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PERMILTEE NgMEIADDRE55 pnWrFwMryNwwLernlen 1/OrOn+erl <br />NAME POMDERHORN COAL COMPANY <br />ADDRESSROAGSIDE NINE, N S S POH1'ALS <br />P.O. o0Y 1430 <br />PALISADE CJ $1526 <br />FACILITY <br />LocAnoN <br />AiTil: JOHN 1. 9CNAn, F:lESIOENT <br />DISCHARGE NUMBER <br />MONITORING PERI00 <br />YEAR MO DAY YEAR MO DAY <br />FROM U V TO <br />!26111 l11-131 l11-151 !16171 118-191 1363/1 <br />~'~ `~-7¢°-l~R p GIe~°-oos ai-se <br />(SUBR YC) el~`9~PS ~ <br />F - PIhAL <br />tfINCR <br />-•'-'~ ND DISCHARGE ~~( ~'+== <br />f NOTE: Reed Inetructlone before comPleflnB thb form. <br />PARAMETER !3 GrO Onlvl QUANTTY OR LOADING !~ Grd Ontyl QUANTITY OR CONCENTRATION ND fREQUENCY SAMPLE <br /> /16531 151-611 I3Bd51 !1653 151-5/ EX TYPE <br />131.371 µµyy5 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS let-eel !µ6'g1 159-101 <br />R SAMPLE ;frRC#r ##i10#O t4'U 4',ra# ( 1a) <br /> MEASUREMENT <br />JU4U0 1 0. 0 PERMIT: . <br />,. . •##LFblia* 16.114.;#4 OtaY ,:r~ ~IOt=tt-It91. 9•'D ..' - ..EEKLY 115IT0 <br />nFk"LUENT GROSS TALU ;REQUIREMENT ', :.. #tW?# lS:I~atYi[1Llt.: x ~ kt-.: su <br />JuLIDS, 'TOTAL SAMPLE z~.kyo#o #~AIOfi'3$ a*aw*0 <br />` ( fig) <br />>U;iPENUEU MEASUREMENT <br />JU~3U 1 0 ~ `_-;.:RERNIIT;:. A#3#sS>#L::. :ir'a$•h#~% #~: i.' 9~k'~!N30 : .'~g'~. .:.~ 74 :~ i~.:. NCk:/ :HAf7 <br />E'FLUENT GHOSS YILU ;REQUIREMENT:; .'n .. #>FOO ~/.:A1rG ~ T-d= KG <br />JJ IDS, 5 TRLEABLE SAMPLE *+O14:`.lkS ;:#3Y-:: 43rifp".4 ~ 25) <br /> MEASUREMENT <br />U54S 1 0 0 .PERMIT iF>01x4'Yif. . 'T##,+Lo•~. #~c a*OaO* R~PORy R6~pi1R.T CE/ .RAB <br />~PFLUENT GROSS YALUE .REQUIREMENT #:FM4 ODA AVM A' M M N H <br />LRUIi, TUT L~ SAMPLE #+#,<'+:>: 4x: ••^.4`::',`. #A1P f`vC# { ~(~} <br />(AS P-$} MEASUREMENT <br />J1U4S 1 4S U PERMIT ##~3r~ O##7#t A#Y S+f#gI1C# ~,5 7:f D' .: 1[CE/ iRAB <br />FFLUENT 6R~55 VALUE REQUIREMENT #at;,4 30DA A AT- T Z MG L H <br />JIL AND G! SF. SAMPLE :=toy:;; ;a##>`r~l #09F9a9 ( ig) <br />- MEASUREMENT <br />J3SH2 1 O- U PERMIT.. #####t rk#4;tXF3 * #:; G*?41p,y* REFt2R~ 20 ONTXN i$AB <br />FFLUENT GROSS YALGE REQUIREMENT ,.oSTA 30DA ~~G IRST MAY RG L GEN <br />L01., IN RUUIT LR SAMPLE ( U3) oooa#t oC;so*t >:tattt <br />fttHU TitEAT tlRNT PLA NT MEASUREMENT <br />,OUSii 1 U 0 PERMIT . RBPOSiT. REPORT r**4GO ~*~#~* ~*'oa+~* #+GO EEKLY 'IMSTAN <br />FF'LUENT GRO55 YALUE REQUIREMENT SODA AYG DAILY !IY MGL oo#~ <br />~' DS, 0 L SAMPLE ~#ot,: ;:# orr#o><# o4#4C~3 ( Ig) <br />ISSOLYED MEASUREMENT <br />!0295 1 0 O PERMIT' . ~' +~ac#a- #Ite~t4*# * ato 0.100*#~r REFt7R1 RHFCI+T TRLT ;AAB <br />iFFLUENT GROSS YALUE ..REQUIREMENT. t:Xtfi QRTE Ar6 4'.RT:~:}IAX AG/L : <br />NAME/TRLE PRINCIPAL EXECUTME OFFICER I cERTIFr uNOEn PExuTr of I <br />AM FAMILIAR WITH THE INFO ww THAT I NAVE PERSOrIUIV ExAMINEO ANO <br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE <br />/ ~ ~. / ~ <br />\ <br />l <br />/ MY INQUIRY OF TH09E INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />~ <br />l <br />l+ <br />~ ~ <br />tJ <br />TRUE. ACCUMTE AND COMRETE. I AM AWARE THAT THERE APE <br />INCLUDIMO <br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION , <br /> , ~V O <br /> <br />THE POSSIBILITY OF RNE AND IMPWSONMENT. SEE tB U.S.C. 1 1001 AND SS <br />/ <br />BIONATURE OF PRINCWAL EXEC17TtVE d / <br /> U.S.C. 1 11tY. lPet•AN. ute•~ tMw corona snr IncA.W Rw. w ro f 10,000 <br />TYPED OR PRINTED ..swmui.xnr YrlPnwmenrW MnrwnemonersWe yr>tl OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lrrererence sn ertecnmenn nerel <br />~ETTLEAtiLE SOLLUS LIMITS APPLIeS ONLY IF ~=104 H,24Hft PRECIPITATION EYfHT IS CLAI[EC. PERMITTED MA, <br />DUHDE~Y OF PROOF GHEM REIIUESTING RELIEF FHO;f SETTLEA6LE SOLIDS PPIMARY LIKITATIOI+S. <br />EPA Form 3320-T IDB-951 Previous editions cosy bs used. (REPLACES EPA FORM T<0 WNICN MAY NOT BE USED.1 0040 3/5 8 C 22 3-12 56 PAGE I OF <br />