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PERMITTEE NAME/ADDRESS Qnclude FocJm NamrlLOCanon /Different) <br />NAME CI~f 0aY0 COAL CO!'PP.uY, L.F. <br />ADDRESSCOLDY YO tlINE <br />571 STATF. R7GHMAY 13 <br />FAClunr~t:a>rs r_r, eleul <br />LOCATION <br />,i'f IN: .1. D. :1A"C04• t: Et. F'itAi. NA9A1: }'I' <br />NATIONAL POLLI <br />DISCN <br />rz <br />;~,I"rnnnu~ <br />PERMIT <br />~~YEAR al <br />FROM ~~~Q 0 '?j <br />(zo-zr) <br />,tINATION SYSTEM (NPDES) Form Approved. <br />REPORT (DMflI <br />z OMB No. 2040-0004 <br />~ e) <br />(1 M I t~ O F Approval expires OS-31-98 <br />nn~ a (SU9R k~i) <br />DIS~ENUMRER <br />.. ~ _ FI bAL "~ NUPk1" <br />~:.: <br />PERIOD "IIrIHG PIT ~0 P.ROSEPCT POFD <br />YEAR MO DAY <br />00 12 31 <br />### NO 'z :.~~. _ I <br />p~~i(ARGE (~j <br />~'#~' <br />rzs3r) (zs~zs) (3031) NOTE:. Rea~"-structio . <br />ns before co plating this form. <br /> (3 Card Ony) QUANTITY OR LOADING ~('4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (as-53) ~ (sa-s t) (36-45) (46-53) (5461) EX OF TYPE <br />(3237) AVERAGE MAXIMUM UNITT~ MINIMUM AVERAGE MAXIMUM UNITS <br />tbz631 ANALYSIS <br />(64~ss1 <br />(69-70) <br />~'vLID`., TOTAL SAMPLE %;"~b7'% ?,s4yr,+R.La #~.'~rsilrt ( 39) <br />i u SF k N I: ~ D MEASUREMENT ..?eC <br /> <br />J ll53t) 1 L1 li <br />--PERMIT <br />.,r <br />ye#n <br />-` <br />'~t~ z~~~ <br />`-ww <br />«';` - _ <br />a .' <br />'ti-.. <br />w= -. <br />n~ <br />~.,.: <br />~~ <br />F F F~ L U E't T .~ H ~J ;i : Y 9 L U F REQUIREMENT ~ N °-, Y <br />' rJS/' 4>x -. Kai !'IG'~ ~F'- " <br /> =5-_ ,l .. <br />,- ,s . . <br />IifQ\ SAMPLE :y r,~.^.nt'x n;rt:;-+r: +~140~ ( +9j <br />T J'f A L ? F. CG 4 P. t? A ~a L :: MEASUREMENT <br />UUyt1U 1 U U PERMIT ##~I~,r ~~ ?~ <br />n ~, - L#~ ".P~,+• <br /> <br />~ -: ~ ."~cY ~i._: <br /> <br />~ <br />'i'F'L'JEt12 GL!0`i$ YALUE REQUIREMENT • <br />T ~ <br />. <br />p:~t . s77Rt¢ ~'~ ;' <br />~ ~} pl (;~L q <br />, <br />~ <br /> _ , <br />~ <br />~ „ _ , <br />FLOiI, Il: l'UNDUIT :74 SAMPLE ( O a) C#ag>a~. #as#44n ft%1#rtf'(r <br />TNRU THt:AT9HpT PLA NI MEASUREMENT <br />, <br /> ~~u PERMIT '` ."-•:'~~ 'ttr' <br />~~ _.:"i"~~-. ~ x, <br />'~'`~"'si' se.; <br />~ #fi•* - <br />FFF'LUf:YT GHD55 VALUF REQUIREMENT 39~ <br />~L° <br />~t ![ <br />} <br />~ <br />1CLT. rr j? <br />` ~} - ry <br />Y` <br />1' 0¢ <br />/; ?~° <br />'s" <br /> , JI q <br />„ <br />. <br />,T D ~ <br />. r} <br />a t , <br />. <br /> SAMPLE ~ - ~:==~~' <br /> MEASUREMENT _ =. <br /> 'r,."PERMIT - ' x: ; +' 'I <br />~ ';u",~.x °'; <br />~ s ~',~ y~t9 <br /> RE~I•)IREMENT " ' ' n <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> 4 PERMIT x ` ~ ,~ wr'~ L' •v.T = ., . ;• .~ <br />~ <br /> REQUIREMENT - " ~ <br />~ s" ; <br />~ ~ ~ ' <br /> ( <br />,. ... _ „ <br />: AI. <br />. <br /> SAMPLE ~ " <br /> MEASUREMENT <br /> I PERMIT .. t{''Ixl, _, <br />~ <br />~ .- r, sx^' +>~ r~T ~P,:r`.. <br />:. ~}p'-~"+~~i <~j; P ~ <br />- "'"~r t.~ <br /> @REOUIREMENT~ " , <br />v ' <br />~ -~' <br />a <br />~ 5~.~4 ,._f~ <br />: <br />` <br /> _ <br />,~ rt.,: t <br />,x <br />.3 F t <br />n <br />A+ .~ <br />- <br />ks~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT "~) '~ .~ <br />~ k+ ~,I 'E "-S "e; <br />has i i ,:«~ i, - !_. rr,~~-%r ;T <br />~ <br />r <br /> REQUIREMENT 2~% a <br />~.U y : -~ > ix . i`: ~ .a i-~;~" <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND // ~, TELEPHONE ' DATE <br /> AM FgMILIAR WITH THE INFORM ATION SUBMITTED HEREIN: AND BASED ON MY l <br />' . <br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING ' <br />] <br />( <br />1 <br />j <br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE. ~"~ <br />/ <br />/ <br /> <br />• ACCURATE AND COMPLETE. <br />PEN <br />BMnT <br />N I AM AWARE THAT THERE ARE SIGNIFICANT <br />FA <br />D <br />G F /J " <br /> <br />'r ~,~ •s,Y I ~ ` ALTIES FOR SU <br />I <br />POSSIBILITY OF FINE AND IMPR LSE INFORMATION, INCLU <br />IN <br />G <br />THE <br />ISONMENT. SEE 18 U S C 4 1001 AND 33 U,S.C. <br />SIGNATURE OF PRINCIPAL EXECUTIVE 77~~^ <br />"T /A ~ 11 <br />71 ~ H~ I ~~{ <br />( <br />n 1 <br />~ (O <br /> <br />TYPED OR PRINTED 4 13t 9. (Penalties untler Mese sratmes may inclutle lines up ro (10,000 antl or <br />maximum lmpnsonmerRal beMeenempntht entl syears.) ,pF'FICER OR AUTHORIZED AGENT AREA <br />COp ' <br />NUMBER,'' <br />YEAR <br />MO <br />DAY <br />COAQMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />;:O`ILTONING RCQUIREMBMTS :;LF. L.c.1.8, P~:. 5. 9UFDEN Of <br />EPA Form 3320.1,(08.95) Previous editions may not be used. .(REPLACES <br />•.~. 'mac...: ~>" .. '• ~ ~ a _ - _ ' <br />~$QOIREyt;NTS - 5F. I.A.3, B.¢i`.'~: <br />00967/000403 1003..' <br />