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PERMITTEE NAMElADDRESS fo-.:Lda EaoLry NsmelLw.ason R ol9elena <br />NAME <br />ADDRESS CYPRUS YAMPA VALLEY COAL CORP. <br />MINES 1,2&3 SOUTH, & ECKMAN PK <br />9100 EAST MINERAL CIRCLE <br />FACILITY ENGLEWOOD CO 80155 <br />LOCATION <br />N 4TII]NAL ROLLOTA,VT ^ISCHARGE ELIL9NATION SYSTEIJ INnoESi <br />DISCHARGE MONITORING REPORT (DA7R) <br />(7~i61 jll~la7 <br />000027159 003A <br />PERA4IT NUMBER pI5L4AF ~-NUtIEER <br />A40NITORING PERIOD <br />YEAR MO DAY YEAR A40 DAY <br />FROM 00 10 OI TO 00 10 31 <br />(20-211(22-231(24-251 (2fi-271128-291(30-311 <br />MAJOR <br />(SUBR NW) <br />F - FINAL <br />MINE 1, POND B T <br />heck here it No Discharge <br />Form Approved. <br />Oh18 No. 2040-000d <br />Approval expires OS-31-98 <br />ROUTT <br />> FOIDEL CREEK <br />PJOTE' Read Instructions before completing Ihis lorm <br />PARAMETER (3 Cab ONy) QUANTITY OR LOADING (4 Card Only) QUALITY OR CONCENTRATION NO ~RLIX1ENrY ~ <br /> <br />7 <br />3 <br />46-53 f5461 <br />38.45 46.53 ~'6t <br />PX <br />~ Af'PLE <br />YP <br />) <br />( <br />2-3 AN <br />YSIS [ <br />T <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS IG3-6]'. (64-681 169.701 <br />IRON, TOTAL SAMPLE *'**** ****** ****** ( 19) <br /> <br />(pc FE) <br />MEASUREMENT <br />~A <br />^1/~ <br />~ .\ <br />IvA <br />~a <br />01095 1 0 0 PERMIT ****** ****** **** ****** REPORT REPORT ONCE/ GRAB <br />SEE COMMENTS BELOW REQUIREMENT +**+ 30DA AVG DAILY MX MG/L MONTH <br />ZRON, TOTAL SAMPLE '++*** ****** ****** ( 19) <br /> <br />(AS FE) <br />MEASUREMENT _ <br />~ 115 <br />U L (S <br />~ <br />(~31 ( <br />~ilb <br />01095 1 0 0 PERMIT ****** ****** **** ****** 3.5 7.0 ONCE/ GRAB <br />EFFLUENT GROSS VALUE REQUIREMENT +*+* 30DA AVG DAILY MX MG/L MONTH <br />FLOW, IN CONDUIT OR SAMPLE ( 03) ****** ****'* ****** <br />~ <br />THRU TREATMENT PLANT MEASUREMENT ~,~~~~ p ~S~ p ~~7 (AI~iT~NI <br />50050 1 0 0 <br />PERMIT <br />REPORT <br />REPORT *###i* ##+### ####*# ##A+ <br />WEEKL <br />INSTAN <br />EFFLUENT GROSS VALUE REQUIREMENT 30DA AVG DAILY MX MGD **** <br />OIL AND GREASE SAMPLE ****#* ( 94) ****** ****** ****** <br />) <br />VISUAL MEASUREMENT ~ O ~1 VISU <br />89066 1 0 0 PERMIT ****** 0 YES=1 ****** ****** ****** **** WEEKL VISUAL <br />EFFLUENT GROSS VALUE REOUIREAIENT INST MAX N0=0 **** <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERh11T <br /> REQUIREMENT <br /> SAMPLE <br /> h1EASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME+TITLE PRINCIPAL EXECUTIVE OFFICER IC6(IFYUUVralvJarvor Lnw nur nla uocLnrzar MmuL AITAUIUUrrsvrtni PIJJPMm TELEPHONE DATE <br /> <br />RICHARD MILLS LvlRrq 1R+Rlgrcl leN aR suRewamlJ gJnu•]gnu+c[ mnln svslru oeslGNr.n Tn ASSL.Ic <br />uur vuv.lnco nERSOrom r•RLw[nLrwmEr+ANO wuLHinuc wrarwnrlcNSLaum[o <br />OISLO ON MT WOIPPY Or 1110 CCg3UN :q pCRSQYS WIIO IMNAGI' rltt SYSr CM1I, ON 11109E- <br />' <br /> <br />' <br /> Cfg5W501RCr1LY gCSPONb~ICMq.n1JICRING nIE INr. RLAM VJN, rI1C 41TOFM1LATIOH g~0 B7Q-2 <br />712 <br />ENVIRONMENTAL MANAGER suoNNrrinls ioinE nESrRnAr lwovnmcugn ou lrr rqur.ucugAr[nun ccnlrt[lc <br />AV <br />ngE TII <br />i iI <br />GRE Aqf <br />I <br />N/drICF r09 $ <br />IMII n ING PA <br />r <br />tllAr4]N n ~ ~G <br />~ <br /> I <br />I AIA <br />A <br />1 <br />S <br />GNRICANI Cp <br />U <br />LE IN <br />O1 <br />p[YIJOING I IIC COSSIOILfIY Of ! OIC M911/GRISJNIACNf 110.1M l1YPiG VIOL1110N5. SLL 1! <br /> <br />SIGNATURE Of PRINCIPAL EXECUTIVE <br />! <br />y ,~ 7 <br /> use 9~aol nrvnvusc.4uw. Imm~mr+~..r~n..~eam~, m.y ~n,.ernwmnn out „n AREA <br />TYPED OR PRINTED •~ +• +v„~rt wl.a.,..+.e„~.L,.,dsy~,.+l OFHCER OR AUTHDRIZ[D AGENT , NUh18ER YEAR A-00 DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all altatllmenis here) <br />ALTERNATE LIMITS FOR TSS, IRON & SETTLEABLE SOLIDS (LOC `0') APPLY ONLY IF <= 10-YR, 29-HR PRECIP EVENT <br />CLAIMED. SEE I.A. 2, PG 1H, FOR BURDEN OF PROOF REQUIREMENTS. OIL & GREASE-SEE FOOTNOTE F/, PG 2. <br />QRTRLY SAMPLING & REPORTING INSTRUCTIONS-FOOTNOTE D/. <br />EPA Form 3320.1 (10-961 (REPLACES EPA FORP.4 Tao WHICH PRAY NOT RE USED.) PAGE Z OF .~ <br />