Laserfiche WebLink
PERMITTEE NAME/ADDRESS(/~.el~d. FacWryN~/Locarlm lJDlpfrnnq ' <br />NAME COLJGYO COAL COC?AWY L. P.. <br />ADDRESS CQ 1, O ~ T O . !9 i' R E <br />5731 STAfF. HIGBttAY 13 <br />19E61tLN ;;GO B16LL1 <br />FACILITY ~ ~ ' <br />LOCATION ' <br />asTtaa ii n I~!Srl r --- <br />Form Approved. , ' <br />OMB No 40-0004 <br />SiAAEfl005T SEDI TO .ar1,~lE L.-•-sC r <br />' Approval ex Irea OS-31-98 <br />(s1JBR hw3 .12,34;5: ' _:, <br />F - TI11AL ~ E u <br />?17NOtt <br />aah NO !1ISCi4kRG8 (_ ) t~~ <br />NOTE: Reed InetrueUone beforo coTrlplatina thM form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADIN~__ G_Q"Q, ,. ~ -~ ~ <br />~ !s Grd.Onty1 QUANTITY OR CONCENTRATION <br />~ NO. ~E°UaCV SAMPLE <br /> (46-531 !54511 ~d 1~E':.~'. ~ ~'138d51 M6531 !54611 <br />.E% GF <br />ves <br />TYPE <br />I31-371 AVERAGE MAXIMUM - <br />~NI,~TS' - <br />MINIMUM~~ _ <br />AVERAGE. MAXIMUM UNITS iszs9l MN. <br />!54551 !69701 <br />DIL AND GRPASE SAMPLE r'=4~I+R:4 9 ( 94.) ~CieF>:rtll~t >uAic>a~rY >~o#;'In`; G I~~ >)+s „r 1 <br />OISUAL MEASUREMENT - <br />8406b 1 0 0 PERMIT u.rp:r:::.: r~ea~;;~;'`, <br />,~;:,. a,5c] ;s <br />4~" <br />~ <br />* <br />'X ':4?.=Y'i3akX:--,'.• iti.:~,.tr~•~:.; .>•A~-'~ 'EE~iL`= I:3lIk. <br /> <br />EF LUF.NT CROSS VA1. F REQUIREMENT <br />. <br />~ ~ ~ : <br />•' ° N ~ '~ <br />i. ~Ys• Y>: _ <br />- ,. <br />. <br />. <br />e <br />, <br />z'4'~ti .. <br />'" tpytA ~ ' <br />' SAMPLE .: ,t..' ,. ^. ti°.,,.`,, .-'.. <br /> MEASUREMENT ~, ~'~"`. ~ _'; .` ' <br /> PERMIT ~ ~ ~' <br />~ <br />~ <br /> <br />. REQUIREMENT ~ <br />. <br />~ .~ <br />..~ A <br />'' <br />" <br />.: <br />:. <br />... <br />. <br />.. <br />'. <br />. . <br /> .. <br />. . <br />~ . y. . <br /> SAMPLE <br />' MEASUREMENT <br /> <br />'.. PERMIT: ~ <br /> <br />' .. .. <br />~' <br /> <br />'... <br />~ <br /> <br />~ <br />T <br /> <br />. .. <br />. <br />~ ~ <br />~ .: <br />'. <br /> <br />REQUIREMENT <br />.. .:..::. .... <br />... ... . <br />. <br />:.`::.~~,'::';..',;:.:~E"~ . <br />. <br />r-'.;.`.`.: ".::. .::.~. .. <br />.. <br />' SAMPLE <br />. MEASUREMENT <br />' ' . PERMIT..; .. .... ': ':.. .: ~~:~. .: .. i~o.,. .. <br /> REQUIREMENT' ' ` <br />~. <br />' ~ SAMPLE <br /> MEASUREMENT <br />~ <br /> :.: PERMIT: :.., <br /> REQUIREMENT ~ ~ ~ "' H' <br />' ~ SAMPLE ~ ' <br /> MEASUREMENT - ' <br /> <br />PERMIT'.::. <br />:.', <br />.. .. <br />... ,. <br />.....~ <br />~. <br /> REQUIREMENT: ~.: <br />~. <br /> SAMPLE <br /> MEASUREMENT ' <br /> :.' PERMIT .. .: '...' .'. : ~. ' <br />.:. <br />.,. ... ~' ~ ... <br />:~ : ~ '..' ~r:.:»q.,~``s;:' !'-. <br />: <br />~ <br />' <br />~ <br />~ . . <br /> REQUIREMENT ; : . ,.. <br />H~. <br />„-;< ''~ <br />NAME/i1TLE PRINCIPAL EXECUTIVE OFFICER I DERTIFY UNDFii PENALTY OF LAW TNAT I NAVE PERSONALLY EXAMI <br />' <br />Afl <br />D B NED MD ~t <br />ASED <br />t TELEPHONE DATE <br />' AM FAMILIM WITN THE INFORMATION <br />SUBMITTED NE <br />N; M <br />ON <br />MY INQUIRY OF TNOSE INDINDUN.S IMMEDIATELY RESPONSIBLE FOR ' <br /> OBTNNING THE INFORMATION, I BEDEVE THE SUBMITTED INFORMATION'IS <br />~ <br /> J r~ W~7YY ~`~'- <br />TRUE. ACCURATE MD COMPLETE. I AM AWME TNAT THERE ~ME <br />j~ ~ <br />V Q ! N n N SIGNIFICMT PENKTIES FOR SUBMITTNG FN.SE INF011MATION, INCLUDING <br />THE POSBIBILITY OF RNE MD IMPRISONMENT..SEE to U.S.C. 1 1001 MD 99 <br />E MO A~ .{_„OO <br />-1 / 1'J 'i AQ <br />~7 C1 B I <br /> g10NATURE OF PRINdPAL EJEEClf <br />1VE <br />u.s.c. 1 late. rn«b,• w«. dw« moms ++r.r PcMl~ sm• y ro lroooe AREA <br /> <br />TYPED OR PRINTED <br />AM Orm«wx.n inprisrurwlf olMRr«n elnonrn..nd 6lvral OFFICER OR AU010RQED AOEEIf , <br />CODE NUMBER YEAR MO DAY <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRB/B/ante s4 sttaMmenrs nets! <br />Si:YTLEA6Lli SOLIDS LIAIT APPLIES ONLY IF C= 10-YR, 2LL-RR PRECIP EVERT IS GLALNED. ST CLATt3,APPA4fLD BY. <br />@QCD, f55 t; I-ROM LItlIYS PILL MOf .8$ APPLIED f0 R$POflfED ME AS®RF.!lEN.T5--S2L I.B.IA, ~6'V. 1.YD ~.8:1il,.gla 6. <br />ww a <br />EPA.FOrm 33ZD-7 IOB 951 - YreV1oU9 eOrtlOn9 may Oe UBeO - - IRCYLA4tO CYA FVRM 1 iU WMI[.M MAy NV I MC VSCU.I ~' Yl~be v~ <br />y~ i'ley .. ', .,~ ' . .~ ~ ., ..<.:~ .: ..' _yn.sL.' ~...~~sa3 ~ 'i - - r ~ ~iYw7 ~.Mn... Y ~~y ~ s-~ {r 11+~ ., ..n. •x.~ <br />