PERM/TTEE NAME/ADDRESS PneYri. FrWryNa.WLxal" ~'~
<br />NAME PONDE9Y¢"8N COAL CO!!P ,'~y~;;''^°~ `r`
<br />ADDRESS ROADSIDE !!INE, N E S P~>i! 'S
<br />P.O. BOI 1430
<br />PALISADE CO 81520
<br />FACILITY
<br />LocnnoN
<br />ATTNS JOitN A. HCNAti, PRESIDENT
<br />I PERMIT NUMBER I
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM TO
<br />11P11/ 111-131 114151 !1677/ l18-791 /36311
<br />(SUBp NC)
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<br />NINOA
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<br />s#a NO DISCHARGE ,~i #a~+
<br />NOTE: Raid Irntructiarr balora c-om 6tlnp this corm.
<br />PARAMETER !3 Card On/y) QUANTITY OR LOADING /1 Grd On/YI QUANTITY OR CONCENTRATION ND, FREQUENCY SAMPLE
<br /> !06531 1546! l38~51 /4653 15L5/1
<br />Ex OF"
<br />TYPE
<br />131-371 ,wN.YStB
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS leT.esl I5q-55/ 159-701
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<br /> MEASUREMENT ~ ~
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER oF
<br />I cERnFr UNDER PENN,Tr uw TNAT I HAV¢ PERSONALLr ExAMINED AND TELEPHONE DATE
<br /> AM FAMILIM WITH THE INFO RMATION SUBMITTED HEREIN: AND BASED ON
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<br />^ MY INQUIRY OF THOSE INDINDUAL9 IMMEDIATELY RESPONSIBLE FO
<br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION I /'.~~
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<br />v TRVE, ACCUMTE AND COMPLETE. I AM AWARE THAT THERE AR /
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<br />• SIGNIFICANT PENKTIES FOR SUBMITTING FN"SE INFORMATION, INCLUDING ,y,V ~ /
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<br />~ t THE POSSIBILITY OF FNE AND IMPNSONMENT. SEE 1B U.B.C. f 1001 ANO 3J
<br />BIONATURE Of PIIINdPAI EXECUTIVE 7~~ yJ J
<br /> U.S.C. 1 tJ1Y. IPrWd.F Indr Bwr .unrtn. nnY isA10~ rives w ro S IO,OPD
<br />TYPED OR PRINTED aMnnr.'Ynun brPrismwlr P/MfNwn enwnNaW eYwa/ OFFICER OR AUTHORIZED AGENT CODE NUMBER ~ YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY vIOLA I IONS !/TaTerencs an srtecnmsnrs nets/
<br />SETTLEABLE SOLIDS LIdITS APPLIES ONLY IP <=lUY8,24NR PRECIPITATION BYEYT IS CLA7lIED. PERNITTEE HAS
<br />BURDEN OF PROOF MH.EN REQUESTING RELIEF PROM SETTLEABLE SOLIDS PRIMARY LIRITATIOlS.
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<br />EPA Form 3320-1 108.951 Previous editions msy be used. (REPLACES EPA FORM T.tO WHICH MAY NOT BE USED.) 0039 3/9A C ~ 23-1256 PAGE 70F : , 'v'
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