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R PERMITfEE NAME/ADDRESS p~.ebm srW .vwlamla, n Form Approved. f ~ / 10~°°I NATIONAL POLLUTANT DIBCHMOE DIMINATON BYSfFM /NPDES) ~4 ~. NAME '+"'~BNiCA COAL COSS461fI DISC fH~LR6E MONRORM6R p~T~7D7M91 ~~~~"~~ DISCHi A6E TQ 'TAI9k~;1 Is 155-31-~ I ~ :~ ' AtlGRE550$AMBR D y5 , (sneR nwy 12 ` DISCHAROENUMBER P ~ tI~~L - 9 RLIDtiN GO b1617 ERMITNUMBER ~ ° MON ~ RING PERIOD !! I NO$ FACILITY ~ ~ ' LOCATION YEAR MO D. .YEAR MO DAY ~, NAYUtti CO 8163) FROM g 07 To 48 U9 ;-0~!'. ~~9Cf~8 ~ ~i~* this /orm ti r . ny d6RL 1 T2 M 7 G. tl d D A H O Y M N EH f: R A L 'I AlI dG E R ra -231 I I2~771 178-Z9) 130-311 NO ~- tru tw r3 are onryl QUANTITY OR LOA. _ ,. ~:' l4 Card onryl QUANTITY OR CONCFN~ O ~ ~ NO. FREDUENCY SAMPLE PARAMETER DF (46-53/ (54-5fi ~ 138-15! 70663 fbs-5/! ~ f37-37) EX ANALY9s TYPE ~ UNRS ass/ l5s-6B1 (63701 AVERAGE MAXIMUM MINIMUM AVERAGE MAXIMUM ~ IL AYD GR613d SAMPLE O'v'#¢~# ( q) **P**~ 6t~ifO n9 *>DIbY+ D + Y S 0~ L MEASUREMENT f I 84066 1 0 0 „. *tplgrtjl** ii$ ~ C5=1 s~ +xIF#` +fi#+>:#OL~:! *>a* k4 ~~.'~: ~~Mit EFFL0I;N! G I D REQUIREttAENT: '~ _ ~5~1~~~ ~ .. , a2 ; ?, I' SAMPLE ..,. ~ ~ ' MEASUREMENT ~. ~ _ , , ..... :: .. .... ::: 4,. ; ........ ..~.ff tREQUIREME .. .. ...... .. .., ;- , :: „... 1'~+<7:>i ., ~.`,.~:::.~~a:::T ;:'pr::<r:';5;::~ SAMPLE MEASUREMENT :•.::PERMIT REQUIREMENT ~ ' . ,:..,;;.;aa..~¢ a .. .. ~ ~ ~~ ,... . .. ~- ~~~~~•~ ' ' y .... .. . ~~ ::.:.:.:: ~ .: sF SAMPLE MEASUREMENT ~~:=~.:PERMIT. .... ~ ~...:: :::Sf„:::'..~ e... .: :. r~,',:Z :.:: . ~I.:~~~:: .: .:.:. :a ,,:zi.+ay;! dc;:'rKT:'.: REQUIREMENT .: .. ...: ~: °.. r::~a .:.::: :.:.. :. ~ :.. . ~ ~ . ...:....I ;, ~;~:.:,. ,.: , SAMPLE MEASUREMENT ~ ~ ~ ~ ~~ ~ ~ ~~~" ..VY?: ~.:~:~:~s ~:~p:;: s.:.:;~:~.. ;:;:... .:..:::.:::..:~.:::~::~:: ;: :REQUIREMENT~ ~ ~ ~ '~ SAMPLE MEASUREMENT I t :REQUIREMENT.. :.: ~~ ~ ~ ~~ ~~ ~ SAMPLE MEASUREMENT .. ..~: ~ PERMIT .+ . _.. .. . . :~; ~'~~~.; ~j %"::`~; : :REQUIREMENT::. , .. , .. . . . . ....: -~: ~:...::-~::::::...~..r::: .~ :. .....:: ..:... ~~ :...: NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONALLY E%AMI AM FAMILIAR WITH THE INFORMATION SUBMITTED NERDN; AND B NED N1D TELEPHONE ASED ON DATE MY INQUIRY OF TNOBE INDIVIDUALS IMMEDIATELY RESPONSIB LE FOP OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORM ATION 19 TRUE. ACCURATE AND COMRETE. 1 AM AWARE THAT TN ERE ARE ,:~ SIGNIFICANT PENALTIES FOR SVBMITTNG FALSE INFORMATION, IM CLWING THE POSSI&l1TY Of HNE AND IMPRISONMENT. SEF 18 V.S.C.) 1001 AND 3J 000 /I-rru., Inds swar mron, ~I,r icMf, Am„ w ro lro f t 3to u s c 610NATURE OF PRIN L EXECIlT1VE A , . . . . OFFICER OR A QED AOENIY E NUMBER YEAR MO DAY TYPED OR PRINTED .nsn,n.,in.,rrNw-I.o.vn«reFMrw„n smonN, rrd6W,r,.l ID - COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference el/ etfechmsnfs here) TES 8 IdJY LIdITS YI16 BE itIIr6D LRD SETTLEADLE SOLIDS LIIlI! IIPPLILD FOR is1DIR,24tlY PAHCII' ErBMli !SS 6 IRON LIhxTS YAIYED POit >10lt~24tlR PRBCIP srepr SUBJBCT ?0 HOAbEM Ot PiOOF Iq I.A.2. OIL i C1lEJLSt-SEE EP am 3 O.1 ID 951 ' Pie~TOUe sdttlon may ~ u IREPLACE6 EPA FORM T40 WNICH MAY NOT BE USED.) PAGE OF ' ' 0005M/98091p-0923 2