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PERMIFfEE-NAME/ADDRESS peY~. Frm Nw/[ocrlw D r ~ ~' ~~ n U lay,.,/ . _._ ._ --~ NAME PO,NDEAtlOHN COAL CORPANY '"~'^ ADDRESSYOADSIDE ? L9E, t!v r PORTALS P.O. i.OY iu30 PALISADE CU B1'~26 FACUm LOCATION aT'ta: JUh;. A. ^CSAL-, F:if:SIDENi ~ PERMIT NUMBER ~ ~ DISCMMGE NUMBER ~ MONITORING PERIOD YEAR MO DAY YEAR MO DAV FROM Y i1 TO , l141E1 l11-131 111-151 ~ !16171 118-191 130-3J1 _ . ..: -Farm aoa~see iiia 3e~t (SDBR WC) P - FILIAL NINOP. -sa 'S##- NO DISCS ARG E~ ( ~~ #'~~' NOTE: Resd irntruetlorn before eomplstinp this form. PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !~ Grd Onlyl QUANTITY OR CONCENTRATION -Np mEOUENCr SAMPLE !16531 !54611 l38J51 !1653 154811 EX DF l31-37/ YBIS MN TVPE AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs1-sal . lµ881 (69-701 SAMPLE ###C## Or##7## ###fi#%? ( 12) '~~ MEASUREMENT 8 Q ~ r ~ ~0J0U I U 0 ~ ~ PERMIT "~.~ ..~-«"+itlR#Xs# ~~ .:##QI;/(E~T~I ##;: - #7pi td#:## :~ 4~,0 ~ ~ ~"~ .'E SI<L i. ..RS~IT :.FFLUENT VRDSS YALU .ftEnUIREMENT tp##p SOLIDS, TOTAL SAMPLE ###Y-.~ ~t##### 40##E# ~ 19) :::1SPE8DED ~ MEASUREMENT ~5,0 ~S.O ~O ¢~ OS~o D I 0 €%'i :PERMIT ~: ~ a#~ #. #G ..:.##/F~.#.A;:~ •I~ ~~?~~.:~ ~: -C;4:?9'f ~~^`:° ~J::~.: ~ ~ '3 ~~:. :.... ~:.: . :`";:~:~ : : ~ ": YCE~/ ~~$~ 'FFLUSYT GRASS YALO . . REQUIREMENT, .. s ,: i. ,p„p#p . _ , ~'.3flDA;..A~G . . : ... DAT t !!'1 NG L ' ~ N ft `:~.: LRON, OT SAMPLE ~:#### ###### ##r?##C 1g ~ ' (AS ~.~)~- MEASUREMENT Q.~ ~i~S /;D y~ IU4Fj ~ j '" 0 0 PERMIT ~'~###it .. ####?P# ##;! R#;OIR# ~.5 7,:4 .: NC.E% ;LAB `FFLUBNT 1rROSS YALUF :REOUIREMENT ##. 01 3flDA 11lG AS'FX nz nc/L. ;: rL6.N7n ° ~ 1. EAS SAMPLE :::'r#:++`• #O'f0#'3 #####:+ / ~ I9) ~ MEASUREMENT ~ ~~ ~ /V ~ N,~ 3581 1 D U yPERM1T.tl ' "%#`~s91tx# t ##,ar~~# ##a G~s#'## R1SPdAT 1~ QIITIN :RAB TF'LUEYT GROSS YALUE .REduIREnnErJr -.,-.,~ #### 30DY Al.G ,NS'I dlY !IG L 8 K'I LOii, IN CONDUIT OR `SAMPLE ( 03) #####t #~##C# #C:?### PhRU TREAtKENT PLAtE. MEASUREM T Or2 '~-, q a21~ ~ 7'~ OUSO I . Q, O ~ : .PERMIT `=L(LSPS7$T. . :. PART #IRO..#+S# #ir~6T7!'+II# . .:ode ###' :',~## F;EKLY NS?AN cF'FLUl;NT 6$OSS YALU REQUIREMENT ,BOA 71Y~ ~pAt 'Y :!S% NGD ~' #### 1 , T •.--'.SAMPLE ~ ~###,h# +4#~:~## #9#### .. ~ ( 19) i;iSULYED -. MEASUREMENT ~ ~~ S // ~~ ~O 70[YS 2 0, 0 ~C :: PERMIT .. ~-;4#4##~•-_.. ` "Kdl#tlC## .=4R ###:### RF.FOA'1 REEOHY TREY ARAB "FFI,UENT GROSS YA 'REQUIREMENT y ~-. - ~``. #### QRSF. AYC: QRY.F EAX. !IG/L VISUAL MEASUREMENT ~ ~ ~/s. ..4UbU 1 0 G PERMIT: #"~...#T~. ~:.~~REP~Q:'R Y ES=1 B#4### ~ d!'##~71## :~ d:#tC###~ ### ~ £SXLY ISUAL FFLUENT GROSS YALU REnuIREMENr ,; ..ItLS.t .Ulx. Y0=0 #### NAME7TITLE PRINCIPAL EXECUTNE OFFICER I eERn AM FA Fr uNDeR PENALTY of MILIM WITH THE INFO uw TNAr I NAVE PERSONALLr ExAMINED MD RMATION SUBMITTED HEREIN; MD BA$ED ON TELEPHONE ~ DATE s J S ~ ~ MY INQUIRY OF THOSE INDIVIDUN.9 IMMEDIATELY RESPONBIBLE FOR DBTNNIMG THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS ,C, 4 V TRUE, ACCURATE MD COMPLETE. I AM AWME THAT THERE ME TIEB FOR SUBMITTING FALSE INFORMATION SIGNIFICMT PEHN INCLUDING ~1 1~ , . SIBI PII MENT S I F F E MD 90 EE 8 U C E D 33 ~~ A, ~ I l r . B . THE POS L TY O N IM 1 N 1 . . 1001 M BIONATURE OF P111NCIPAL EXECIRNE '~'f7 ~ u.s.c. E t at s. rwww. uIM swFr mruro, Inrr 1nrMY~ rr, ~ ro ! rO,ODO TYPED OR PRINTED nOrmuhwn MAriv.n.NaMrwwns~.m...s6 y.ral OFFICEp OR AUfHOR12ED AOENT CODE NUMBER YEAR MO pqy COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRSfersnes e// sfreohmenrs here/ ~ --- idLS OUTFACE IS NOT ELIGIBLE FOR EYEYPTION:: FkOM TOTAL SUSPENGEC SCLICS (TSS), TOTAL IRON AND/Od ~cT1'LEAbLE SOLIllS LIt!ITA2IOYS - SEE I.A. 2. EPA Form 3320-1 108-%1 Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 0 0 33 4 / 9 B C 22 3 -I z 5 6 PAGE LOF