PERMITTEE NAME/ADDRESS (!nclede Facility Name/Loranoe rJDigereml NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />NAME DISCHARGE MONITORING REPORT (DMR
<br />COLO:IYO COAL CC"PP.;tY, L.F. ~. ~/zasl„, m-;sl sITNOk
<br />ADDRESS`0 L04Y0 MINI: ~ rn;<i'dtiiia`i,t na0 a (SUdH NW)
<br />x/31 STATE HIGHIiAY 13 ''%'L.tlP.ERMITpNUMBER DISCHARGE NUMBER t - FIIrAL
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<br />Form Approved.
<br />OMB No. 2040-0004
<br />Approval expires OS-31-98
<br />MOFA^
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<br />FACILITY ~ ~.; '~,•~MONITORING PERIOD
<br />LOCATION YEAR ~v1b DAY - ;:YEAR MO DAY
<br />FROM UO lIJ ~ Ql TO CG ~i~ 31^.•#>} NJ DI SCNnRGti ~ =`x.Y
<br />A'f 1' N : J . U . H A k Y 0 H , .; ° V F D ). I "' ,y !: A r, r F !zo-zo azs31 Iz.-zsl rzs-z7! /zas91 l3oan NOTE: Read Instructions beforecompleting this form.
<br /> (3 Card Onty) QUANTITY OR LOADING ~~ ~y Card Onry) QUANTITY OR CONCENTRATION NO. FgEOUENC SAMPLE
<br />PARAMETER (46-53) (54-67) ' /3H~45) (46-53) (5461) EX .OF TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS MINMUMI AVERAGE MAXIMUM UNITS
<br />f[iz-69l ANALYSIS
<br />(B4-68)
<br />69-70
<br />pH SAMPLE :, . .... f~r,.*fC:C:R #+ktiJ#;: ( j?)
<br /> MEASUREMENT '
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<br />REQUIREMENT `" ~~
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<br />(A 5 F E) MEASUREMENT
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<br />GIL AHD GicEASE SAMPLE t:~^;: ;t:: .~::.:r., :. ;t#'~ #ri##+1 i` ( 19) ..-
<br /> MEASUREMENT .
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<br />EFFLUENT GROSS VALtI: FiEOUIREMENT" F^.. •^ .~~
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<br />YLOa, I:V CONDUIT UR SAMPLE ~ ( ^3) r'+#:}>ti#~ ~~ Ip4fi#C# :ti ;<C:tr _;:k
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY E%AMINED AND
<br />TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HERE IN; AND BASED ON MY
<br />
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INF
<br />ACCURATE AND COM
<br />SIBLE FOR OBTAINING
<br />ORMATION IS TRUE. W /TYW / 1
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<br />IY PLETE 1 AM AWARE THAT TH
<br />PENALTIES FOR SUBMITTING FALSE INFORMATIO ERE ARE SIGNIFICANT
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<br />INCLUDING THE YY
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<br />.
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. 51001 AND 33 U.B.C.
<br />4 1319
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<br />SF.T'fLEAl1LE SOLIDS LI"IT ApPLIt;S O'1LY IF C=1 DT N,2>tHR PRE,_ 1''r~NT IS CLAI.".F^. iF CLAIt. AFpR.QYED [;Y YQCD,
<br />,55 !: I3ON LIMITS RILL NOT HE AppLIRU TO RF,'POR*ED MEAS ltTS~- SEH I. A. 2, Pn. 5 FOR RUADEM OY PROOF
<br />PA~yorm,3320 1 (OB-95) Previous edl6ons may not be used ~ r ~ ~ ~ ~'(REPLACES~yPA FORM ~0 yICH MAY,NOT BE`USED:) " 1 ` ~~ ° ~ ~ ` ~ ~~ ~ r " ~ ~ ~ P.AGE. OF ,;
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