HYDRO25659 - Laserfiche WebLink

Home Browse Search

PERMITTEE NAME/ADDRESS (L.iim !.awry Na/Locanm dOrO .0 NAME C@kJw'Yh COAL CCCFn..Y L.F. ADDRESSCOLOwYO MINE 5731 STATE HIGHN-Y 13 ~lEE1Ll:R. co e1641 FACILITY ° LOCATION ~ ,3'' ao,aa. D__ -- - co ce7noLRre NATIOMN POLLUTANT DISCHMOE ELIMI~ srsTEM INPDfSI DISCHARGE MONITORING REPORT fDMR) 11-161 17-I9I rnr.RS rT -F rtr e PERMIT NUMBER DISCHMGE NUMBER .. MONITORING PERIOD YEAR MO DA'il'L' ~. F YEAR MO DAV FROM 9~,~'~ ~XX;T~Q fj~ C3 ~] !14211 'lI1~731: y%-°16116 ~: ~ :!1617/ l18-191 134311 Form Approved!' I E. YAYIOR POND TOOMe rol2o~ao~Qo0~4~~ Approve/ ezplrss 05-31-98 ~suEA -N~ 12345 P - tI~AL MIACA aoa NO t`TSCHA!iGE !_-~ txc~>} NOTE: Reed Inetruetione befor T:dmpletinp this form. !3 Grd On/q QUANTITY OR LOADING ~ ~0 fird OnIYl4 'QUANTITY OR CONCENTRATION pJO. FflEOUENCY SAMPLE PARAMETER !46531 154-611 ~ 138J51.f" !4653 l5bell EX OF TYPE l32-371 •• MALrss AVERAGE ~~'MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e]-sm l84-881 leg-701 1IL AND GitEASE SAMPLE L•'Jff36~ ~ ( 94) LtfAMd4 >OLOAtbff L•t~f#fi:• I / ~'' < ~ YiSUAL MEASUREMENT d ~ ~ O 7 ~ ~ 94066 1 0 0 PERMIT. .~ ~ ;~...:... ., ..-A:;: ~..:. ~.:°Sc"~.. ..: (:':' ~ ~ ~' ~ Byml .. .,:..: 4M7;i~~:.: :«". ::....~,~aC+R:A~.. rAr4:a.•^. , pit: EEKLY `ISUAL ~ EFFLUENT bRUS~ YALUF REQUIREMENT. .. . . .;'°~ ::"; : ~a:: ~,. r`PcQ ... .. ~ ~:..;~';t,.sz:.'. .. . . ~.. ..~:. ..:~.~~.~. ...;. : ~ ~O~« SAMPLE d _ MEASUREMENT .PERMIT :~.~ ~ ~. ~ . . ~ ~ . . : ~ ~ ~ r ;::... .,. ........ .... .. :;: ~ ~ .. REQUIREMENT ..... .. .. .. : . . . : ss.» ~ ' ' : .. .:. .,. ~~ad SAMPLE "-`Ti MEASUREMENT ~~'~ ~`~Y ~ .. ~. PERMIT ~., ,.. .. ~ ..,. ~ "~~~ ~~ ~ ~~ REQUIREMENT .. ~.. ~.. ~.. ~. ... .~~::. .,.;: ~ ~ .. ~ SAMPLE , MEASUREMENT PERMIT . : ~ :..::; :. '':ir ; ~ i. ~:. ~::: .,~... .. w::^ ..... REQUIREMENT ~ ~ .: . .. .: ~, .;:~ .. .. . a ,. , ;, .. SAMPLE " ~ h , MEASUREMENT ~ ~M''I'~,"'f., PERMIT ~ .. ;v;:a . .:.... .:... :::•':.Y.r... .::~. ;.:: ~~ ~ REQUIREMENT ~ .. ~ ~~~yy,:. .:.:.: ~~ ~~ ~~.. SAMPLE ~ ~t MEASUREMENT . . PERMIT. ... .. .. . .. .... .. :. .. ~ REQUIREMENT ~ ~ ~ ~ ~ ~ r ~ SAMPLE MEASUREMENT ' .. PERMIT ~' . ~ . ~ ~~ :..~ . .REQI,IIREMENT ~~. ~.:~ ~~~~~ ~~~ ~ ~ ~~ ~ ~ :~..: :~: ~ ' ~ :~~ ..:. ::... .:.u-. :.. : . .. . . NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENKTY OF LAW THAT I HAVE PERSONALLY EXAMI TTEO HERE N MD B NED MD ASED ON TELEPHONE DATE AM FAMILIM WITN THE INFORMATION sUeMI I : MV INQUIRY OF THOSE INDINDUALe IMMEDIATELY RESPON9BLE FOR + OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME SIGNIFICMT PENALTIEe FOR eUBMITTINO FN eE INF011MATION INCLUDING ~ n ~ ~. ~ ,~, , ~ , . THE POSSIBILITY GF RME MD IMPRISONMENT. SEE to U.e.C. E 1001 MD ]] ~ ~7r) n O '1- rl.L O r{ ~ c/ tL . ~ u.s.c. f rate. rP«rww. uwr ewr Ablub. mFr hcpr0. a..F to ro sro,eoo 810NATURE OF PIIINGPAL EXECUTNE AREA TYPED OR PRINTED rwa+mu:.wni.err'snnvnNaw«nema+rers rtleNF.r+I OFFICER OR AUTHORIZED AOENT CODE NUMBER YEAR MO DAV COMMENTS AND EXPLANATION OF ANY VIOLATIONS /RSterence se sttscnments Here! sETTLEAdLF: 5GLIDS LIMIT APPLIES ONLY LF <= 10=Y A, 24=HR Pf.ECI.F FVEA1 l5 CLAI!!ED. IF CLAI47 APPROVED BY Mt~CD, TSS G IRUN LIMITS .ILL NUT aE APPLIED TO REPORTED lIQA~•~8lCN25--SEF I.B..1l, PG 4 AND I.a.1D, PG b. Fwm 3320-1 108-95) Previous editions mey be used. ~.A4.... .. _.._Y ,_~ ..~ FORM T-00 WHICH MAY~NOT BE USED.1 ~ PAGE 20F 000601g~1114-941,1 ~~,7