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PERMITTEE NAME/ADDRESS (Include Faeillry Name/Lacation ifDifferenq <br />NAME <br />GLUE MOUNTAIN EtJERGY. INC. <br />ADDRES~LSERADD MINE <br />3607 COUNTY ROAD 6y <br />FACILITYRAly GLY CCJ 8i64E; <br />LOCATION <br />ATTiJ JrFF IIIIRRFRT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR) <br />rr,~ n~o. r ~ <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />- OMB No. 2040-0004 <br />MINOR <br />(SUDk ^JW t <br />RP-~ SFPI RDNI: TC' RL-D WASH <br />rea iVU DlS;;HARrdE :~C I #*# <br />NOTE: Read Instructions befor ampleting this town. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOVENC SAMPLE <br /> EX OF TYPE <br />PARAMETER AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />H SAMPLE ###### ###### ~#tra il# 1L'! <br /> MEASUREMENT <br />]0400 1 D 1 PERMIT }ti!#~i-+lii; iFM^k-311~1i- iF ## . ~ ititiF.itita b EKLY ~JSZTU <br />:FFL.UEfVT GRO5~' VALUE AES~UIREMENT .: "' .. ### _ .Z -: ~ ,C <br />'OL I DS, TUTAL SAMPLE ##~xit#ir #ir#### ;tar*### 1 9 ) <br />iU`;P END ED MEASUREMENT <br /> ;;: <br />` '~' <br />=FFI-UEIVT tiRC]SS VALU • ]iE~UIREMENT . .?,_~= ~--' #.px ,: '`~` <br />. - AI X /L :' TFi ~. <br />'ULIDS, 6~TTLEAHLE SAMPLE ###### ###### ##*### 2;,y <br /> MEASUREMENT <br /> <br />>osas 1 e o <br />q~~~nr ~~ .. . ,. <br />#µ <br />~~~- ~ ~^~~ .. <br />c ~ ~ '~ ~' <br />REP <br />q <br /> <br />~. <br />a~~ <br />~ <br />EFFLUENT CRDSS bALU tiE ~. 1REM NT <br />~. ~. A *+r* <br />IL. °: GREASE SAMPLE ####il# #itit### #x~=-:tit# ###r-~a~a 19) <br /> MEASUREMENT ' <br />yc~'sb 1 0 0 <~.~:~F~ir ~ .~`~~~' _~ <br />~ . =~~' ~ ,~ a~+r+F~r ,-a*~*~ o Ate <br />~FI L.'JENT RU S VA U AECIUIREMENT . #tt# ~ - + '-- #. <br />'F.UN. TUTAL. SAMPLE ###it## #.y„#2# +tit##~x# I y` <br />( A5 F F.) MEASUREMENT <br />7lU45 1 C O ~,."P>/F1N111`~ - lFiliFiYiiit it##iklp~ ~ ir# ititil <br />~ . Q. ~ <br />~ .°G ~fli A$.: <br />_~FLI!ENT RUSS L'A U REQUIREMENT ~ - "`r ### - <br />-,: - * - o<-- .. <br />'L iJ6J, IN CF7NDiJI~T OR ~ SAMPLE 03) alit###it ititit##* 1Exc~k## <br />iR:l TREATf^.ENT RLANT MEASUREMENT <br />'OSO 1 G n '3 PERMIT"- -'~~~PCI~T `"-) , <br />,' `~9~1t - <br />#~ .`.: 'M'* ~ ~KL.YI IVE3TAN <br />F I LUENT ^R' S V I RPQUlRE1~NT~ ," r. <br />- , ~, <br />. ~,;~, r +:. #.*# <br />l I ~ L AND GREASE SAMPLE +t##### 94) #####ir ####:r a ####a# <br />" SJAL MEASUREMENT <br />I'. iG6•b ~ 1 ^ C --•-A~iM1~-T- -:~ :-,~-.. - "a=1 -;-#~-Mltilif~.-~ :.i4~klll~tit't - -.~54_ ## -- W E141..Y ISUAL. <br />"t FLUEN - R V RE6f~IREM~{QT; -- __ ~ ~ {. *## <br />NAME/TITLE.PRINCIPAL EXECUTVE OFFICER ICeNty antler panalry of law that this tlocumeM antl all attachments ware <br />i <br />i <br />I <br />ith <br />t <br />d <br />i <br />tl <br />d <br />tl <br />di <br />i <br />tl TELEPHONE DATE <br /> er my <br />on or superv <br />on <br />n a¢or <br />ante w <br />em <br />es <br />gna <br />prepare <br />an <br />rect <br />s <br />a sys <br />--/. ~+ i,•~ <br />S u/ G <br />tea ~ ~~' bassura that qualified personnel properly galherentl evaluate the information ~-= -. <br />- eubmmed. Sasetl on my Inquiry of the parson or persons who manage the system, <br />the inlomwtlon <br />or those perwns tlirecUy responsible br gathering the information ~ <br />~l <br />- <br />~ <br />C , <br />bmitietl Is <br />to the bast of m <br />knowleo <br />e and belief <br />tme <br />accurate <br />end com <br />lete <br />s ' ~ <br />~ r , <br />~ , <br />y <br />, <br />, <br />, <br />p <br />. <br />g <br />u <br />t <br />i <br />f <br />lti <br />t <br />itti <br />f <br />l <br />i <br />f <br />ti <br />I <br />h <br />b SIGNATURE OF PRINCIPAL EXECUTIVE ~. <br />` + 2 3 <br />~ ~ `ul <br />r~ '~ y .Z 6 <br />TYPED O PRINTED gni <br />cara pena <br />es <br />m <br />ng <br />n <br />orma <br />on, <br />am aware t <br />a <br />there are s <br />ar su <br />a <br />se <br />InCWin the 'bill o/Gne antl im risonment for knowin violations. OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments Here) <br />:ti9 R; TUTAL. IRON LIMITS WILL FE WAIVED, AiVll SETFLEACiLL= SLP iDci L..1!"1T API'L :F1Y F:~ _=-i;:YF+,~'klit. F'•.:'.IF E'Jt~VT <br />i;EE I A 2. PG V, FOR REQUIREMENTS. DIL e, GREASE REPORTING-SEE I B. •.. F ~ Pr- V1? QNT("tL-1 SF!^:' .. ?i•~i,' <br />'~ § - 99 'P Lio iti may be used. THIS IS A 4-PART FORM PAGE OF <br /> ` '_ <br /> ~ -- <br />