Laserfiche WebLink
PERMITTEE NAME/ADOREgS (IrYAr irsryNaw/faanm /tDl9rr.wp <br />NAME :i:,Nc.:A COAL ~OCPAhY <br />ADDRESS U A A A H G <br />HAYUEN CD tl1b39 <br />FACILITY <br />Lo~noNhAYDEN CO 81b30 FROM <br />AT~I'N: G. uIID NRDHN, GE:VEHAL hANAGEZ <br />N sYSrEM lNPDESI Form Approved. ' ~ <br />DRT IOMR) ~ >: r; F T T <br />S D P Y (` i~ `' C It C) Approvelle%p~ro~05-31 8 <br />DISCHARGE NUMBER i E- F I! A L ' <br />~ 11INCR <br />i [nn my unr -- <br />44#. NC DISCHARGE ~--~ :yc, <br />nr[)n /)A-)91 r.Tn~/l NOTE: Rs'~pewetion. bdon compblinp this form. <br />PARAMETER l3 Grd OnIYI QUANTITY OR LOq JNG !~ GFd Onlrl QUANTITY OR CONCENTRATION Np, FREQUENCY SAMPLE <br /> 146-531 I546f1 I38-451 146-53 15x6/ EX of ~ <br />l3I-371 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br /> <br />Ie1~eJl <br />MALYSIS <br />!6466/ TYPE <br /> <br />(63701 <br />-. t; f~ '. SiA RE SAY <br />L:ht C <br />h <br />GA SAMPLE <br />MEASUREMENT ;=:::~~>~~ aaocu:~ ~ ~ ~V ~ 9C>'l Yi l}; :r ~'~~# ~ 23) ~ , <br />r: <br />IJ <br />PHNjA ` <br /> <br />TCdJE S 1 11 PERMIT #Y-'s70Lt ##4iYpF~7i OL# 9.. S}d41114;+ :>?iy:~7O iR- tttLY ~kA9 <br />SEc CO?IMtNTS dELO+I REQUIREMENT IEI Q;<0 •t.: ~ .YAL31.F iz CEN? <br />;.EFt'ECT SSA RE 7DAY <br />CHfl PInc <br />'H <br />L SAMPLE <br />MEASUREMENT #1DOir;:e. .,. ,, <br />.,.,... <br />n ~~ 1 <br />u „ve~~^ tltOBaa ( 33) ~ '/ <br /> <br />t <br />A <br />ES v <br />(L( <br /> <br />vu <br />TC~SC ~ 1 0 PERMIT 4~# is # ~#MS<# t, 9.3 ot:~x~>~ anx=;:7# >E4- TRLY ;RA& <br />SEE CGnnthTS fiF.LON REQUIREMENT ^.^~ wh~ Y'X~J;~ ~ ~ C"eNT <br /> SAMPLE <br /> MEASUREMENT <br /> ~~~-PERMIT ~ ~~~~ ~~ <br /> ~~tEQ.VIREMENT ~ ~ , <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT -4=(:. .. <br />~~ <br /> REQUIREMENT ~ ~ ~ ~ <br />`~~~;~ ;F- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TRLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENN.TY OF lAW THAT I HAVE PERSONALLY E%AMIN <br />AM FAMIUM WITH THE INFORMATION S <br />BMITTED HERE <br />MD BA ED MD <br />SED O TELEPHONE DATE <br /> U <br />IN: <br />MY INDUIRY OF THOSE IMDINDUALS IMMEDIATELY RESPONSID N <br />LE FOR <br />l <br /> OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMA TION IS <br /> TRUE, ACCUMTE MD COMPLETE. I IILI AWME THAT THE <br />SIGNIFICANT PENALTIES FOR SUBMITTING FN <br />SE INFORMATION <br />INC RE ME <br />LUDING <br />L <br /> . <br />. <br />THE POSSIBILITY OF NNE MD IMPRISONMENT. SEE 18 U.S.C. E 1001 MD 3] <br />gIONATURE OF PRI CIPAL EXECUTIVE ~ ~I" <br />v V <br /> ~ r ~ a <br />] <br />ma <br />i <br />~ <br />~ ro J1O~~ A'R A <br />TYPED OR PRINTED +nermv <br />inl.n <br />0.wwn a <br />, <br />ne <br />r~ral OFFlCER OR A ROBBED AOENT <br />CODE NUMBER EAR MO DAV <br />I:VMMCN IJ ANV CAPLANAIIUN VH ANY VIVLAIlVNS IHYtMIACe I//If(eC/ImBnLS /II/B/ <br /> <br />EPA Form 3320-1 108-951 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) U U 09 fi / 9 7 I 0 31-1513 PAGE lOF <br />