICER OR AUTHORQED AGENT CODE NUMBER YEAR MO DAV <br />5i <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erenee e9 sttscnmenn oars/ <br />SET?LEABLE SOLIDS LICIT APPLI£5 OlILY IF C~lOTR,24HA PR£CIFITA4ICII EYEN? IS CLAI!!ED. P£RBIT?EE HAS <br />LiUBDEd OF PROOF YHEN dEOUE$TINC dk:LIEF FROH SE?TLEAHLE SOLIDS pPICARY LIMITATIOFS. <br />EPA Form 3320.7 108•x51 Previous editions may be used. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.) ~ PAGE OF <br />00611/9RC223-1256 7 <br />