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PERMITTEE NAME/ADDREBS lIkYdr Fselery NsWLocmeon UD~pinmJ <br />NAME pOYDEAHORN COAL COHPANY <br />ADDREBS ROAJ5IDL' NINE, N i, ~ PORTALS <br />p.0. 60x 1u 30 <br />PALISADE CO 41526 <br />FACILITY <br />LOCATION <br />.:TT9: JOHN t. /.CHAR- Pfi F.Srnf•: l: ~r <br />1 -.: i F1y a Y a roved. <br />NATIOIIAL'fOL~ATlTe ' w'':.+.Fb'. i ~ _ `'r "~i. .: ~F' -i , ~ P r. <br />-DIBCHZR6/E~ ~'» m t -- AaaIISILa Jfn :~- ~: ~ ;:J,~9°4iQ~~R ~ yyz~ <br />CO 4 {?LISA YC) PruveLe~C[Urp~0531~9B"r,;- <br />11 LL dd 44 L,, <br />PERMIT NUMBER DISCHARGE NUMBER F - FINAL <br />MONITORING PERIOD 8I N OA <br />YEAR MO DAY YEAR MO DAY <br />FROM To ### p0 DISCNAk6B ~ ~ J#Q <br />._., ,., ,,, ,,. ,,. ,~, .,~ „~ .,._~...o.. e„ NOTE: Rud InslructloFV bdras comDlstinp this form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !I Grd Ontyl GUANTITY OR CONCENTRATION ~ I,Ip, FREOUEHCY SAMPLE <br /> ld6-531 15461 I38J51 145-531 15d-611 <br />EX of <br />TYPE <br />132-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lst~stl µµY515 <br />164681 !6&701 <br />Pd SAMPLE ;144#QQ 4bbbb$ bob#44 ( IZ) ` <br /> <br />MEASUREMENT ~ <br />I / <br /> <br />004UU 1 0 0 '~. ~~PERML -sl:;~ • <br />T.. .. ::C:Q ~ ~ .«~:..: <br />~`~a! <br />. ~.~.. 44 ~. #.. <br />. <br />. ~!~! <br />. 44R <br />.. <br />6.5' <br />; ~ ~tRA.f#4#~.. <br />: <br />tY <br />9t <br />: <br />r <br />` <br />r <br />SBRiY <br />ClS1T: <br /> <br />tiPFLUEBT GROSS YALU .;:u:: <br />.REOUIREM~~T' ., <br />.... <br />.. .. <br />,~ .,. <br />. <br />. .. <br />41{14Q . <br />.. <br />if,I;)1 .!!CI y., .. ., <br />~. : <br />. <br />. <br />.: <br />: <br />.:: <br />?~j>!y ,::> . <br /> <br />'• ; _ <br />SLICED?, TOTAL SAMPLE ~, 441(f4Fa 4440#4 b4444# ~ <br />µ, <br />~ ~ ~ ~9): : <br />SUSP6YDEp MEASUREMENT ~ <br />iti ; <br />J , , <br />' <br />~ <br />` <br />(J .:: i. 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CORDOIT OA SAMPLE ( 03) 04#44# Q#4#4# 4+1#b#4 /V ~/ <br /> <br />'fHAU TRfiATlEENS PEAR <br />MEASUREMENT s ~ ~ ~ <br />(J 7 L s <br />50050 1 0 U PERMIT. REPO .? REpORt b411C;4$' . : '44+i~'Aa@. .:"';~±ai44$$: ~ <br />, 4Q4 ~:: EBaCLx [113TAN <br />EFPLUEN? GROSS YALUIi .REQUIREMENT. .j(JyryA. AYG DAILY ?{t RGD ;~° 3">'..~~` <br />~~ <?r':.. ' ; <br />c:~>:"1. >1144N, "; :': <br />$ DSs D SAMPLE ~?4Fy:#a aQ#Q44 #O4Q## - {•.A.4~ ~' <br />DL5S0LYED MEASUREMENT - ~; 1 C <br />702y5 1 0 0 PERMIT. aJ~4Qt : . .bQa4'#b Q4# 40+ik4'401 B. pd`)I~t:: <br />, IIL~CRT. TNL:Y ~1[d~ <br /> <br />EFPLUEN? GAOSS YALU <br />REQUIREMENT. <br />, <br />bQa# <br />,.; .. . <br />GRSa: il'6: <br />83,1 ltA~K <br />NGYL <br />:'< <br />U G E SAMPLE #4QaQa ( 9k) 4044#4 4#4444 Qi#4## <br />Y ISU A L MEASUREMENT '~ <br />U Ob 6 1 0 0 PERMIT ... ,..- 4uor447R'-- $t1/4A:'t . a l :.: siaia?It9.. - 3::>R4<4~14rb-- ~<:'°'"4"R?itl4i.: 4# - iE'L'Y $9DA ' <br />k:PPLUEY2 G803S YALU :REQULREMENT ::;. :.:•..:.:.:: :.IRS2:..;li'A~t;": NC=O ': ;:,'::.:...: . ::. .: <br />~ 4Q4# <br />NAME/TITLE PRINCIDAL EXECUTIVE OFFICER I CERTI FY UNDER PENKTY OF <br />FO lAW THAT I HAVE PERSONALLY EXAMINED AND <br />µD BASED ON <br />RM <br />BMITTED HEREIN TELEPHONE DATE <br /> <br />I'l <br />W ; <br />AM FAMILIAR WITH THE IN <br />ATION SU <br />MY INQUIRY OF THOSE. INDINOUALS IMMEDIATELY RESPONABLE FOR <br />FORM <br />S <br />Q <br />~vs <br />JoNA+ Isl. ATION I <br />OBTNNINO THE INFORMATION, 1 BELIEVE THE SUBMITTED IN <br />I AM AWARE THAT THERE ME <br />ACCURATE µD COMPLETE <br />TRUE <br /> . <br />, <br />FORMATION <br />INC <br />UDING A^~ ^,. <br />1 <br />r . <br />L <br />SIGNIRCANT PENALTIES FOR SUBMITTING FALSE IN I .yL / ( ~ <br />, <br />THE POSSIBIDTY OF RNE µ01MPPoSONMENT. SEE 18 U.S.C. 1 1001 AND 30 ~ <br />TURE OF <br />IPAL EX <br />CUTIVE <br />' " <br /> <br />d <br />ML U.S.C. E t at e. IPrerleM/ urldr eMS means nrY AxAed~ rvw. ye ro E %0,000 ~" E <br />SIGNA <br />-RINC <br />" <br />TYPED OR PRINTED .neumub+m Myam+wrt a/bewwrsmanna rM6v..'.~l ,' OFFlCER OR AIlTHORRED AGENT CODE NUMBER YEAR MO~ DAV <br />~~ <br />i <br />y <br />n~ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference M/ sttecnmenls nsrel <br />THIS OUTPACE IS MOT BLICI6LE FOR EYEl7PTI0N5 FBOtl TOTAL SUSPENDEC SOLICS (TSS)e TOTAL IROY AND/ON <br />SE'TTLEAdL6 SOLI05 LIRITATIONS SEB I.A.Z. <br />EPA Form 3320-1 108-s51 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 D U 3 3 0 / 9 B C 2 ~ 3-1256 PAGE 1 F <br />