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ITEIiMITTEE NAME/ADDRESS N.d~d. faelsry Na./Leemlm IJDIpi.mp ~ NAME Ek~rl ;:Y FUELS AINCNi CD!7PANY ADDRESS SOUTcIFIELD yINe COAL LOADOOT 350 LNDIANA $TREEP, SUI'PE 60U GOLilEN CO 80431 FACILITY LOCATIONF LU H G N ~ F. "' -TTn: GEJnCE Y. F} {;;- CO 61226 PATYERSON, :EtJ. y;. R. ~ .,y RATIONAL POLLUTMT DISCNMGE ELIMINATION SYSTEM lNPDESI DISCHARGE MONITORING REPORT (OMR) .I1-f61 17-19 c~GBSOOD6 00~ A PERMIT NUMBER DISCHMGE NUMBER MONITORING PERIOD YEAR MO DAY YEAR MO DAV FROM U 1 U 1 TO U 1 UJ 3 1741 i1 l77-731 !74751 176-771 l79-79/ !343!1 r ~ Form Approved. ~ POND 2 DSCRRG TO o1X113No-2o`ao-~ooa (SUAA SE) APP~ovei e1cpiLL SOS-31-96 P - FI'JAL MINOR 4r,:r,, a0 DLSr_yRRr.E ~~~ '%a~s NOTE: Raed Inetructlaro before completing this corm. PARAMETER !3 Grd Onlyl QUANTITY OR LOADING (4 Grd OnlYl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE 146-531 154611 13Bd51 146-531 !545/1 ~ EX °F ~ l3I-371 LYSIs M TYPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !s7-s31 ~ /64691 !6&]Ol Pfl SAMPLE PPOPRP Paaaaa rrc.c 4P - ( l1~ MEASUREMENT ' v . t D01J00 1 J D ..:..::PERMIT.... . 4C3: P.p0 ~ '. .CrRO+Y,Y.4.P 44P ' a#M ~::::: :: :.: - ~ ~ ~~~~ D ~ ~f EFFLUENT GF.3SS YALJE ifiEC1UIREMENT: ::: .:.' ..: : 44Pp ff L iJ I El lx +::r : ~~°1~~ < ~~ ' ~ , . :. : • :J ,::~::: 31 A =: SU >:~ :~_:;.,:..,.:. . x~,... SDL U5, SETTLEAELE - SAMPLE aPP4P0 - ' aaaca:: ____ _._-_- - II:uIraP;x - --"` -:Pca ,}~ -_ - ~ _- - ( ~ _ ';.- •'~; -__ - MEASUREMENT y -'~ 3DSLL5 1 C) 0 ::~~<PERNIIT::F ::: PIP RfI1,gC~::::. '~:!~Oi1hRCt.AI-..A IRiP '~A::i's~~'~: ."' .. .::.. + :~ ::': ' i~~:' y,~ .:91 R k r~.~ SPFLUENC :PO$$ YAL'JE .REQUIREMENT ,. ?H. :,;F,- ,; ;.:': :. , : ::. .. 444 , ,~ ~ . . : .....A.:.:.. ... .; ;. .. . . . .: ..... :S ... .. AN:/ '.;ntASE SAMPLE aPaaan Paaoaa uaaa~x~i ~iR4 aJr ( lq~ ,. MEASUREMENT 33562 1 U D PERMIT .:: ' :: CZTIE 311t'lp: ,:. .6OdpJr>F :4 44P -kiJ.+4 ~~.. ~i .>>kb0y7!;. ~. :.: L~::!.. ,',-... .::~ ~„ .a:. ~~ r~ ~y~ +tT e '!~ o ~I~ w!Y!~Ff :PPLUEnT '.:ao5$ YALUE rREQU1REMENT: : :..:. :.: ::::. .. :. ..:::: . . ':: Kr 4PP :: ; ~: ~ ~ ~: ~ ~: Y ~ Y: ~ DI~IL / ; , ~L c : . . . ... ..... .. .: .:o : ... : . . . . . . _ : ~ `tG L : ~.: ~. u 2%~r .. .. LUY, 1!J ::DMDDIT Dr1 SAMPLE ~ ( 03) 6i144r: War- 74 t`OCFOGCr - eaau Tee.Arrenr PLANP MEASUREMENT .__ )0050 1 G 0 PERMIT::'.:.'.' ?P:TIONAE.-:':: •REPORT r.~Iaaa~ G141f!4'# s::azE~av : ;,.,~: ..tt.J ,.:~S. P N A i:FPLUehT GRO55 Y!l'JE .REQUIREMENr. .3QDA...Ikltu:.. :DAIL:Y..E17f 1l GC yl:;.-~: .:,::: ~~. ::.' )1L ANJ .: ii EASE SAMPLE 4.7 }Ga0 ( gyp r;r C~GSu : ;IaC I S U A L MEASUREMENT )40b6 1 U U PERMIT:. C:a4.6r i+4 .. .iE F'Paa 1` Y F. S=I ~g.~.w.41~ :.., >z:~SY tr .>:t 91iX:X;xf tr4 .5 '.rRa ' ` ;: A ;~:I U i. 5E'FLUENf 3L•O55 YAL'J° fEQUIREMENT ':':.. -.L1~5T EtA9E: It0~D ';':::;r.:.:::.:..: a4al; 'x; ~~ . SAMPLE .. .. .. . - ,~~ .:- MEASUREMENT ~ ~ - ~ ~ ~ ; `~" - .. .:...:...~ y. .. ::::: ~:d .,,...,:.:~ .. . :.. r ..:.:. :.. -,:: ~-:. ~ : ~ . l : . : - . REQUIREMENT.: .. . ... ....... ....., :.:.. .:, .. :.......::... ,.. ...:. ... .: ... .. .. . , . :J y:.. .. ~. ... .. ...:..., :.. H:.:..': .: .. ... i . ~ .:. ~~: ~.; .~. ...;. :;~:.:. ~.~~ ... .:. .. .: ......:b . N ' " .... .....: r SAMPLE - MEASUREMENT ~. ~..~PERMIT ~:::~.~ .~. .. .: ~. ~ :. . - -- - ~REQU IREMENT ...... ~~: ~..:~:;;`... '"" ~:__:~:-~;_...: ~'" -- ---- _ .__~~__.:: . _ - - - --- - . : :., . . . :.: .. . . ._....: - - - ~ NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF lAW THAT I HAVE PERSONALLY E%AMINED MD AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE ~_~ f 4 (i 1L MY INQVIRY OF TNOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING THE INFORMATION I BELIEVE THE SUBMITTED INFORMATION IS , ' c I~1 ~ ~Gk- l , TRUE. ACCUMTE MD COMPLETE. 1 AM AWME THAT THERE ME SIGNIFICMT PENALTIES FOR S BMITTING F SE I FORMATI . ~~~/:~ lyl1/_fd}-~~ 7} t~~- r ~ Jam. / ~ t U AL N ON, INCLUDING THE POSSIBILITY OF RNE MD IMPRISONMENT SEE to U S ! 1001 MD C _ _ - ~/ ~ ~ ~ J - ! ! ~. I~ j /p om.{ . . . . J] f 1310 U S C IP bY M n m N NM fi S/O OOD gIONATURE OF P111NCIPAL EXECUTNE ~ ~ Z ~ -~ / . . . . rr . u .r wr eans mry r n• ea ro , AREA M ' TYPED OR PRINTED AMSnr..}rx.n}nprlaawlA.r a/blwwFSmondu rqb wrAl OFTICER OR AUTHORIZED AGENT CODE NU BER YEAR IVl O DAV OVMMCnla nnv cnrcnnn non ~r nnr vrv~n:wno lnwvence sn suecnrnsnw Ore/ - .~BE1?Lh'A6LE S3LID5 LItlIf IJAIVED FOR 10-YR, 2Y-RR PA2CIP EIIEt:T SUbJiCT TO PUFDEA !)F ?F.~C" R£;U7AE"fE!2T$ IN .PAk? I.tl.1.D, PG. 6. S?ORNYATER !lA!JA.:F.}fENT PLAN DUE 1-L-9B. EPA Form 3320-1 100-961 Prsvioue editions may be used. _ (REPLACES EPA-FORM TAO WHICH-MAV_NOT BE USED.1 00-33 /47 O O 19 -) l `. 7 PAGE 1 OF