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PERMITTEE NAME/ADDRESS (IMr6 F.eJ;ryNmr/lo~.nen IJD,pnnq NAME COLOWYD COAL Ct~*~PA!dY L. P. ADnRISSSCOLOYYfl pJI11E 5731 57'Ai6 NZ6HYAY 13 tlEEK£R C0 ,81641 FACILITY LOCATION YL''~.. LT T f'~' i, Form ApprovgeOd. ST4 EET °!? GOLCN TOAPPBoVelde4i e~OS31~9 (SOSR NY) 123Y5 ,, P - PIlIAL 1 ' !MINOR ' ~a~F Nr, nTSCRr',pr.P I >.tas NOTE: Raad hntruetlorv before'Com~latiny thde form. PARAMETER d3 CiiC,.Onlyl QUANTITY OR LOADING ; :;jT~ '~' T4 Grd Onhl QUANTITY OR CONCENTRATION f10• FREQUENCY SAMPLE l46-531 /54-e1/ 3~ 138-451 146-63 154-67 EX OF 131-371 AVERAGE MAXIMUM ~ UNITS MINIMUM ~ AVERAGE MAXIMUM UNITS Kz-s~) .MKrss !5q-Egl TYPE deg-701 IL AND GREASE SAMPLE kCasCa - ~, ( 94) tY'LY-s71R# O4fF#tb #0+.`•4b'.t I/'7 ~ ` ~ MEASUREMENT o _; ~ t .~ ISUAL _ . ._ 84066 1 0 o PERMIT K~varu:~>r . ~ ..... .... , ........ a;::',^.:;5~i''r`Y 5=1 Q• M': :^:;<#~. tT a:r :' ;,:`5Y*F :::,~e r.'#~zt;., ::rsw ,EYLV F!TCIA:G kPPT l >c r,an Yi IIF REQUIREMENT .. .. ~ ~ ~ ~ ~~ ~ ' .;'? G.,w.:. ~`-'" [1 , ... ~^~~°~ "~ ..;:;s;:g1c„r::.~r'.;? . ~° ~.:~.:~.:~. ~ ~ F-':rt4 SAMPLE ~T'^ !~ ~ . MEASUREMENT '~ PERMIT -; ~: ~ .4 . : ~ REQUIREMENT ~ ~ .!.'~aY>%.. ' :,./j.... . »~.: .. %~l;rr?.<.;~::' ~ ~ _ ~ .. . ~ ......: :......e'za~~ . ~;:..:::...::. ~ ....: ~ ~ SAMPLE ~ -~. MEASUREMENT ~. PERMIT ~ ~~'~: ^:;r;~ n . , ~ REQUIREMENT ~ ~ ~ ~ ~ :..•; !.::.? ;fir::..:>: :::. ._.: :: :: i.:.: ... ~~~ ,.. , SAMPLE MEASUREMENT :.~ PERMIT ~ ~ ~ : ~ ~~ : .. ~ +. ~ f', . ~ . ~ ~ .. ~ ~ ~~ ~~~ ~ . REQUIREMENT , SAMPLE '; MEASUREMENT : ~: PERMIT ~ ~ ~. ...... . .. ' : : .. ... , ~ ~~ REQUIREMENT ... . .: .. :: . : .. . . . SAMPLE MEASUREMENT .. ~~: PERMIT :~~. ..~ -: ~ ~ .. ....~. .. : ~ ..;.:.~ .,,~. ~: ti.:: REQUIREMENT ~ ~ ~ ~ ~ ~ ~ ~ ~ SAMPLE MEASUREMENT PERMIT. ~. ..~. .:~.:.~~~~ ~~~. ....~ ..: ~~ ~ :~~~. .. .. ~~i!::::;:j~ :',., .: ~~ REQUIREMENT ~: • NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENKTY OF AM FAMILIM WITH THE INFO UW THAT I HAVE PERBONKLr FJ(AMI RMATION SUBMITTED HFAEIN; µp BA NED MD SED ON ~ ~ ~ TELEPHONE DATE ' MY INOUIRr OF THOSE INOINDUKS IMMEDIATELY RESPONSIBLE FOR , OBTNNING THE INfORMATION, I BELIEVE THE SUBMITTED INFORMATION IS f~ ~ ' TRVF, ACLUMTE AND COMPLETE. 1 AM AWMF THAT THFgE ME ~l SIGNIFCMT PENKTIES FOR SUBMITTING PKSE INfORMATION INCLUDING ~ N , T E POSSIBI Tr Of RNE D IMPr1 ~ /~ ~f ! 9/J R . ~ m H V M 150NMENT. SEE 18 U.S.C. 1 1001 MD ]3 NATURE OF PIIINdPAL EXECUTNE ~ ~ nn » ~ " U.S.C. t t ]1 E. IfMWtla uWr el.a mvNa m.y hrMN rvws w m s 70,000 AREA TYPED OR PRINTED ols nmuinl.n impianweo7WMwn s mmNaAM b y.va! ~ OFFICER OR ALJTNORQED AOEM CODE NUMBER YEAR MO DAY COMMENTS ANO EXPLANATION OF ANY VIOLATIONS lReJerence e// ettechments hare) ~ ~ ' SET?LSABLE SOLIDS LItSI1' APPLIES ONLY IF <= 10-XR, 24-HR PHEGIF EWENT IS CGAIMFD. IF CLAIM APPR01'ED BY YQCD, T55 G IRO/ LIHZTS YILL NDT BE APPLIED iD BP.PORYBD tl~A~~~fiENTB--SEE I.B.lAf ?6 W AND I. 8.18F P6 5. ' , , EPA Fo-iirl°3320YY08 951 °Pia`viouE editions rRey be used ~ r ' ' (REPLACES EPA FORM T-40 WHICH'MAY NOT BE USED 1 - ~ PAGE OF ~3 ~ ,.r ~ r~T~l ' ~ , ~ ~ ~.:_ .~ ...c _ .n. ~J.u l" ~(. ,1L 71YWli .r. _ :~ LY~ilLLV ~. ~ ~ n. - ~ F ai`++_~r # Te~~ _- ~ r