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PERMITTEE NAMEIADORE55 psY6isleryN~/lorrllnr dD/pb.~p <br />NAME SENECA COAL COl1PAtlY <br />ADDRESS DRAPER U <br />tlsrat:N <br />FACILITY <br />LocAnoN tl A Y U d tl <br />ATTh: G. tlUD BHJYN, <br />CO 81639 <br />CO 816!0 <br />GENERAL ZlANAGErZ <br />NATIONAL POLLVTMT OIBONMOF EIlMINATION~6.V. NPDESI <br />DISCHARGE MONITORING REP, •!D -Rl <br />2-r5r ~ ;,n-rs . <br />;/ ~p0000221 6 A <br />= ~ PERMIT NUMBER DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM iU " t7 11 11 <br />126 11 ~f22.231 !1<-251 116171 128-291 /30-311 <br />Form Approved. <br />DISCHARGE 'f 0 T R I R Q~Qtho. 2(jt1Q•y0004 ~ (1 <br />(BURR NY) Approve1~~1~~05-31-S,Ew <br />F - FINAL 1tl~ <br />RINOR <br />r-r ND DISCHARGE ~__~ ~'}+ <br />NOTE: Reed Inetruetlone before completing thb form. <br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING ~Onlyl QUANTITY OR CONCENTRATION NO, FREauENCr SAMPLE <br />!32.77/ <6531 54-51) /3B-451 (4653 SCSI <br />EX OF <br />TYPE <br /> AVERAGE MAXIMUM U' <br />hITS., INIMUM AVERAGE MAXIMUM UNITS le~a~i ANALrsls <br />16,ysa1 15y-7ol <br />Ui Atl0 GREASE SAMPLE C.'aC000 ~ y ¢aaa#~ COC::YG ~-. .-.. O ' <br />VISUAL MEASUREMENT ~ U>~ <br /> <br />tS4U6b 1 0 0 , .. PERMIT LLn1Ya#TJE# 1FH:l?xQ~?j,;'. <br />~ ES=1 .1>:~#Y~t ~:s~##~ <br /> <br />v .#~#AtY'111::.'a ;'w# $$~'Ilj :~.~~;~: <br />EFFLUENT GROSS YALU :REQUIREMENT .. <br />'"' °""' """" <br />,. <br /> <br />N0=0 r### <br />:. <br /> SAMPLE - <br /> MEASUREMENT -_ <br /> ,. <br />PERMIT. <br />): <br />: :. ~ •. <br />' ~ <br />~ <br />~ <br />~ ~ ~ ~ <br />~ <br />~ <br />`~ <br /> . <br />.. <br />. <br />. <br />,. <br /> <br /> <br />~ <br /> <br />- <br />. <br />. .:::. : <br />. <br />~:.~:': <br />.::::: ' .::.; <br />. <br />: <br />. <br />~ `j'?' <br /> REQUIREMENT ~ <br />~ ~ .:. r..,..: .;-,.r..~:.::~: ;.;:.:-.. ,; :., :. ~. ~.~ .. ::. ~ .....~. <br />.. <br /> SAMPLE <br /> MEASUREMENT <br /> ~PERMIT ~ <br />~ <br />:~ <br />~ . .. ...:..: .:...:. ~..~:,..;,.: .. <br /> ;.. <br />.. <br />. <br />. <br />:REQUIREMENT: ...... ~.. . ..... ::..,.::'.:.:.; .. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~... PERMIT. ~ ... ..... ....,, ;.: ::. ...:: .. .......... ... <br />~ ~ <br /> REQUIREMENT ~ ~ ~ ~ ~ .~ : ~ .~ ~.. ~ . . . <br /> SAMPLE <br /> MEASUREMENT <br /> ~;:::.~::PERNIIT~. ~ .... ...... ... <br />. .. <br />. <br />~:~~:: <br />: <br />! <br /> :REQUIREMENT ~ .. <br />: . <br />: <br />s <br />. <br />:..:.. <br /> SAMPLE <br /> MEASUREMEN7 <br /> '~ ~ :'PERMIT . .. .. <br />. ;.. .. <br />... .. <br />~. .. . <br /> REQUIREMENT ~ ~ ~ ~ ~ <br />:. ~ ~ ~ ~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> .: ~:::. PERMIT ~.~ ~.~~ ~ ~: ~~: ~: :: ...~'.~ ~: ~.:..~::. :~: ~ ~ ~... ~ :'::i:' .:.: .., .:.. <br /> <br />:REQUIREMENT: <br />: ~..:: <br />.:.. <br />:. <br />'.:~:::`::,; :... .. <br />~:::: <br />.: <br />~ <br />::: <br />::::: <br />'~: <br />~<:'~ <br />: <br />~. :~:. <br /> . <br />. <br />. .. <br />. <br />.:. <br />. <br />. <br />. <br />. <br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY Of L <br />AM FAMILIM WITH THE INFOR AW THAT I HAVE PERSONALLY F:(AMIN <br />MATION SUBMITTED HEREIN; MD BA ED MD <br />SED ON ~ l / TELEPHONE DATE <br /> <br />RY <br />RESPONSI <br />F T <br />OSE INDIVI <br />TE f <br />~ <br /> MY INQUI <br />O <br />H <br />DUALS IMMEDIA <br />LY <br />B <br />OBTAINING THE INFORMA710N, I REDEYE THE SUBMI7TED INFORMA <br />TRUE <br />ALCUMTE MD COMRETE <br />WME THAT THE <br />M LE FOR <br />TION IS <br />E ~ <br /> <br />, <br />. I A <br />A <br />IN <br />SIGNIRCANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />R <br />ME <br />CLUDING ~ ~ ~ <br /> , <br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 18 U.S.C. 1 1001 MD 03 BIONAIURE OF <br />E <br /> U.S.C. i t 71 e. lFYtilrlrr urMrr Nr~ mnnvr nlrY hebM Mrs Nr ro E 10,000 PRIN AL EXECUTIV AR A <br />TYPED OR PRINTED .nd ermuMUn AiprNOwrwIEWNrwwn emanNr rode Yrrnl OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference e!/ errschmenfs here/ ' <br />TSS d iROtr LINITS PILL 8B Y4IVED BtlD 5°TTLEABLE SOLIDS LIMIT APPLIED POF C=l0YRe24HR PHiCIB EVENT; TSS 6 <br />/HUN LIlIITS YAIYED FOR ~LOiRe2YHR P19ECIP EVENT SUBJECT TO RORDEA OF PROOF I'1 I.A.2, pjf, L GREASE-SEE <br />i. B.I.D. TDS ROtlITnRTNG-9pR r.B_7_le_ ~~ <br />EPA Form 3320.1 IOB-96) Previous editions mey bs used. . ~. IREPLACES.EPA FORM TAO WHICH MAY NOT BE USED.) 000 5 R / 9 4 0 914-092 3 ,PAGE , OF <br />.. ~ ~ ~ ., ~ <br />