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PERMITTEE NAME/ADDRESS O+rA+fsleyNuWtaulm //D~..u) <br />NAME COLOilYO COAL CO!"PANY L.P. <br />ADDRESS COLOGYO lIZNE <br />5731 STATE, HIGH WAY 13 `'f <br />tlEERER CU 916 ;' <br />FAal.m ~.ti <br />LocAnoN <br />Form Approved. t <br />PROSPP.CT SBD PD/GOM91No:7~*4A0-0ooa,_R <br />(BURR N{J) ,4pprove1 e1c014705-31-98 <br />F - FINAL' l~c..11 <br />*IiHOP ~ ~ ~:~+:< <br />' NOTE: Raed Irotructlaro bslore completing this form. <br />PARAMETER !3 Grd Ontyl QUANTITY OR LOADING''. <br />~ 4UANTITY OR CONCENTRATION <br />/I Grd Onhl .. <br />~~ ND. HIEOUENCY SAMPLE <br /> <br /> <br />l32-371 "' ~'~ _' <br />!46531 !54671 <br />~ : ~ . <br />M6531 15461 <br />l3B-151.. ~ -. ~ ~' <br />. <br /> <br />EX OF <br /> <br />TYPE <br /> a. <br />AVERAGE MAXIMUM UNITS . <br />.-.- <br />pc'~'IV11NI1v1UM,{, : - AVERAGE MAXIMUM UNITS /s=sat ANALYSIS <br />lµ651 159-701 <br />OIL AND GREASE SAMPLE ..., .^¢r.: ^^ ~ ~"" :~:t~~9~Nyy : ¢##C~#~ -. .. .. .. <br />O I <br />~ ' <br />ISVA 1 <br />VISUAL MEASUREMENT V ~ <br />84066 1 0 0 PERMIT St;y;$r»,: U. :~.:::::~~ 55=1 ¢?Y.'FX::;:'=t `s;a:`.et:~;eS.`-:. ...;,.~;,..~ : ::t:~:~ 4 E°RLY 'TT1AL <br />EFFLUENT GROSS 4ALUE REQUIREMENT. .: Y,~S(.: "o'b1f ~O_D is .. .. sr.<;.;-.,.... .. <br />AAAA <br />YY <br /> SAMPLE .?~ _ <br /> MEASUREMENT '`~ <br /> . <br />.. .:' <br />, <br /> .. ..PERMIT <br />. ~ ~~ ~ : ~ :~...:... ~ , .. <br />~ <br />~ , <br />' <br />. <br />vl .. . <br /> . <br />. <br />REQUIREMENT .~. .. <br />. <br />,> <br />, <br />. <br />~~~~ <br /> <br /> <br />. <br /> <br /> <br />: ~: <br /> .. \Eo- ~.rt: ... <br />;... <br />... ... .... <br /> SAMPLE ~ " <br />y <br />-~' <br /> MEASUREMENT <br />` -y' <br />- <br />~ ~ - <br /> PERMIT .... ~ <br />.: <br />sa< ~.; <br />',^' <br />' <br />.. :< ~; ~ .:;>..: ~. i':;.:: ~. <br /> <br /> <br />.. <br />.. <br />„~ ... d ~.. ~: ~ ;,c::;,~ .:. .~ <br /> REQUIREMENT <br />. <br />~ <br />v...;.. <br />S <br />.. <br />rr~t ..::. :... <br />:....:..:.:.. <br />. <br />.. <br />~ . <br /> o o; <br />~ <br /> SAMPLE <br /> MEASUREMENT <br />~ <br />,... <br />'. <br /> PERMIT :. .. ... ':. <br />' .r,~;:.a>:..:•.t.., <br />' <br />... <br />~' <br />: ~ 'r,":`..•;i:: <br />r ,, <br /> REQUIREMENT .. ... .::, <br />~ ~ : . <br />. .. .,. <br />.. ri <br />7`e <br /> <br /> SAMPLE ~~ ~ - <br /> MEASUREMENT ~ ~~ '~~`;~~;~ <br />e: ~ <br /> .PERMIT : <br />REQUIREMENT ~ ~ <br />,. ~.~ <br />~. ~ .~. ~ .. <br />~~ .. <br />~ .~~ <br /> <br /> <br />.:. <br />~ ~ . :4r c ~ <br />~„S, <br />~, <br /> <br />.:... ~. <br />py~ :,': <br /> <br /> <br /> <br />~w'a .. <br /> . <br />. . ~... <br /> SAMPLE ~ ::"I~„ ~ ~ <br /> <br />MEASUREMENT . <br />ri'~ <br /> PERMIT. ~ .: ~ ~ ... <br />.. .. ..;. <br /> ~tiEQUIRENIENT ~ ~ ~ ~ . ~ ~ <br />•>•. , ~~~.xM .. .... <br /> SAMPLE <br />~ '•~.j j ; ~ . <br /> MEASUREMENT ~ ~ <br />~ ~ ~'~'~` ' <br /> - <br />+~;?~S _ <br /> PERMIT <br />.. ~ ~ .. ... .. .. <br />" . .., <br /> <br />+, . <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cERTFr urlDEn PENMTr DF <br />AM FAMILIAR WIIN THE INFO uw TNAT I NAVE PERSO <br />RMATION SUBMITED H NALLr ExAMI <br />EREIN: AND B NED AND <br />ASED ON ~ TELEPNONE~ DATE <br /> MY INQUIRY OF THOSE INDIVIDUMS IMM WIATELY RESPONSIBLE FOR <br /> OBTNNIMO TIE INFORMATION, I BELIEVE THE SUBMITTED INFORMATOM 19 <br />• <br />~ <br />T~ , 1 <br />J TRUE, ACCUMTE MID COMPLETE. I AM AWARE THAT THERE ARE <br />SIGNIFICANT PENALTIES FOR SUBMITTNO FAL9E INFORMATON, INCLUDING:". <br />I <br />"~ 1, ^u <br />~ N 84 i'~5j1 <br />98 <br />IU <br />. IJ I YID- EN1 tl n THE P059BWTV OF flME NiD IMPRISONMENT. eEE 19 U.S.C. F 1001 AND e] <br />, .; .' ~ <br />- <br />I <br /> <br />TYPED OR PRINTED U.B.C. E 1 Ste. ern.leb I•NU awe mnma mry MICAN• fire Iq ro S IO,Opp ' <br />.b>munwn nwlmrwnewMn...n smonau uls6 <br />eal BIDNATURE OF PRINCI-AL EXECUTIVE <br />'; <br />FICER OR AUTHORIZED AGENT <br />;O AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> r ;; <br />F CODE <br />GOMMtN 15 ANU I:AYLANA I ION @ ANT VIVLA I IVNS lHeTerenCe e/l etteMTBllta hare/ ,' ' ' <br />SETTLEAfiLE SJLIDS LIt7IT APPLIES ONLY IP <= 10-YR, 2U-RR PRECTP EVENT TS CLAIMED. IF CLAI[4 APP&OYED AY <br />YQCD, TSS 5 IRON LIMITS PILL :10T 7E APPLIED TO REPORTED 'SEASOREtlE(135--SEE I.P.•1P., PG 4 ARD I•B.LD, PG 6. <br />cmnnrusmvD rssu rvuou~n nr •n nno t_T _o~ <br />[YA Farm 332x1 108-961 Previous editions may be used. IREPLACES~EPA FORM Td0 <br />... ., . - - - - - - ,... .._ ., .. ,._d <br />I'I" DD040 <br />iE z OF <br />:~.. . <br />