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PERM41°fE~ NAME1A,601iE5$ (l..i,L }'«dryNw/L«.liu, Ij1 ~ "" --' NAME pONDBHHORN COAL COMPANY -- ADDRESS RO-DSIDd MIME, N E 5 PORTALS P•O. BOY 1u 30 PALISADt: CO 61 FACILITY LOCATION dT2n: JUt1N A. l1CNAB, PaESIDRNT MONITORING PERIOD YEAR MO DAY YEAR MO DAY FROM U TO /7417/ l12-73/ !7675/ /7677/ l18-79/ /30-J71 L4L1 NO DISCtlApCE ~'~"~ NOTE: Reed Inetruotlaru belor! completing thb form. PARAMETER 13 Ord Onlyl QUANTITY OR LOADING !I Ord OnlYl QUANTITY OR CONCENTRATION NO FRECUENCY SAMPLE !46531 !546/1 l38-151 le653 !54611 EX TYPE IJ7-371 µN.Y99 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Ie7-say /64681 153701 r'ii SAMPLE Oa 40x91 40P404 ' am0000 ( 12) I/ MEASUREMENT CU4UU 1 0 0 PERMIT.::" : :, :04?¢>~#Cs ¢11tOrF!~IAI .. OOa 6 ~ . la>as.A?s~i ...:. .. 9q: '. ~B L'1~ N [ SI? EFFLUENT GR035 YALUt REQUIREMENT": :".: :.: :::" ..: _. .;~:.:. ....., :::` .:.! OOaO !f#'~21[f7(!:".: : .... ".";"?:>.... . ";: SU ~L',.; >"::"..1;:: ., ,..: 50LZD5, TO?AL SAMPLE 004000 0>Z0##0 !-¢>•000 ( .~9~ SUSPEhUED MEASUREMENT \ / ' y . U0S3U I 0' .~.Q'; ~"".PERMIT:z`e'; :":0]qE......~~":~' ~ .y:~:,:: `)i.:r?L!~V~r...~:y >dOa~" '"."'"i.?~:..~.y~,.~`".;": :. ;."~...:~~~:i:::~::~~1~s.~: i". ~ ~~gg.,.:,~_, FFPLUE;+T GRQ~',j~YALU :REQUIREMENT' €, :I '1 0~#4C 1:.,~'` :IOD=. `!C. ~T ~ G L .-: " r U11, TOTAL SAMPLE #:0#910 00#1x00 04404a ( 19) I (AS 1E); MEASUREMENT _ lO+iS 1 '~ D PERMIT {=#>x01#0 , ..:. 4P>0!1-+it1 40a a4ia:lea. : '~.~•$ 7:w(~:.. E CEI i~{A6 EFFLUENT +~ S5 VALU REnuIREMENT 4>Daa - ." - -SODA :':A'Y :: ;. "AI`It.-'tlI KG/L :: •'" !3 NMN :. :,. :JIL AND GA~S6 SAMPLE 4~C:000# 0x0000 0016000 1.9) ,/ MEASUREMENT , ~ .fSii2 I .O 0 PERMIT OOtT:q(OI,a.... , . " ". 9tglpl#.#ID OOa •a"Ib94A0 A CfRS 1{l:.. ":. ~ 9TIN oTtA$ tiFPLUFNT GROSS YALUf :REQUIREMENT . :.. :: .:::.::.:. ' , aaaa 30DA AYG" "fN3!'.N.AI NG L GEH? FL011, I1~ COYDUIT UR SAMPLE ( 03) 40x4#14 aaaaa# 0000016 TRRU TAEATl4'RNT PLAIT MEASUREMENT '7.7 O ~ _ 1 5005'0 1 0 U PERMIT::;;.: .:::, ;.:::$£kfl .T '",o1:ri+1~#~OnO : "" ;" . R41i?7~?R" "; :". _ ~.>~'i~*?kl~ ;" 404 $EFL[ CD15 A cFPLUEI{T GRO55 VALU REQUIREMENT ~OD~: AYG :1ll: ~k3LY tiGD }>` . ` 0000 ~ ~ , :. . .. . ,,, i . ~ 3, T L SAMPLE 004044: 0010x104 t?000 ~ - - ( Y4.~ ~ OISSOLY6D MEASUREMENT ~ lU29S L U U PERMIT .. .: OOXrF4+P :";° .. t:: 0' a+~naitl OOa aA+C. A+P. fp R>Fr:~C ~'T " TALL i B EFFLUENT v}•.05~ VALU "REQUIREMENT.. .~ ;: .:. .:.:" ; :'~ ~.. ._ "- ~ . 0040 .~ .. :..' ;:QATR.AYG .. :'Q$'[R-:K4:X NG/L -. U L GH S SAMPLE 044000 ( 9q) 404600 000000 Ai0000 Y I SU A L MEASUREMENT _ 1 uU6b 1 0 0 PERMIT. #Iaas*0'"'..,: • "" :: AEY08T : ES 1 a1o"s4o~r.. :,.. r~161ogbs. .: -::AI?ay¢Oa 4a# =: A LY 9UA EFFLUENT GAOSS VALU :REQUwEnnEy?.: .. .. ":. .., ':I~IS'C.:lIrA")4:: NO=O •...;:.::.'; :: `. 4000 NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF AM FAMILIAR WITH THE INFO LAW THAT I HAVE PER90NALLY E%AMINED AND RMATION 9UBMITTED HEREIN: AND BASED ON TELEPHONE DATE I, - 1 U , }J~~' t Q 1 J ~ MY INQUIRY OF TNOSE INOINDUAL9 IMMEDIATELY RE9PONSIBLE FOR OBTNNINO THE INFORMATION, I BELIEVE THE 9UBMITTED INFORMATION 19 / 1~ R-+~ '~ ` ~ W Of+ ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE TRUE " . . SIGNIFICANT PENAlTIE9 FOR 9UBM1T71N0 FAl9E INFORMA710N WCLUDING A ~ C ' , " ~ 47 1 + 1 I THE POSSIBILITY OF RNE AND IMPN90NMENT. 9EE 18 U.S.C. ! 1001 AND ]] .' BIONATURE OF PRINCIPAL E7tECUTNE U.9.C. 1 1 ]1 e. (/Nrlr4+ uVr fAIY mem+ mry YICAN+ rxw+W ro f 10,000 % AREA M " TYPED"OR PRINTED +nd ormuml+nlrWl+>+n:+rwaw..nsmwrm•r,es y.ral OFFICER OR AUTHORIZED AGENT CODE BER NU YEAR MO DAY" COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/rrence ell sttachmenrs here/ ~ ~ " 'THI'S OU?PALL I3 NOT ELIGIBLE FOR °:IEtlPTI0N5 PRO/! TOTAL SUSPENDEC SOLICS (?SS), TOTAL IRON AND/OR SETTLEAFILE SOLIDS LIdZ?ATIONS - SEE I.A.2. ' EPA Form 3320-1 (08.951 Previous sditione mey be used. /REPLACES EPA FORM TAO WHICH MAY NOT BE USED.) OO 310/9 a ~ 2 2 3" 12 5 6 PAGE lOF " :: i 1