|
PERMITTEE NAME/ADDRESS pnc(ude Foci(iry Name/Cocarion ijDiperenQ
<br />NAME
<br />CYPRUS YA'PA VALLEY COAL CGrP.
<br />ADDRES~.INES l,~t;3 SC'JTH, b FC'f,I;AN F'k:
<br />y1UU tA~T '!I:IEHi:L CIRCLE
<br />FACwTYEHCLF..OOD ~ 'CO 80155
<br />LOCATION
<br />C T'T9_ NDART^ '1_ ~F^.I FY- CCi1PDAT. AT7;V
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) runt i npyl uveu.
<br />DISCHARGE MONITORING REPORT (DMR~ OMB No. 2040-0QQ4
<br />rzas! Or-91 "!F.JUi: Approval expires tlS31-9H
<br />t", r. ~ " r (SJt1 !i is ~a)
<br />PERMIT NUMBER DISCHARGE'NUMBER p _ PI ii A L -.
<br />MONITORING PERIOD M I !: ~ l, i' C t= U .: '[ G ". 7 D :; L i C ri' ;.
<br />YEAR MO DAY YEAR MO DAY
<br />FROM CO U4 O1 TO (JO v4 JO =`~" `+U LISC!!Ai!r,F ~ ~ :7:`a
<br />- rzazr) !zz-zJ! (z6zsJ rzs-zr( (ze-ze) !soar) NOTE: Reed Instructions befor~CAmpleting this form.
<br /> (3 Cad Ony) QUANTITY OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (sES3 5667) (9845) (a6-53) (sas( EX of TYPE
<br />l32~7) AVERAGE MAXIMUM ~ UNITS MINIMUM AVERAGE MAXIMUM UNRS
<br />rsz~uTl Aru1vSls
<br />(6688)
<br />68-70
<br />'r SAMPLE ~<,e';: C,73 :7n:~-::;: I ~
<br />c
<br />rC ,.;:rr::y'a
<br />(~ '!'~ ( f ~)
<br />~
<br />//
<br />(~~
<br />Vi
<br />i' !
<br />- MEASUREMENT ~
<br />`
<br />i . '
<br />U4UU 1 U U ?~;PERMRs, }Y'Y,~'zt,~i'xt .yF'Xr}nL~At~y J:'r': ~a-
<br />•S;C -''~~#,76"rYr'
<br />'$ .Cj,,,=` - '. W EKI;Y kAc
<br />FFLUF;+T GROSS YG~Ln REQUIREMENT; ~
<br />~~ .; ~+~~ y:,sr ~~. ':::..^.,Y .
<br />~fitFIf9Ul9 .
<br />I' ~~~ ~
<br />l7 AILI~MUb ~U
<br />'OLIDS, STTLEASLE SAMPLE ~':::~:+;' ,7r..;::;:-.r.: :yrt:~::.'.: ( 7,)
<br />~
<br />I'~
<br />iI~
<br /> MEASUREMENT `CIA\, *>(I'~ ~ ):!
<br />U54S 2 U U PERMtJ~~`
<br />~
<br />~ `e r ~ `X F~Y
<br />~
<br />~ 7~X;: ##Y• # ,R" POkT,~
<br />A A~
<br />~
<br />~ 0 7C£/.. i:Ati
<br />L"!; CU"l:1PHTS bL'Lt1o 4~!R~
<br />+T
<br />.~ < ° ,
<br />~ ,s
<br />7:~ ~rf::r: a~" (':. `~30D
<br />RsVG~ .
<br />AfI
<br />L '"M XP :L L ,ON H
<br />'ULiUS, SzTTLEA9LF. SAMPLE `::~':::::a' +~:`#:;:~ Y~:Y,:yY:::r:{, ( ~~,)
<br /> MEASUREMENT ~ /- r- ~ ~ (_ ~ - ~ (' ~ , ~ L-
<br />(15 4 S I U ~ U ~Ml.. . A :7:7 'k~, `~4r t~' ^'V' ~'R.H`P'wQ'R;'~' r : $~ ; ti .x'a, ,~ i 0 C E / R A t'.
<br />'FFLUL'N'f GH055 YALUl: pRE~UIR~ME~fTs r,! ,r, r,. ;• }rvd;.. ". - ~30 ..A'Y ~IL :. I.
<br />)IL E• GRi:ASE SAMPLE ~ u=+~~+:e rxt ~ ..: r,: rA:7# #~::7;~,n n;; ;.:7rtr ( ~ly)
<br />~
<br />~. ~ ~ MEASUREMENT ~ ~
<br />~%
<br />1(1~5h- 1 U~ U ~ ~ PERMI .*~ Yft'~s- ~.,. ...,~.. M ir:::: ,k~#rA r.,
<br />+
<br />"
<br />.' _;k~'~~~~y'~:
<br />'
<br />' .'()`$. ~,.4`
<br />`~ ~'C NSIN RAU
<br />'~FFLU;i'•T :;HOSS~ YALUt ?RE~UIR~MEN~T, ( ~ _; '~ :~;r,; ,~l
<br />a~,zm
<br />,r
<br />r 't' yr -srr
<br />..
<br />' j ii5~2 ."I '%-i 5^•/L
<br />LC`.{, FY~ CUtiDUI'I .Uu SAMPLE ~ ~ ~ '~ ( U3) ;:p p::: ;r.~ ',,:O: r: ~: r: :7 .~;:.. r, 11
<br />"1
<br />HHU T`:rnTM:. IIT PLANE MEASUREMENT ~ ~
<br />rUUSU 1 U U ~'.PERMIT..'~' -~}
<br />''%tQ~;' g~"'rj><~F 4 s ,?' y: ; . Qf?}.'e .L'.kkYl kltYf ~.t Y #,wF ~.~ri t+ ;~ ..••; it ER LY f{STn!
<br />'.F'FLii°"T.HO`.•5 YnL'1° REQUIREMENT' ~,j bAt AiV,i ~LA"~ILY~?S`•Yr... Gr. A +<::r.
<br />i 11, END i'H!':ASE SAMPLE ~ ^..:^r ~ ( 'dq) ::rrt ;::?{: ..~ ': i,i.i r: :::
<br />I :; Il d L MEASUREMENT ~ ~ i
<br />;4Ubb 1 U U ~-!~y~'PERMIT .'.~ 'i
<br />fA .'"~fi~e
<br />y~~' f' ?~o aV 4"~.Y
<br />) "F ,U=1 ~'S t.':k C. .~>"+?'~#'%!9 - ~d„ti lF.fO -^. ~A !%' ir., :.' M EKLY 1~:1n:
<br />?PLUF.i1T` GilUCiS Vn1.UE :REOUIREMENT". v
<br />-
<br />cr ~ ~~ ;-.:'"L, r K
<br />7~IiSR ~~'~~ M1O=Q -^- '..1..G
<br /> SAMPLE
<br /> MEASUREMENT
<br /> .'t?+"ti PERMIT ra .. y '" rsj hy{
<br />~
<br />~
<br />~ ~~sy 3 °' r~
<br />*
<br />~
<br />'
<br />}
<br />~ ~ ~ ,~~^ ,~,'
<br />~ .; ~• ^~.
<br />~ ;.
<br />t4:
<br />,
<br />-
<br /> REQUIREMENTF ~'
<br />'
<br />" ~
<br />:~
<br />>ff
<br />E `I`
<br />` ~
<br />~ ~
<br />~ i ~ _-
<br /> „
<br />~r
<br />r
<br />. ~.
<br />,
<br />,
<br />.
<br />"5 .
<br />:
<br />.cY ~ ,
<br />.
<br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />F
<br />MI
<br />IA
<br />WITH THE INFORM LAW THAT I HAVE PERSO
<br />ATON SUBMffTED HERE NALLY EXAMINED AND
<br />IN
<br />AND BASED ON MY TELEPHONE DATE
<br /> A
<br />AM
<br />L
<br />R
<br />INQUIRY OF THOSE INDNIDUAL S IMMEDIATELY RESPON ;
<br />SIBLE FOR OBTAINING '
<br />RICh~T'f~ 1Y11)15 ACCURATE ANDOCOMPLETE~ E AM AWARE THAT TH
<br />F
<br />RMAT ERE AAEOSIGNIFl RCANT
<br />N
<br />IN
<br />LUDING THE
<br />Environmental Illanager PENALTIES FOR SUBMITTIN
<br />POSSIBILnY OF FlNE AND IMPRI
<br />' G FALSE IN
<br />,
<br />O
<br />O
<br />C
<br />SONMENT. SEE IB U.S.C.41001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE 97 -B7O-2712 ~ ,~ `~~
<br />
<br />TYPED OR PRINTED ~ § 1318. (Penslb
<br />es under Neae e
<br />medmum lmpdsmmerrt olSeAvBe mtutes mey Include gnat up ro 510.000 em1 w
<br />nemonW end Syeare.) OFFICER OR AUTHORIZED AGENT
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference e(I attacnmenlS nereJ -
<br />`.:•E'CTL::d!'[.E Si!LI*;[; LI:SIT I~ HAI'Jli (!,iiC 't') ~':LY If' >lU-Y?, 2q-''.ti P:;P.CIP LYLt7'f 75 CLAIMF,C. ;iF. I.A.;,
<br />F'G 1H, F'C!.'. :'GH!iE!: CP F1~:UUF k'.'UIi;~'Lr•,;T;. UIL F; GFr;S-SEi: FOOTf)G'if F/, °~ ~. :.HTPLY^•A".FL.ISS €
<br />EP Form 3320.1 (08-95) ~Prewous etlitions may not be used. ~ (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) PAGE OF
<br />
|