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PERMITTEE NAME/ADDRESS prrm FrYIryNsWGrulm UD16....q <br />NAME Sd,+6CA COAL CO(1FANY <br />ADDRESS DkA.~d D <br />1!AYDi;N CO 91639 <br />FACILITY <br />LOCATION 4AYU`:N Cp yL(>ju <br />ATPk: G. bUU BF.OIiN, Gt.V;;`dAL "fANAG:;H <br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM (NPDESI Form Approved. <br />DISCHARGE MONITORING REPORT IDMRI q O B o 7,0 0004 ;~ i~ <br />a-rsr n-r9/ I": CHAFGF. TC ,..35-;") K-H..t4R- <br />000OC0221 OOi A (>iJ^F a.) APprovele~p~r4>jos-3 <br />PERMIT NUMBER DISCHMGE NUMBER F- F I N A L <br />MONITORING PERIOD "I NC A <br />YEAR MO DAY YEAR MO DAV <br />FROM V TO yc _ ~~~ IIC DISCHAP.CE ~__) :•'•~~ <br />l]O-Z :~7]a3l Q4751 I?6-771 lI8-291 /36311 NOTE; Read IRetructlorn bdon completlnp thiB form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOAD !<Grd Ontyl DUANTITY OR CONCENT ~ ION .NO• FREQUENCY SAMPLE <br />137 <br />37 146-531 !54611 138-<51 !4653 !546/1 OF <br />- <br />1 EX MALYSIS TYPE <br /> AVERAGE MAXIMUM ITS MINIMUM AVERAGE MAXIMUM UNITS, le7.e.T1 /6o-6B1 69-701 <br />1 <br />v L AA .,k•.ASE SAMPLE OrrtFC;= D ( 44) 10404D! LC'fA~d r;~•`•,~;;~ 1 J <br /> <br />Y I SU A L <br />MEASUREMENT O ~ <br />$ <br />UL <br />94Uob 1 0 ~) PERMIT. ~+"TkFx914G R:,'PORT E~=1 n4A?Olp~~ ~~05rPOr,~ ~~S##EI <br />P.E22LY <br />iI5UAi <br />EFFLUENT Gk755 Y.ILU REQUIREMENT jN$q' l1Ay NC=O A~4# <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT: <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDER PEMN.TY OF LAW THAT I HAVE PERSONN.LY E%MIINED MD <br />MIUM WITH THE INFORMATION SUBMITTED HEREIN <br />MD B <br />SE TELEPHONE DATE <br /> ; <br />A <br />D ON <br />MY INQUIRY OF THOSF IMDIVIOUN.S IMM WIATELY RESPONSIBLE FOR <br /> OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE. ACCURATE MD COMPLETE. I AAI AWME THAT THERE ME <br />SIGNIFCMT PEMALTIE9 FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />- <br /> , <br />THE POSSIBIDTV OF FINE MD IMPRISONMENT. BEE 1B U.S.C. ! 1001 MD 07 <br />SIGNATURE OF INCIPAL EXECUTNE 2 <br /> ~p~3~~ •uWr~ s <br />m ~.~ ~IncFUN~ <br />.wa ~groJ10,000 AREA <br />TYPEDORPRINTED A <br />A OFflCER OR UTNORIZED AGENT <br />CODE NUMBER YEAR MO DAV <br />V UMMCrv I D ANU CArLA1NA I I V N VC ANT V I V LA 11 V NJ IMI/Y/LOCI el/ ef1eCOTBFIIS Here! <br />'(5L E I ..N LI`II75 GILL dt: YAIYED 6 ,6 T7L'EAbit. SOLI CS LIMIT AFF1I°C FCF <=iOYR,~4HR PRECIP EY69T; T:>>, <br />Inuti L Sz'ITLt:AF'LE SOLIDS LItlITS AAIYED f'OH >lUY:2,24E~ ~~~~,; IF FI:FN7 Sf:EJF{'? TC PCNDEh OF PP.OOF IV I.A.2• <br />EPA Farm <br />mey ba used. (REPLACES EPA FORM T40 WHICH MAY HOT BE USED.) C G G 0 P / 9 71 C 31-1513 <br />