PERMIT'TEE NAME/ADDRESS (AeYdrfrWryNa/Lor.um,/DI)J.n,q
<br />NAME CQL~OMKJ COAL CUIML•AN'L L.r.
<br />ADDRESS CO LUY YO liIYE
<br />5731 STATE RIGNYAY 13
<br />!lEEKcR CO 81641
<br />FACILITY ~.
<br />LOCATION -
<br />PEti:SIDr.NT
<br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM INPDESI
<br />DISCHARGE MONITORING REPORT IOMR)
<br />17-161 /I7-/91
<br />rn/•iS .n r~
<br />,,:,~ERMIT~NUMBER DISCHMGENUMBEA
<br />. ~ =.yrMONITORING PERIOD
<br />YEAR^ ;~Iv1~Ok. 'DAV YEAR MO DAV
<br />FROM g.~~' U1 TD 99 C3 31
<br />I70-I lljl71=731176751 /76771 /IB-791 !363/1
<br />Form ADProved. '
<br />°. TnYLOh POAD TOOMBNo,zHaoiDOO~a~~
<br />Appiovel e1EpHee 05-31-98
<br />(SORB bw) 12345
<br />P - FIttAL '
<br />`!INCR
<br />'-y*~-~D .DxSCHARGE I I --='•`•a
<br />NOTE:-«R~esd metructianr bslors'COmplNinp this lorm.
<br />PARAMETER l3 Grd Onlyl QUANTITY OR LOADING-
<br />~ l1 Grd Onhl QUANTITY OR CONCENTRATION ~ NO• FREQUENCY SAMPLE
<br /> !46531
<br />151-611 '138-451 146531 15661/ ' LY
<br />137-37/ _EX ANA
<br />SIS TYPE
<br />
<br />AVERAGE
<br />.MAXIMUM
<br />UNITS
<br />;MINIMUM ~
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />167.63)
<br />156581 i
<br />159-)Ol
<br />Pin SAMPLE
<br />MEASUREMENT ;F°gp4•r r: r. ;: C:#Y ~' [~'
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<br />EFFLUENT JRO5.5 VALUE REQUIREMENT ~ ~ ~~ Rdb ....
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<br />i0LID5, '1'UTAL SAMPLE aa>r;u:x ::aaa:x;: aasoa>e ' ( 19) '
<br />-US:+EYDEU MEASUREMENT Z
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<br />)0530 1 0 0 ..PERMIT ;r,:;fc:x~ :,,;:S:a## r a3;: 3. 3r3:: 7i1 ( 11CF./' I ;i1XE!
<br />3FFLUENT DROSS YALUH REQUIREMENT C'7 .II ;^' T M :+ .r: v .+ Rc t a o
<br />"OLIDS, :i>rTTLEABLE SAMPLE ,}rna;,4•'.: „,^.Yra-,, ~f'~p~;Epp a111A00L1)
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<br /> MEASUREMENT . LD ~ ~ 1 }.O Caln )~
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<br />:FFLUENT GROSS VALUE REQUIREMENT y;~+. ~; . Y .x r / 'N '1144
<br />)IL ANll GREASE SAMPLE S:L+a:XF# ..,;:aa:~ oa0aaa >rYridil# ( ]g~
<br />7kEi)Y EJ(TR-GRAY nETH MEASUREMENT ^~a
<br />)U556 1 0 0 PERMIT :;;,;E~;:;: s,:;:;<#:x=x ;: *ao# ;: a;<;:#q ~~3Mi~ft IC < ]INISxiII ~RAB
<br />iFFL'JEkT GRUSS VALUE REQUIREMENT a:Y;t
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<br />LNUN, TU'IAL SAMPLE ::aaa#a 0:0':[-+~ OOAOOC ( 19~ n
<br />(AS FE) MEASUREMENT (~ ~(A O ~~ ~ j.3o ~/r~l~
<br />1045 1 0 D PERMIT #:*::;J~;; :?xYY:>XaxY: a aa;: 5=~".it4`.L'f '.«.
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<br />CHi~U TkEATnEXT PLAkT MEASUREMENT Gl,~r/ L7 ~ ~ h T++~ ~A I
<br />005D 1 0 O .PERMIT )PTIONAL 3EP0li.T kPk•Oi60 4k#.9a1. #~..;a:z>~ x ax,a ';.
<br />i ~~KI;Y NS1'AN
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<br />iULIDS, TOTAL SAMPLE ;:aaas,a aama;La n6A>bAOt 0016=1,}L
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY.UNDER PENALTY OF l
<br />AM FAMILIM WITH THE INFO AW THAT 1 HAVE PERSONALLY EXAMINED MD
<br />RMAT ~ ~ TELEPHONE DATE
<br />
<br />
<br />' ION SUBMITTED HEREIN; MO RMED ON
<br />MY INQUIRY OF TNOSE INDIVIDUN.S IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING TXE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
<br />///
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<br /> TRUE. ACCUMTE MD COM0.ETE. I AM AWME THAT TXERE ME
<br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING -{
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<br />- I Il 41 r1, ~ 4w ~ ,
<br />THE POSSIBILITY OF RNE MD IMPNSONMENT. SEE 16 LLS.L. ! 1001 MD JJ
<br />'' 6 Lj ~] V k14 ~ 11.,, n 'IV ~7 ~~
<br /> U.S.C. ! ,JI6. 011rrteLF W,r N,r mem, .,FV icpd, fxw, ,q ro SIO,OW 10MATURE OF PRINCIPAL EXECUTNE RE
<br />
<br />TYPED OR PRINTED
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<br />.n/armuim,n irrp:dw,rN we„w«n smonW rM6rr'a!
<br />.OFFICER OR AUTHORIZED AGENT A
<br />A
<br />CODE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />S AND EXPLANATION OF ANY VIOLATIONS /Reler6nce e// eElechmenfs hale/
<br />SETT'LBAoLE SOLIDS LIMIT APPLIES UNLY IF C= 10=YR, 74-4rZ e~RFCIF F~lINI ]$ CLAIRP.C. IF CLAIR APPROVED BY
<br />r,?CG, TSS 8 IRON lInITS WILL NOT BE APPLIED TO REPGRTED ;IEASUAlFYA73--5lE I.B.lA, PG 4 AAD I.B.1D, Pv 6.
<br />EPA Form 3320.1 (08.95) Previous editions may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) ~ ~ PAGE OF
<br />OGU49f!?;~ 3 1
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