Laserfiche WebLink
NAB POYDERFIORN COAL COtlPAMI <br />ADDRESS ROADS IDE MIxE, N :, 3 AORTA LS <br />P.O, I?CX 1430 <br />PALISADE CO 81526 <br />FACILITY <br />LOCATION <br />ATTN: JUHtI A. nCNAb. PnESILENT <br />~ PERMIT NUMBER ~ ~ DISCHMOE NUMBER ~ <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM 99 1D O1 TO 99 12 31 <br />lJOJII !JJ-J31 lJLJ51 /J6J)1 !JR-JOI /.Man <br />POOII 6 TO COALI CA~ING.2oao-oooa - <br />SUBA fiC P rove! expire O$-31-98 <br />( ) 1234 <br />F - FINAL <br />"tilxoo <br />~~= no Dlsceaxce ~ ~ $A*.~ <br />NOTE: Reed Inetructioro before co oletina thu lorm. <br />PARAMETER !3 GrO Onlyl QUANTTY OR LOADING /0 Grd Onlyl QUANTITY OR CONCENTRATION <br />NO' FREOUENOY <br />SAMPLE <br />I3J-371 4653 (50-6I/ 13Bd51 !46531 150-61 GF <br /> EX ALrsTS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !eJ-s.Tl M <br />(5L6B1 169-701 <br />ALL AND GdEASE SAMPLE #v`91C.G ( 94) >r#vfi#fi fiSO~14~k aaYy><4 <br />VISUAL MEASUREMENT <br />4066 1 U O PERMIT ~ spFkrj~$.pgr ~ R$POR? ES=1 ~41o<#tt## #?~#iTS'¢ +Y#~PfilOttt f•#i ~ : ~EBLL! ISUAL <br />F:F'FLUENT GROSS VALU :REQUIREMENT - . <br /> ###71 <br /> SAMPLE <br /> MEASUREMENT <br /> ~~: ~ PERMIT .> ~ ~ ~ ~ ~ - ... <br />~ ~. <br /> .REQUIREMENT ~ - - ~ ~ ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ REQUIREMENT <br />' SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT ' <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> :REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I cERn <br />AM FA FV uNOER PENALTY of uw THAT I HAVE PERSONN.LY E%AMINEO MD <br />MILIM WITH THE INFORMATION SUBMITT TELEPHONE DATE <br /> <br />!1 ED HEREIN; MD BASED ON <br />MY INQUIRY OF THOSE INDIVIDUALS IM <br />_ <br />J• r ' , /' <br />G V G "' MEDIATELY RESPON4BLE FOR <br />OBTNNING THE INF011MATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />1~ <br /> <br />1~ / r l~ TRUE. ACCUMTE MD COMRETE. I AM AWME THAT THERE ME <br />SIGNIFICMT PENN,TIES FOR SUBMITTING FILLSE INFORMATION <br />INCLUDING ~/ ~v_ r~ <br />(/ <br /> <br />.!/{{~ r.K/ , <br />THE POBSIBILITY OF RNE MD IMPIUSONMENT, sEE 1B U.s.C. E 1001 MD ]] , <br />~/~ <br />z`/.J -`EF D~ <br />QQ <br />a~ <br />Q3 <br /> <br />TYPED OR PRINTED U.s.c. E tJts. IP,1rltl,r ~tlrr dl,~ moms m,y AxAA, An„ ye ro J10,000 <br />.Je ormu,nun irprbavlwre a/Mtw.Nr6monMarM6yra! BIONATURE OF PRINCIPAL EXECUTNE <br />OFFICER OR AUTHORIZED AGENT <br />C <br />DE <br />NUMBER <br />YEAq <br />MO <br />DAY <br /> O <br />:ie'TTLEABLN SOLIDS LIhIT APPLIES ONLY IF G=l0YR,24HR PRF:CIPITATICN EVP.NT IS CLAMED. PERMITTEE HAS <br />tlURUEH OF PROOF WHEN REQUESTING RELIEF FROM SETTLEAULE SOLIDS PRIMARY LINITATIOhS. <br />EPA Form 3320.1 108-95) Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAV NOT BE USED.1 0 D 64 2 / 9 R C 2 2 3-125 b PAGE 2 OF <br />+I <br />