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PERMITTEE NAME/ADDRESS llydid. FrwgNa./Ea.n~ d0yc.w1 <br />NAME 5LficCF. COAL COMPhr+Y <br />ADDRESS D R A ii ~ k D <br />HAYD6N <br />CO 81639 <br />FACILITY <br />LocAnoNHAYDk;N CO e1b30 <br />A13'N: (:. E1UD aRl14N, GEi:c,[AL ,•AAAGL'R <br />NATIONAL POLLUTMT DISLNMGE ELIMINATION SYSTEM /NPDESI <br />DISCHARGE MONITORING REPORT IOMRI <br />17-161 /17-I91 <br />COOJUC721 C11 A <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM ~ O. '~ U1 TO '+~ C .L <br />!761/1. 117-131 171-751 !7677/ 178-791 130-3/1 <br />Form Approved. i <br />3 P [ . [ C !J D D `~ G; .'! TOMB~Noa209(;-0004 X <br />(SL'5A NW) ApprovNle~D~yOS31-9f/ <br />F - FINAL •~'` <br />MT NCR <br />i=~'u NC CZSCNARGE ~__~ ~=~~ <br />NOTE: Read irtewclloro before complstinQ thu form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADIN <br />'~ G: 11 Grd Only) QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> !46531 !54511 ~' 138-451 !1653 1546// of <br />TYPE <br />I37-371 MALVSIS <br /> AVERAGE MAXIMUM UNITS 6 ~v MINIMUM AVERAGE MAXIMUM UNITS 1F7b91 154581 159-701 <br />OLL AND GnFASE SAMPLE +~F^-#~ /'~ ( gory o#t6g9'. ata~:Y~.I ..;Y...N„ l~ ~/ <br /> <br />V I :> U A L <br />MEASUREMENT <br />(~ <br />+~ <br />(J , [S <br />04Ubb 1 U U PERMIT .'~{+.Y-Y 4s kE~r"~~~T ` ES=1 >~+N?..#'Gy' ~+a~~"-X~' 7`=z~'•:~~>. .• ~~ lF,°;LY /Iil~Al <br />t FFLUCNi liROjS YALU! REQUIREMENT ~ ~ ~~j [(j!]'~~: ~i:.AX NC=O ~ ~ ~ ~ ~'~°'~~+` <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~ :Y:;~:.:'l ~.'~....;. :. <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 />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED MD TELEPHONE DATE <br /> AM FAMIUM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON <br />MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY REEAONSIBIE FOR <br /> OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />TRUE, ACCURATE MD COMPLETE. I AM AWME TNAT THERE ME <br />TIES FOR SUBMITTING FALSF INFORMATION <br />INCLUDING <br />SIGNIFILMT PENA ~ l <br />~C, <br />ry <br /> , <br />L <br />THE POSSIBILITY OF FNE MD IMF~RISONMEMT. SEE t5 U.S.C. F 1001 MD ]S o <br />(7 J( <br /> <br />u.S.L. E tGte. lra.rro.. uW Mr mrvn, wMY AcII.W rir.W ro lr0.000 SIGNATURE OF PRIN AL E%ECLITNE <br />AREA <br />TYPED OR PRINTm enewmu:eun hwrsmwntwwwwrl+nana. rMlYFrA1 OFFICER OR AIlT RRED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IReterence sl/sttschments hare/ F <br />TSS L IRON LIMITS PILL 8t MAIYEG AYD :>ETTLr.APLE SOLIU5 LI"IT AFTL]FC FCP. <=10YR,24AR PflECIP EYENT; 'I3~ E <br />iBJN LIMEYS AAIVEU FCn >l0YR,24![d PRSCIP 8V8!:T SUBJECT TO BUFCEN CF FECOP IN I. J.2R;;,r OIL G GR£ASE-Sc. <br />i FL 1 D. TrIS NIINTTrIp TV C-CCF' T. g.l -F`_ <br />EPA Form 3320-1 108.95) Previous editions mey be used. (REPLACES EPA FORM TAO WNICH~MAY NOT BE USED.) PAGE OF <br />b0140l,.9,1 ,-1513 2 <br />_ _ _ ._ • ..-..e. .. _ . - ..yi. _ n <br />