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PERMITTEE NRMEIAODRE55 8k+r+.sn/ryN~/rxmr.. dorQ,.ero <br />NAME POEIDI:RliOM•N COAL CUIPANT <br />ADDRESSROADSICE ".INE, N d 5 PORTAL_ <br />P.o. r;ox I;, j, <br />PALISADii <br />FACILITY <br />LOCATON <br />ATTN: JULY A. 6~NA.r, raESiUEB'1' <br />NenoN•I PG ~Ir~~ dscN DE.EuNl :~ ~ 'A ro '$- ..; '^r~' <br />DISCFTARG~ MON~ORI E'er- --- ~ ___ `_ -. , ~-: ~ s~cp~ r .ewi <br />3-I6 -191 ~ ~oNb Ef TQ COLORA - oV~L J 31-98 ~.` <br />0000 7 46 9 (5U9R fiC) <br />PERMIT NUMBER DIBCHMGE NUMBER F- F I S A L ~, <br />C+~ Yt52o <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM U TO ~ <br />!(6711 l22-231 /I4-151 !16?71 /IB-191 !36311 <br />4f1!0R <br />~:~tfi no DlscnARCe IZ~I :st~fi <br />NOTE: Read Inetructioro before eompletinp this form. <br />PARAMETER 13 Grd Ontyl QUANTITY OR LOADING /I Grd On/v! QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> 14653 !54-6/1 138-451 !1653 l5L61 EX Ky TYPE <br />l37-37I M <br />yg <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is7-s.Tl !56581 !6.4701 <br />N SAMPLE ;ka?### fififi#fi# :>C;Ea4fi ( lj) ~ <br /> <br />MEASUREMENT . <br />UyUU I 0 O ~ 'PERMIT :.~.: ~~ #IC!#N~EIg~. #$~nIM~'-11 #ID# ~~. ~ ~ #4#~I~ ~. 9::D ~ .;. B~E~. ~I~SITU <br /> <br /> <br />FFLUENT GRUSS YALU ~REOUIREMENT~ <br /> <br />.:. ... .. <br /> <br />,.. ......:.. <br />~~ ..`.:. ##CO ~:!l I~:.FI~~ U~ .. : <br /> <br />.. ;.: <br />.. . <br />• :. <br /> <br />': =.. .. <br />SOLIDS, TOTAL SAMPLE fia#### ~#MO#~ OII#Ia0# ~.;g~ <br />~USP1iHDEB MEASUREMENT <br />JOS.iO 1 U O ;:PERMI7,~;;::: .:.;#M~401ni*i: .';. .:`:1G'$~1R~k: O## ~O~~th~ .: 3S <br />•: :: : , 7~1 ,:, MC}.I iayE~ <br />,FrLUENT 6N055 YALU REQUIREMENT :' ` #### . <br />s 34D.A G "~ ~ G L <br />~ULLDS, SETTLEABLE SAMPLE #fi#>aafi fi#i#a# fr`##tp#fi ~ ( 25) <br /> MEASUREMENT <br />0545 1 0 0 '~ PERMIT ####~~~ ~ fi?#C## #G +f it##~t R£fORT RIS Pt'iR?~ ( iiCE/ ~ i~.1l8 <br />iFFLUEN2 SS YALU ' !REQUIREMENT #Xl+: a 30DA A9G DAIi'f HY' <br />L HUH, TOT X{` SAMPLE vaa=k :C: :ca:aafi fi4fi;: ~t~ ( 19) . <br />(AS, (Y~) MEASUREMENT <br />)lU4S 1 ~- 0 0 PERMIT ttlL-Yaisp K*',J:t`#?fi # #fi:: °•tt###i` 3.5 ?s0 NCE/ :gAb <br />'F'FLUENT 6ROS5 ifAI.UE .REnuIREMENr Ipfifitk 30DA RYG DAIIY riY RG L N R <br />AHD (i$SASE SAMPLE :=#a~XG-fi fifi#fits# a####'? ( 19) <br /> MEASUREMENT <br />)jDt3L 1 Q 0 .PERMIT Cn.fiPi=~ I: r".###O +R aa;~ as#al.a~ : '' .A~'eFEJ~H? ~. .f;0.~~.~~:.~~.~::.~ .~ ~~ 4>iTLN :RA9 <br />FFLUENT 6ROS5 VALUE REQUIREMENT ##fia 303TA::l~6: . IaS`t<!t G ~ GRNT <br />' il1i, N 'ON DU IT UR SAMPLE ( U3) '.t ~.#IC3^ #4>¢40# ~ ~. A>CaP40f. ~ ' <br />iRitU THhATnENr PLAh'C MEASUREMENT <br />TUUSD 1 0 0 PERMIT rFPOiiT i;EPDRT a.##t+taa #OL#~i4 '~4.>Q0#ta ### EERLY ,$$TdV <br />.ePLUBNT GROSS VALUE REQUIREMENT jpj7A AY6 DA~ILI MY GD ~ ~ ~ #### <br />~O IDS/ T AL SAMPLE 4##fififi ###### fi##tP#4 ( 19) <br />:I'iSOLYED MEASUREMENT <br />/i1ZyS 1 0 U PERMIT fifi a ###iSatrli 0 #a a0~a#~ REk4RT :_ : 8£F0$T ?ALL :RAB <br />r'FLUENT 6ROS5 VALUE REnuiR.EMINT: . afia 8TF :A i6 : G$?.F t4A~t !IG/L <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY oP <br />AM FAMILIM WITH THE INFO uw THAT I HAVE PERSONALLY E%AMINEO MD <br />RMATION SUBMITTED HEREIN; MD BARED ON TELEPHONE DATE <br />N <br />~• ~ MY INQUIRY OF TNOBE INDINDUAL9 IMMEDIATELY RESPDNSIBLE FOR <br />OBTNNING THE INF011MADON, I BELIEVE THE BUBMITTED INFORMATION IS <br /> TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME <br />IFICANT PENAlTlES FOR BUBMITTINO FAISE INFORMATION <br />INCLUDING <br />I <br />~~ <br /> , <br />S <br />GN j <br />~ <br />~ Q/ <br />~O <br />~T' <br />0 <br /> THE POSSIBILITY OF flNE MD IMPRISONMENT. BEE 1B U.S.C. f 1001 MD 33 BIONATURE OF PRINCIPAL EXELWTNE / <br /> U.B.C. E t~tB. /ArWtlrE urVw eMr .srrmu mFV r+cMl~ n.. w ro t IO,OOD <br />TYPED OR PRINTED rM wnrrthturr irr,daFrlre orawwrsmanT.r rN BVEArs/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO pqy <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rs/rrence s//attschments here! <br />~c.'T'1LEABLe SOLIDS LIlRI'f APPLIES ONLY IF C1UYH,2'ikR ['RZCIPITATIOb FYE'~T IS CLAIFIEG. PERRITTEE HAS <br />dUdJ LN OE' PROOF MHEN REQUESTING kELIEF FRDY, SETTLEABLE 50L ICS PFIMAAT LI.fITATIU AS. <br />EPA Form 3320-t (08.951 Previous editions mey be used. (REPLACES EPA FORM T~0 WNICN MAY NOT BE USED.! G O5 2 3 / 9 B G 2 Z 3-12 5 b PAGE 1 OF <br />