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PERMITTEE NAME/ADDRESS (include Facility Name/Location iJOtJJerem) <br />' NAME S1iN.ECA COAL CCdPl&Y <br />ADDRESSD F.AYEH D <br />BAYDEN ~I~~AL639 <br />FACILITY . ~ ~ .~'v:•~+g~ .., <br />LOCATION A !DEN ,D I'b 3O <br />ATTN: G. BUD 6AOYN. GENERAL~iGlR = <br />NATIONAE OLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />~$CHARGE MONITORING REPORT (DMR; <br />CO GUR . <br />PER' ~ MBER DISEHAR R <br />FROM <br /> ~• I G'RERIOD <br />YEAR ~ <br />~ ~ R MO DAY <br />u L ~ <br />(20211 (22-201 fN~2r1~~ (26211 f28-291 WO-3p <br />Furm Approved. <br />C I !i 0 N OMB No. 2040-0004 ~ <br />Approval expires OS-31-9~ <br />(BURR KY) <br />F - fINl1 "' <br />Chi.:;nlC YET TF'_7111G E~'$ CC4A <br />NOTE: Read'jBfiohs befona completing this form. <br /> <br /> <br />iC~TT <br /> (3 Card Onty)-Ot1ANTITY OR LOADING (4 Onry) QUANTITY OR CONCENTPATlO NO. FREOUENC SAMPLE <br />PARAMETER (46-59)ji~ (50-67) (38-45) (46-53) 1, ~~~~'' f54=61) EX 'OF ~ TYPE <br />(32-37) AVERAr.g MAXIMUM UNITS MINIMUM .AVERAGE .. =„MAXIMUM UNITS aNatvsls <br />XeF-ECF .iTATRE 70AY SAMPLE ~~ >aA09>Rt' ^ i>p ~~'~oL>w ( 4-) ) <br /> <br />CHR CEHIODAPHNIA <br />MEASUREMENT <br />- <br />~ ~ <br />Q( O G w~ <br />TCe3~ s 1 D ~ '+SES Ir ; ~+~oraa ,. a~~ .3 aat*,~ _, ~r4 ~ FE- <br />~ <br />` <br />~ <br />SEE COMAENTS BfLOY ~~Q~I3 ~``=-`,-a / "~~~s;~ <br />~~D$ -=' CFi7 ; <br />~~ ;, <br />~ <br />. <br /> ~ ; v <br />~ <br />wEPPECT ;iTrTRE 7DA! SAMPLE ~ <br />~~4~'X raOA 4 pp01plp0 ~p r01p ( /]) <br />HN PIl1EPNALL°5 MEASUREMENT _ <br />~ :~, ~ O~' q(~ <br />~ <br /> v <br />CPbC 5 1 D ~;~ <br />~ k s ~k, n ~_` i>0 'dr-~ `~~~.- Ep~ <br />• t:~ <br />SEE COHtlENTS 8L1GY ~ <br />lA Ri ~. <br />~_~,, , <br />'- ~ ~ ~, ~~ tca~ ';~~ r .,:,t ~- ClE7 + '_I . ~; =' <br /> SAMPLE <br /> MEASUREMENT <br /> i <br />ym <br />~ <br />1 <br />:~' t <br />f~+ <br />k <br />i <br />tic <br />' <br /> f~~1+{~' <br />~l~7 - -~ - t T ' <br />.F}n~ <br />C <br /> , r <br /> SAMPLE ~ <br /> MEASUREMENT <br /> ~~ ~ ~! ~ {{`. tE' . ~r5~ `V . I li ~. <br />- SAMPLE .` <br /> MEASUREMENT , <br /> <br /> <br /> <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />:: <br />' i+ri . <br />~ <br /> ~~.U1REN)EC~ .",.4_ ^, <br />.~ . <br />.. +~ <br />r 4 S 4 r :: r ;~ <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> ~' ~'~y. T <br />`"': <br />~i <br />~F Y -a. <br />: n - t'--' <br />Ai' -'. .-P : <br />I <br /> ~ <br />, <br />, <br />~ <br />l y ~.... :. ~. 1 -~ } .. x i;`4` .., h, . z <br /> lM <br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTI <br />AM FAM FY UNDER PENAL7Y_OF jj <br />IDAR WITH THE'I <br />FOR •q W?H[$,1 BAVE PJ=RSONALLY E%AMINEO ANO <br />MITTED HEREIN <br />A~ON SU <br />AND B4SED ON MV TELEPHONE DATE <br />INQUIR N <br />N <br />Y OF THOSE INDIYVI1DUA[' , <br />B <br />SIMMEDfATELV RESPONSIBLE FOR OBTAINING <br />THE IN FORMATION, '1'9EHEV E THE SUBMITTED INFORMATION IS TRUE, <br />ACCUR ATE AND COMPLtETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />~ <br />PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE DD D <br />J a <br /> <br />POSSIBILm/ OF FINE AND IMPRISONMENT. SEE Ia U.S.C. § 1001 AND 33 U.S C. <br />SIGNATURE OF PRI CIPAL EXECUTIVE , <br />4 t319. IPenattias untler mesa statutes may include lines up to SID,000 end or <br />TYPED OR PRINTED maximum impdSa`nment of beMeen6mmlhs entl5years.) OFFICER OR AU ORIZED AGENT <br />CODE <br />NUMBER~~._ <br />YEAR <br />MD <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />,.. . <br />EPA Forgj.~Q320~;{(o~,QFU)~QCCXioiJS e,Qltj9ps i[LaY~~ot+be used:.- ~,,.(BEPLACES EP/CF.ORAI~T-40:WkIIG,~[uIA,Y~R>I.O,ISEQ,)' ~' nnnan ~nen~s.+~s.tt,+. .. ... .. ~~'F'A~GE ~ OP'v,:%;~~`~'- <br />