Laserfiche WebLink
PERMITTEE NAMEIADDRESS l1~lr imWry N°W(,adla tlD10 nnq <br />NAME SE:N~CA COAL CG;1F9;1y <br />ADDRESS D R A W C. R J <br />HIYDcN CU 31039 <br />FACILITY <br />LocAnoNHAYUdN CO 816!0 FROM <br />ATT~: G. EUD 6ROY!!r GF!I~RAL '!1NAGER <br />!26111 l11-13) !14151 <br />r srsTEM /NPDESI Forrn Approved. °- <br />DRT llDM91 ~ (- I~ T F w e •• Z F S r I y GOMB No. 20140-0004 ° <br />611 ~+ { s rJ e A r W) Approvele%p~rs93os-a i ~~ <br />DISOHMGE NUMBER F- P I M A L L ~~ <br />.~ MIYCA <br />YEAR <br />TO ya ~ ~'^`~ 11C L'ISCr1AF.:,F. ~ `•#+< <br />116-371 !IB-I9l 130-311 NOTE: Read InetrucUaru before complatinp this form. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !1 Grd Onlyl QUANTITY OR CONCENTRATION NO RIEOUENCV SAMPLE <br /> !46531 !54611 l36-151 !46531 354631 . OF <br />l31-373 EX TYPE <br /> AVERAGE MAXIMUM ±ta~ <br />UNIT~S„F MINIMUM AVERAGE MAXIMUM UNITS /6169! MALrsls <br />15y5g1 !63701 <br />LIDU :i'TATHE UtlHR AC SAMPLE :c:I¢CrF~: F':^•v;+; ~ gygy~,y i{'}~'.,;y { .:3) <br />CGhIODAk'hNIA MEASUREMENT <br /> <br />TARJB 1 0 0 PERMIT ;;+~rart~r- °#Kslf62?k . #C:: 1f70'.:':;:;:;• : L~Sy;~~k ~z~t.ttt: IEit- T3L`_' ;:iAC <br />cFFLUENT GROSS VALUt REQUIREMENT ,.:: #-vtr Nk:::,.1#~c{-'ji. ^.::ST <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT !F <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ <br />~ <br /> REQUIREMENT ~~ ~ <br />...;r ~~~~ .a-~~~' :~ <br /> SAMPLE <br /> MEASUREMENT <br />° <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 />NAMEli1TLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY E)(AMINED MD <br />AM FAMILIM WITH THE INFORMATION S <br />BMITTED HEREIN <br />MD BASED ON ~ TELEPHONE DATE <br /> ; <br />U <br />MY INQUIRY OF THOSE INDINDUAlS IMM WIATELY RESPONSIBLE FOR <br />~KM ~~~., LA G1S OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />_ <br />f ~•^ <br />( 1 TRUE, ACCUMTE MD COMPLETE. I AM AWARE THAT TNERE ME <br />9GNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />1 <br />- <br />~ V J v , <br />THE POSSIBI <br />ITY <br />RNE <br />T ' /,[J <br />• ~~~ <br />y <br />y L <br />OF <br />MD IMPRISONMEN <br />. SEE 1B U.S.C. 1 1001 MD 3J <br />BIONATURE OF PAIN P <br />L EXECUTNE S/ v 1 1 <br /> U.S.C. 1 rate. IM11dei°YIIY uw~ mlvMA ro.Y hckw rwa ye ro rrD,000 A AREA <br />TYPED OR PRINTED .lewmui.wnArudaMlm.rrt °rArfwwn (murm.W6YAra/ OFFlCER OR ALIT OflIIEO AOENT CODE NUMBER YEAR MO DAY <br />VVMMCn IJ nIrV CAPLAnglnrn Lrr'NnT VIVLq IIVINJ (fleMrfOCe er/e[[eCATBOb Hero/ + <br />SEE PART I.A.U FCF DiTAIL.S OF TE5T PfiO~ED'JRE. RF.FCRf LORE ST CIIU'tICF (•. EFFLUP.FT) NHICH IS LETHAL TO :0» <br />OF TEST ORGANIS>S {LCSO) AND .1TTACH ACUTE TJCICITY TEST RFFCAT FOE! TC Dl!H. CCFIF.S OF ALL IFFORCATION <br />RUST RF iHNT T'1 Fp A. <br />EPA Form 3320-1 108.951 Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 O O 1 li ~ / 9 7 1 O 31-1 S 13 PAGE 1 OF <br /> <br />