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PERMITTEE NAMEIADORE55 (I+eVL FASWryNa/loe+nw dDls rrq <br />NAME Cc].[.~i1tY"J COAL COrFANY L. P. <br />ADDRESS COLOilYO NINE <br />5731 STATE HIGNRpY 13 <br />A£E{F.R CO 81641 <br />FACILITY , r <br />LOCATION <br />A Ph F.SI CANT <br />LUTMT DIBCHMOE ELIMINATION SYSTEM lNPOf$1 Form Approved. <br />1ARGE MONITORING REPORT lOMRI OMB No, 2040-Q004 <br />7-151 117-191 N 6 H E H C l' S E S E D I TO Approvel'eifpires 05=3198 <br />r•T r (SUP.R 14) 12345 <br />IT NUMBER DIS,CHMGE NUMBER F ~ F I ? A L -~ <br />.,, ,, rINCR <br />MON ITCIRIfJG': PERIOD <br />MO DAK'~:~)-NEAR MO DAY __ <br />Dl O1:~,~?9~T,~G} 9B C3 31 ~•~:~~ Nc DISCHAFC£ I I ;kri°~° <br />l17-731 l7b751i !76771 !18.791 !303!1 NOTE: Reed Inetruetioru before-EOlnplatinp thle form. <br />PARAMETER !3 Grd On1yl QUANTITY OR LOADIN !1 Grd On1Y1 QUANTITY OR CONCENTRATION ND, FREQUENCY SAMPLE <br /> !46531 I5451T" ~ I3B-/51 N653 !54611 EX <br /> <br />l37-371 <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />c.~~UNI iS <br /> <br />MINIMUM <br /> <br />AVERAGE <br /> <br />MAXIMUM <br /> <br />UNITS <br /> <br />fs7"691 µQYAS <br /> <br />I5a-fi81 TYPE <br /> <br />169-701 <br />)3L ANU GkEASE SAMPLE ~•I;_¢84;F <br />( ~ 8C;30a4 i'438 #`s: tl~/.'.:~rY 1 <br />/' <br />VI: <br />uAJ <br />YL:;UAL <br />MEASUREMENT <br />Q <br />O <br />J <br />• <br />d4uo6 1 0 U PERMIT:.. . yr.:y-also; ); _ <br />:::•: X ES=1 >k?j'.. `::; : .w,bAlt~>? ri::>rksr. .. <br />:;-.': -L'KL 'ISUnL <br />EFFLUENT GkOSS VALUE REQUIREMENT <br />.. .. ~. ~ :. ...:.~ <br />~.: . ,~..:...:..:~~ . <br />~ .:.. ~~::..::....: <br />~..: ~G.r;>:x' ~. .. rr.A :~ .::a,:~S: <br />~...:...:~:~~:;:~s:~~.~~: . <br />.:. .. fi;..r.t: <br /> SAMPLE -.,- <br /> MEASUREMENT - " <br />t'• <br /> PERMIT ~ ~ ~ .~: ~.. ~.:.: ,~ <br />~ >::~:: ~,.: _,~.: ~~. .:: :::. ... <br /> REQUIREMENT .. ~ ~ ~ ~~ ~~'~ ~~~~~ ,~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "~"~T`~%:~" ~ <br />~ <br />~ <br /> . <br />~REOUIREMENT .. :: ;`~.. t:;s`. ~~'~: "r:.. ~ ~ ~ <br /> SAMPLE ' <br /> MEASUREMENT <br /> PERMIT ~ ~ .. .. .,.:.:.. ... <br /> REQUIREMENT a., <br />:. . <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ PERMIT ~ <br />~ ~ ~ ~~ <br /> REQUIREMENT ~ ~ .::.::Yy<::.::~ ::r~.:~:,.' .. ~~ ~ . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT. <br /> ~PEQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~REQI;IREMENT <br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER I cERn <br />AM FA Fr UNDER PENALTr GF uw THAT I HAVE PERSO <br />MILIM WITH THE INFORMATION SUBMITTED H MUI.v ExAMI <br />EREIN <br />MD B NEO MD <br />ARED ON ~~ TELEPHONE DATE <br /> ; <br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR .' <br /> <br />OBTNNING THE INFORMATION, I eEUEVE THE SUBMITTED INFORMATION IS ~~ <br /> <br />. <br />1 TRUE, ACCURATE Mp COMPLETE. I AM AWME THAT THERE ARE <br />SIGNINCMT PENILLTIES F00. SUBMITTING fILLSE INFORMATION <br />INCLUDING <br />7 <br />~ 1 <br />µ11t N\ <br />I 4 . <br />THE P059BILITY OF RNE MD IMPRISONMENT. SEE to LLS.L. 1 1001 `MDJ03 <br />T <br />E ! ~O L~ J ~ II~DD SAGS fI Z ~ <br /> u.s.c. f tale. n3A.fd.+l+lw~ fMr mNr+m+r AxAd+ w»+ w ro s IG;GDS SIGNATURE OF PRINCIPAL E%ECU <br />N AREA <br />NUMBER <br />YEAR MO <br />DAV <br />TYPED OR PRINTED wwmuinuniwimrwrt of blrrnemonN+rd6rr+.! OFFICER OR Al7THORIZED AOENT CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRe/erencs el/attschments here) <br />SETTLEABLd SOLIDS LIMIT APPLZZS ONLY IF C= 1Q-!R, ~t PRECIF EYEdT ]E CLAIMEC. IF CLAI9 APPROVED E3Y <br />WOOD, 'f SS G IRON LIMITS PILL NOT DE APPLIEp TD REPORTED NEA!URErE1S~--~E£ I.E.lA, PG 4 AND I.B.1D, PG 6. <br />EPA Foirn 3320=1'108-95) ~Previoue editions mey be used.' IREPLACEB EPA FORM T40 WHICH MAY~NOT BE USED.) PAGE OF <br />Q <br />__. .... - y ~~ ~ ~~~~~~ /971114- 1 <br />~..--.: .a...~ ter.-~..<:.'Z..:,za ~~. :.~ ;:.. '. ns :c1 ...:. .~w~. d+ei .._ .... .:'4TSef~:.x~Ri?~:i..'$`.Y~io-. .rs. .-.. ,...~"'n~...~u:..~.._:. __ =i'rd~.rJlvslr ]4Ler.t 'c'"'.~ LU'.. <br />