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I'ERMITTEE NAME/ADDRESS (ld,i frl/Iry NaWfanlu dDIJJi.mO NATIONAL POLLUTANT OISCHMOE ELIMINATION SYSTEM (NPDE$) Form ApprO VBd. NAME DISCHARGE MONITORING REPORT IOMR1 TilEtiTYRILF COAL CC r7-r51 n-r91 C`i9~"•;"" < I'p.,rI4~.81~p~,7040;OOp . Approveie'~pr s~ .0~~1.98 ADDRESS - ` ` ^ q) y S 29 _1 _ FCUTT CCUNTY ACAU 127 r^. 7 T (, I: G A N C R E E K I C C QUIy 6 7 PERMIT NUMBER CHARGE NurAaeR - ` i N h L !: t'Cc MON nRl D FACaITY T G E h 1 Y C I !. F (' C; L C C YEAR MO DA AR MO DAY __ LocAnoN FROM O1 04 1 TO O1 06 3C Y'At NO DISCHARGt; ~ I ^"~ ~ N " Il Y 211 1 ~ ~ 75l 176171 175-791 !3631) NOTE: RudiM.(iTECtloEM.6e}ore complstinp this form. PARAMETER I3 Grd only! QUANTITY O 7e Grd Onhl QUANTITY OR CONCEN 'HON. ~ NO FREQUENCY SAMPLE ~ ~"' le653 !54 , ~~-.. l38-J5) !46531 - f5i511 OF l37-371 EX ,W,~YgB .TYPE ~ AVERAGE MAXIM FTS MINIMUM AVERAGE MAXIMUM UNITS le7-ell 16I-6'gl !5&701 °.EFfEC'( ST ATFE 7Ln`( SAMPLE MEASUREME T YYr t: :=:: .... ~ Q ~/ :;. r,:;l?!I {r ....;~;:# ( 23~ ~ C{~ ` ;' IJ Ctin Ch HIGC~PANIA N ~ ~ r:1 T C F 3 E c O 2 ` `PERMIT .-r ..:: .......... :- ~~:) `~ ) ?= 01?OI!Ik~!'~>Y ' >rJXJ.''itJ~16.::; g R- , . 1F;!';° .. Y:: '~:~L R:AR ?. SF REQUIREMENT. .. ' T . .:':z : .5::.. . . . ':LFFECT STATAE 7CAY SAMPLE MEASUREMENT -, ~f?C~? 0 04Lan- '=;~?03LI 2J) ~ i. E r F I C. E F R A L E S S~ ~ (~ ~, l v CFDC S 0 2 ~:. ~... PERMIT::.::.: ~ ~ ~4a»z:z>r• :. ,.: ~. . ~:.#ti ; :;:-.y,~::.:;:". 21. ' 1..._., ;..-.~#~ ~a~:~i~di :• - LT 3 11iVR 9 P ~ . ~ ~ ;REQUIREMENT.: ~ ~.::.... .. : ~ ~.. ~ ~ :;= ~~ ~ # M rt . ",.:: ...$x .. .. .;. :.. ::a...::~.: : . ':. ~ .. SAMPLE MEASUREMENT .:::;. PERMIT.::: ~ ~: ' ::.::.: : ........ ~ .: ~, ::..`:a: : >~ :::. .. ~ ::. ....ti.x... ... ~..:'~:~.~ :. "" ': ::. , .. ';:;.~.::.: °~:~ ::~:~ R.EQCIIREMENT! :.:.,..:..::~::..~:~:.. . ~ ~. ''=~'".:::.`:::.~:`:' :.•....,,! .:.::. ..... , ~, , :,...s,:. , . .:... ,:1:.. . SAMPLE MEASUREMENT ~:::~:pERMIT :...~ :.~ ........ .. ~ .: ::M ~~ ' : ' ~ ~ ~ :REaUIREMENT~ :~ ... ~ .. ~. : ,:: . ~. . ::. :: .. . .. ... . ~ : : `: : ,~ ...:..:. rt: . ... ..:.: ~: ~~ :. SAMPLE MEASUREMENT ~ ~ ~ iREQUIREMENT.' ~:::.:::~::~: ~ :::::. . ~:::~: :~~~~ ..:::.:..:.~.. ~ -.. ~ :~ .~. ~:.: :~~,. .: . ;?:;'::.~':>': .,:'.:;~.~.. ~. . : ~. . . .:: PERMIT:.. QUIREMENT'~ ~ ~ ~ ~ ~ ~ ~ _ ~ ~ . . SAMPLE :RE(1011.R..EINENT•:::"'.:'...~~:"::::::~~::::~:S~Sr:le : :::::::.:.:.:. .::. ~.. .. b:::;;;< .. AMElTITLE PRINCIPAL EXECUTIVE OFflCER I CERTIFY UNDER PENN.TY OF LAW TNAT 1 HAVE PERSONALLY E%AMINED AND TELEPHONE DATE AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON n1 CI18 P(I :'i~) $ MY INQUIRY OF THOSE INpINDVK4 IMMEDIATFIY RESPONSIBLE FOR OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS M- _IIVIICIIIIIY.IltO) I,anayer TRUE. ACCUMTE AND COMPLETE. I AM AWME THAT THERE ME SIGNIRCANT PENN.[TIIE4 FOR SUBMITTING FALSE INFORMATION INCLUOIMO y~U ztlU-C7I 1 7 ' , THE POSSIBILITY ORANE MID IMPRISONMENT. SEE 14 U.S.C. f 1001 AND 37 SIGNATURE F % L / ~ / , ~ ro t roaOD .aw ~ ,o TM; ~ ~ ne a »~ ~~a : ~s~ ~ O 11NCMAL EXECUTIVE TYPED OR PRINTED , . i ~,r~ ,a.~. w n. e , w i'w , OFFICER OR AUTNORIZED AGENT ODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference d/ sttechmsnts here! -SEA 1.A.i E ~ Fi:R CTTAILS CT' TE51 P90CF.CU5F. AEPOAT LCypgT 7, EPPLUENT AT RNICN 3TATTSTICALLY SIGSIF L1FF EE11.EF3 TEST E CC~TFCL AAS CESFFYEp GSIAC TFST COLE "ST', !GC=21"~. ATTACN C!I:<ONIC TQYIC T'^Y T'"~T A oim' 20- -9 Previous a itions y bs used. C M T-0O WHICH MAY NOT BE USED.1 7F PAGE . U U C 17 / 9 7 0 6 0 3- T 2 21 E l.. ~.