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PERMITIEE NAME/ADDRESS (/Mrb FrmryNw/(snrm yDrs...p <br />NAME POMDEkHORk COAL COHPANY <br />ADDRESSROAG~ID:i `~I::E, Nr- , 6JnTALS <br />P.O. ~'-R 1430 <br />PAUSAL;: CU d152b <br />FACILITY <br />LOCATION <br />r11'i`: JUHn A.. ...NAH. v.,~~:;n-n~r <br />NAiIONK-R9 s uwa ArBaES/.--. _ t---...- ~ -- ~ - -=-,~wrw~APProved. .. <br />- ~DISCHA~ONFT~6 NiQflEP BMRh- - _ -- _ -.-. -. - - - ~- - - --- O 0004 - <br />_ Iz- sl 117-ISl POND 2 Ta COLORAD u <br />4 ~ (SOBR WC) et ju,os-at-se <br />PERMIT NUMBER DISCHMGE NUMBER F- F I A A L 1 <br />MONITORING PERIOD ^I T N C N <br />YEAR MO DAY YEAR MO DAY <br />FROM 0 1 TO 99 12 31 CYr NO DISC9AHGE ~ ;y~;~r <br />va7n vaasl n4-asl van raR-a91 r3a3n NOTE: Rud Inetructlone before c Mtinq thin lorm. <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING /I Grd Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br /> l4f~531 I54-611 138-451 146631 I5/'Bll EX µ TV PE <br />131-371 µ <br />yyyS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lsa-ss~ !so-eg1 IBy701 <br />:/Il: AND GHEA3E SAMPLE aaor-~: ( 94) sa~~>aa #0o>r4# #a;~#i=Y <br />y I S U A L MEASUREMENT <br />H4Ubti 1 (~ 0 PERMIT ;, #L/iLDi+(F gLPPS>ltT ES=1 GtIG01 R+p .'ti4 OIG 3>Zt SrzX R4rq:t #v3 <br />-E$@LY <br />ISUAL <br />F:FFLU6NT GNO$$ YALU HE.QUIREMENT ,' = D <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT :. ~,:': ~:'". ~.~;..>..~.:. ~ ~~~~ ~:. .. <br />: <br /> REQUIREMENY! :: "t. .... ... . <br /> SAMPLE <br /> MEASUREMENT <br />/~ PERMIT. <br /> REQUIREMENT <br /> SAMPLE <br />. ~ MEASUREMENT <br /> ::. PE..R.tdrt :. .. . <br />~ <br />. <br /> REIlU1REMENT ~ :::: .r.. <br />. ..:..~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT.::.: ,: <br /> REQUIREMENTp ~ ~:~ ~ ~, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF UW TNAT I HAVE PEfl50NMLY EXAMINED AND <br />MILIAR WITH THE INFORMATION SUBMITTED HEREIN; MID BASED ON TELEPHONE DATE <br /> <br />~i~/L <br />J ,~ MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION 19 <br />- <br /> <br />C V <br />AC TRUE, ACCUMTE AND COMPLETE. I AM AWARE THAT TNERE ARE <br />SIGNIHCANT PENMTIES FOR SUBMITTING FMSE INfOflMATION, INCLUDING <br />Q L /~ <br />- <br />0~ <br />Z~} <br /> <br />~Q <br /> <br />0` <br /> <br />03 <br />~, THE POSSIBILITY OF FNE AND IMPfl190NMENT. SEE to U.S.C. 1 1001 AND ]] BIONATURE OF PRINdPAL EXECUTNE Z <br />r <br />/ <br /> U.9.C. 1 1 ]Ie. /ArrY.a uW tMr mnma rnFy NrAdF Fnr/ rq ro S IO,ODD AREA <br />TYPED OR PRINTED rNnr~irwnirw+iro+nrrn bfetwrn Fmmtlra rg6yeral OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANAIIVN Vh ANT VIULA I IVNJ !/ie/BEBIICB e/1 eNBCA/IIBnIS Aere/ <br />y£TTLEAHLE SOLIL`5 LI11IS APPLIES ONLY ZF <=10Yr.~24HH PRECIPITATION EYENT IS CLAIlEC. F3NMITTEE dA5 <br />bUHDEN OF' PkOOF WHEN kE1UESTING ktLIEF FROM, SETTLrABLE SOLIDS PFICANY LItSITATIONS. <br />EPA Form 3320.1 108-ssl Previous editions may be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.1 0050 2/98 C 22 3-1256 PAGE z OF <br /> <br />