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PERMITTEE NAME/ADDRESS !ln,~iF.cWryNa/L«.nu l/Dlp...nq <br />NAME C~LWkYJ COAL C01fPANY L. P. <br />ADDRESS COLO~YO flINE <br />5731 STATE HIGNYAY 13 - <br />NEBXEk CO U1fi41 '''"~ <br />FAaI-m <br />LOCATION <br />Ph E~IDF.NT <br />NATIONAL POLLUTMT DIBLHMGE EUMINATON SYSTEM lNPDE$) <br />DISCHARGE MONITORING REPORT lOMRI <br />11-161 I7-19I <br />r T^ar.nr rnR s <br />PERMIT NUMBER DISCHMGE NUMBER <br />~~ MONITORINGiPERIOD <br />YEAR MO DAY : ' 3 iYE'AR MO DAY <br />FROM ;a g Cl Pl".: To t°9 U C 3 . ] <br />"l1Q711 /77-731 17I-151 '' fI6171 !IB-19I !36371 <br />Form Approved. <br />OMB Nor, 2040-0004 <br />4E5T F]T SED PONOAppiovet a"xpiibs os-37P08 <br />(SU66 II W) 12345 <br />F - FINAL <br />lIINCF <br />^'` NC DISCHARuE 4~- C;+tk <br />T NOTE: Read Inetruetione befor a plating this form. <br />PARAMETER l3 G.d Only QUANTITY OR;LrOADIN G~ ~l4~G.~~Ontyl QUANTITY OR CONCENTRATION NO• FnEDUENCY SAMPLE <br /> 146-531 15x611 " ~ ~'I38451 ~ M653/ 154-6I1 EX of <br />131-371 <br />AVERAGE MAXIMU~ <br />~NITS ~~ <br />a <br />MINIMUM AVERAGE MAXIMUM UNITS <br />!eZ-s31 MALYBIS <br />I566B) TYPE <br />169-70I <br />JIL AND GkEASF SAMPLE K:Y=,11:.`.;z:} OAq~ty C4UY1~;v' .K^:}K:~ <br />VISUAL MEASUREMENT ,~ <br />_.. <br />y4Gb6 1 0 0 PERMIT : ..:K:~:.:~s>::: ;: <br />~ :•:::~:51:.< <br />~ .. <br />~ ~•"~ : i.~;,# : :.~;F t EELCLY 'ISUAL <br />EFFLUENT GROSS VALUF REQUIREMENT <br />.. .. ~ <br />.;.~:.: ~ ~ ~ <br />~~:~ <br />'.(g ~ .:.:::K Nr_ <br />:: ~~ : <br />~ ~~:.:. <br />.. <br />..;..:.:~. ~ ~~ ~ ~ ~Yr:::>: <br /> SAMPLE <br /> MEASUREMENT <br />' ~ ~ PERMIT ~ ~ ~ -; <br /> REQUIREMENT ~~~ ~~ ~ ~ ~ - ~~ <br /> h j <br /> SAMPLE <br />~, <br /> MEASUREMENT <br />~ <br />'~ <br /> PERMIT ..... .. :.. ~,. .: ...: . <br /> REQUIREMENT ~ ~ ... ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~.~ ~~.~:.~,:j .w= ;:::.: ~ .: .... <br /> .REQUIREMENT ~ ~ :::~r;. ..± :, ~ . <br /> SAMPLE <br /> MEASUREMENT .. _ ~ ' <br /> PERMIT .... ... .. .. .. , <br /> REQUIREMENT ~ ~ <br />- ~ . ~. <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT. ~ <br />~ . <br />.. ::. ..:. <br />.: ,. ~ .. <br />:. .. <br />~ <br />..... <br /> REQI,4REMENT ~ ~ ~ ~ ~ ~ ~ ~ ~~~~~~ ~~ <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF L <br />AM FAMILIM WITH THE INFOR AW THAT I NAVE PEABO <br />MATION SUBMITTED H NALLY EXAMIN <br />EREIN <br />MD BA ED MD <br />RED ON TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOBE INDIVIDUALS IMMEDIATELY RESPON9B LE FOR ~ <br /> OBTAINING THE INfOFIMATION, I BELIEVE THE SUBMITTED INFORMA TION IS ~ <br /> TRUE. ACCUMTE MD COMPLETE. I AM AWME THAT THE <br />SIONIFICMT PENALTIES FOR SUBMITTNG FALSE INFORMATION <br />IN RE ME <br />CLUDING <br />-{ n yl , / ~~~ ,~ , <br />THE P059pILITY OF RNE MD IMPIIIBONMENT. SEE 18 U.S.C. E 1001 MD 37 SIGNATURE OF P111NCIPAL EXECUTIVE Q !' ~?~ ~'!1 n ly.k U 2 d <br /> e ~ rn.. `° ro 110,000 <br />~ <br />w o <br />v <br />n <br />~ ~ ~o <br />~ <br />w~ <br />~ <br />~ <br />i <br />AREA <br />TYPED OR PRINTED .m <br />..N <br />r <br />e <br />w <br />, <br />.Iw <br />l <br />n <br />n <br />yrsl OFFICER OR AUTHORIZED AGENT , <br />CODES NUMBER YEAR MO DAY <br />GVMMCNIS ANU[AYLANAIIVN VH ANT VIVLAIIVNS//fe/B/BOCe a//effeC/ImeR FS /lelB/ -` ~ ' <br />5ETTLEAHL6 SOLIDS LIMIT APPLIES ONLY IF <= 10-YR, 24-HR PRFCIF EYEN4 IS CLAIREC.. IF CLAIM APPAOYED BY <br />Y~jCL', TSS G IRON LI11IT5 :ILL AOT HE iLPPLIEO TU REPCNTED MEASU6E!!ENT°--SEE I.P.11, PG 4 ANtD I.N.1D, FG 6. <br />EPA Form 3320-T 108-961 Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USE0.1 PAGE Of <br />,_~ - t.. P OOOnB,l97,]114-0911 2 <br />