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PERMITTEE NAME/ADDRESS (1rvVM FrWyN~dfonnn UDG+r+~.tl <br />NAME CY? "J~ Y4`.4L VA,LL°Y COAL CORP. <br />ADDri~s~ri~eS 1, 2F 3 SOUTR, e" FCNMAN PR <br />.' , 9100 EAST KINERAL CIRCLE <br />ENGLEVODD <br />CD 90155 <br />FACILITY <br />LOCATION <br />ATTN: !!OA.kIS a, rrgLpY, r;F.NP.RAL AT9Y <br />NATIONAL POLLUTMT OISCHMOE ELIMINATON SYSTEM INPDESI <br />DISCHARGE MONITORING REPORT (OMRI <br />11-161 117-191 <br />CD00271~'I n~'16 1 <br />PERMIT NUMBER DISCNMGENUMBER <br />MONIT RING PERIOD <br />AR MO DAY YEAR MO DAV <br />FROM TOpp - <br />l1421) 171-731 (?475) ..cifrr'/7!x771 178-191 !36311 <br />Farm Approved. <br />,I T ,. F 1 r .~., „• ~ .r ~Of~B1Nov~20L40-0004F t- <br />{SUAR Nµ,( APProvel exl~1~105-31-9R <br />P - FT NAL 1G <br />M, ~!)P <br />NOTE: Rssd Instruedons bal re a plstinp this form. <br />PARAMETER 13 Grd On/YI QUANTITY OR LOADING Only) QUANTITY OR CONCENTRATION NQ, FREQUENCY SAMPLE <br /> (46531 (54-611 ~ (38d5 !46-53 15461/ E% <br />/31-3711 gNALY9s TYPE <br /> AVERAGE MA%IMUM UNI ~ ~ MINIMUM AVERAGE MA%IMUM UNITS 1e=-6,T/ 16466/ (69-lDl <br />N SAMPLE !'=^:;: a;Y a¢ax44# #3-'7'-l ~f': ( 17) <br /> MEASUREMENT <br />0400 1 0 D PERMIT :':rkB-'tS ;tRO~xt# r:t; ,S ;.~ #7t!#tt'F q.C F'RKLr 'RA't <br />EFPLUEN'T GROSS v,4LU= REQUIREMENT q;~g >~L..~~~~ RAXT«f1M Sll <br />SOLIDS, TOTAL SAMPLE :: r. :::;::: ar,.acac ###>?## ( 7 0) <br />> LI S P E V D F. D MEASUREMENT <br />0530 0 0 J PERMIT `.Y.T:aR'k aaaaaEs ;t^..r a@hk .:. pLP~3AT ?'+'pn!?T t R:.f'/ :AAfl <br />iEE COHYENTS R~:L~W REQUIREMENT t:;;e ~ : :~.308A AYf; 17ATL! '"Y R(;/L "IONTR <br />OLIDS, TOTAL SAMPLE ,~~.:~x t<~+tnt:y ;tv##O• ( 1~) <br />~USPENDEU MEASUREMENT <br />OS.tO 1 O D PERMIT aa;Y:°.`-: srxcaK= , '=',S x##t#~ 35 70 [ RCF/ ;RAP <br />:FFLUENT GROSS YALU REQUIREMENT ':ryt 30DA AYr DAILY IRY yG/I. !lONTH <br />SOLIDS, 3ETTLEARLF SAMPLE • ~?~+~~~ :?". "`• .-^L".::t'k ( ~~) <br /> MEASUREMENT <br />)CSwS J 0 U PERMIT ~;-P?rr {raaa:t o ~^~ ~#d171~>r ??POPT t!.5 T .NCE/ ,RAN <br />iEE CD"1"ENTS RF.LOM REQUIREMENT k;L:7 300A AYf, NAILi KY ML/L ltONT9 <br />,OLIDS, .iET2LEARLF. SAMPLE .rk^`: ^~~P~^-:.• *;~#r,_~kr.: ( 25) <br /> MEASUREMENT <br />)U54S 1 0 0 PERMIT '~~aa~;a pr,gt;,-> >< s:=.. x###rtts RFP!1RT REPORT NCF./ .RAR <br />:FFLUEIIT GROSS VALUE; REQUIREMENT a#.`-` 3!IDA A$^ DAILY t!T ML/L I•lONTH <br />L AND GRE $E SAMPLE =Xa~~rA',`- .,,:`:T +;-'Lt{:Y: ;4 !- :,:~z~r~'- ( 1q) <br />REJN EYTR-uRAY VPT.y MEASUREMENT <br />0556 1 D 0 PERMIT OaaYar' e«.aa, a ar.; ac-r#;:a :z~x;~~>r~v ]0 C O'tTIN ;RAR <br />'PFLUENT vRDSS YALU REQUIREMENT #x~;a xNST `!Ax ~}G/'L GENT <br />. , - SAMPLE *- •~44aaa ^YL#;Y':~' ( 19) <br />(AS F E { MEASUREMENT <br />i045 .7 D D PERMIT # 40 ~~ #>ti;t RFPO'1T !?FFOF'" f ACE/ RAH <br />iE° COPlh°NTS HTI.O+' REQUIREMENT ~ aata 30DA AYG 9ATLY *!X MG/L ~ TION1'H <br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY unotR PENALTr of I <br />AM FAMI <br />IM WITH THE INFOI rw THAT I NAVE PERSONALLY EXAMIN <br />IMATION SUBMITTED HEREIN <br />MD BA ED MD <br />SED ON TELEPHONE DATE <br /> ; <br />L <br />MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br />R IC FIa rd MIIIS 000MTE FANDA COMIPLETE IEVE TuA SAWMEETHAT THE EO ME <br />TRUE <br />N <br /> <br />Envl ronmental Manager . <br />A <br />9GNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING <br />THE POSSIBILITY OF flNE MO IMPwSONMENT. SEE 18 U.S.C. 1 1001 MD 73 <br />BI <br />E <br />E f 97D R7D-271 Z <br />1 9 2(1 9S <br /> <br />TYPED OR PRINTED U.S.C.1131e. IRIrWS++I+rw dwar WNh+m+Y ArccA.d+a,.+wlo tlO,pDO <br />+rw emuirlMn irwito++wrt ol[wtwwNrsmmdr+Andsr+rA/ ONATUR <br />OP PIIINCIPAL E% <br />CUTNE <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS lRs/srencs sll etlsehmsnts hers! <br />ALiE9NATE LI!IITS POR TS S, IRDN E SETTLEA9LE SOLIDS (LOG EJF) APPLY ONLY TF <= 1C-YR, 24-RR PRFCLP EYFNT <br />IS CLAMED. SEE I.A.2, PG 1R, FOR 90RDF.N OP PROOF REODIRB"'F.N't'S. OTL ? C.REASF-St?F. FOOTNOtE P/, PG 2. <br />"1aTLT Y C N t { !` C OP ART T CT n^ TA C •1 T TC ^ <br />EPA Form 3320.1 106-961 Previous editions mey be used. ~~ (REPLACE. EPA FOR ~T40 WHICH MAY NOT BE USED.) PAGE OF <br />OD137/nnC't07-!D39 1 <br /> <br />