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PERMITTEE NAME/ADDRESS (1rYL frWryNS(Lwrlw dDUfwwV) = - <br />NAME -FONDSRR3RR COAL CO!lPANY -- __ _ <br />ADDRESS ROADSIDE "INE, N L' 5 PORTALS <br />P.O. tsOX Iu3D <br />PALISADE CO dL.•26 <br />FACUm <br />LOCATION <br />;,i1':V: JUNK A. ?:CNA`r.!, FdESILd:r-: <br />DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM U 'J TO <br />06711 tl7-031 17e-761 !74771 /79-791 !36311 <br />(SOE1R iC) <br />f - FINAL <br />tIIliOR <br />-98 ~- <br />r4~ NO DISCHARGE ~~. pt;: <br />NOTE: Reed Inetruetlone belore eompletina this form. <br />PARAMETER !3 Grd Onlvl QUANTITY OR LOADING !~ Grd Ontyl QUANTITY OR CONCENTRATION ~ NO, FREGUENCr SAMPLE <br /> le6-531 154-ell 139-<51 1s6531 ISe-611 <br />EX OF <br />TYPE <br />l37-371 MALYBIB <br /> AVERAGE MAXIMUM ~ UNITS MINIMUM AVERAGE MAXIMUM UNITS le7-e.Tl F6I-681 !6&701 <br />JIL AND l; }LEASE: SAMPLE .•?0~#0 ( 9u~ #0004+ '-:C#L"#:r 64k`S`r r. f. <br />L S U A L MEASUREMENT <br />-4JU6 1 U U PERMIT 0#OC4o1# <br />: .$I~XY31E.`t ES=1 t'$IFO p1t1 drp 4+QI#~: ~~$#44.:-! y+}0 "~~K ~iX j~UA <br />~~ -o <br />cPE'LUEt:T .,ROS., YALGE REQUIREMENT . <br />~ .: . <br />~~:.~~~~•:;FA~IIs FIO=D ..~':. ::.. ~'~:: ~ ~ :'~ <br />" #### < <br />' <br /> <br />.. ... <br /> <br />.. <br /> SAMPLE ~ ~ - <br /> MEASUREMENT ~ <br />~ - <br /> PERMIT ~... .. .... ........ <br />.::. <br /> <br />~ <br />> <br />-t:. <br />: <br /> REQUIREMENT .. ~~ <br />... ~ ' ~' ~-~ <br />~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ : - ~ ~ ~ ~ . <br />~ '~ <br /> REQUIREMENT -.. ~ . ~ ~ .. -.. <br />.r . <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT ~ - <br /> REQUIREMENT ~ ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERM17: . <br />;: <br /> REQUIREMENT ~ ~ ~~ ~ ~ ~~ . . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT .. ~ ~ - <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT ... ~. <br />~ <br />~ <br /> REQUIREMENT.. ~: ~. :~ .. ~ ~. ~~ ~ <br />. <br />~ <br />NAMERITLE PRINCIPAL El(ECUTNE OFFICER I CERTI <br />J FA FY UNDER PENAIT' OF <br />MILIM WITH THE INFO lAW THAT I HAVE PERSONALLY EXAMINED MD <br />RMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> <br />' ,A /J <br />MY INQUIRY OF THOSE INDINDUK9 IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING TXE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />Fr~~ • <br />61 `~ I M1 AWME THAT THERE ME <br />ACCUMTE MD COMPLETE <br />TRUE ~ - <br />~y. y . <br />. <br />SE INFORMATION <br />INCLUOIMO <br />TT <br />G F `C / / <br /> <br />"~ , <br />SIGNIRCMT PENN.TIES FOR SUBMI <br />IN <br />N. <br />THE POSSIBILITY OF RNF MD IM%USONMENT. SEE to U.B.C. 1 1001 MD 3J <br />~ BIONATURE OF PRINCIPAL EXECUTIVE /O' <br />T.J"4 r. <br />~ <br />(/~ A I <br />G/ O <br /> <br />TYPED OR PRINTED U.S.C. 1 1 JIe. lllrrbY. urw err mlun. nrY iclld~ Arr. W ro t 10,000 <br />w•lea-mvi.xnr b.rdrrlnlnrwarrreemaer rg6Yrral <br />OFFICER OR AUTHORIZED AOEMT AREA <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANAIIVN Vv ANT VIOLA nOna IlfeTerencs sn macnmenrs noel <br />iIiTTLBAtJLE SOLIDS LIH1T APPLIES ONLY IF <l0YR,2UhR PRECIPIiA7I0R saWal IS CLAIMED. PER^IITTEE NAS <br />~UkUEA OF' PROOF' 4NEh HEQUESIIN6 kELIr'F FkOt1 SETTLEABLE SULKS FAI!'ARY LINITATIOliS. <br />EPA Form 3320.1 108.951 Previous sditione mey be used. (REPLACES EPA FORM T30 WNICN MAY NOT BE USED.1 O O S 2 2 / 9 B C 2 ~ 3- 12 S 6 PAGE LOF <br /> <br />