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<br />PERMITTEE NAME/ADDRESS (lnclede Faclllq• Namr/Localion i/D ffereay NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDESf Form ApprOVetl. <br />NAME ~ <br />PITTSBU{tG 6 (lIDHAY COAL MINING DISCHARGE MONITORING REPORT (OMRJ <br />17INOR OMB No. 2040-0004 <br />~ <br />ADDRESSEDNA MINC ~ r'~ T ~ (SUER HH) <br />P. U• BOX b S 18 PERMIT NUMBER DISCHARGE NUMBER F- - F I 4 A L <br />EVGLE40.UD ~ - ~~ CO 80155-6518 MONITORING PERIOD DSCHG TO ROLL DZTCR~3/TROUT CR <br />FACILITY <br />LOCATION ~ YEAR MO DAY YEAR MO DAY <br />- FROM TO 12 31 :Ft NO DISCHA ) d## <br />RGE ~ <br />fl I T N : D A Y I D L • LO{1 G. LINE SUPT . __ <br />NOTE: Read Instructions before completing this form. <br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br /> EX OF TYPE <br /> PARAMETER <br /> AVERAGE , MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS AHaLists <br /> SOLIDS, TOTAL <br />~ SAMPLE ##RGR6 O~#### GSGS'Ch s ( ],'I) ~ // <br /> <br />DISSOLVED <br />MEASUREMENT <br />~ <br />~ <br />lC` <br />~~ <br />' <br />[~ + <br />~-!~ <br /> 7UtY5 1 U U ~ ~~~ <br />° <br /> EFd~LUEflT GROSS VALU <br />.,~ ~~ :" ~ <br /> <br />~ swy~a: ;t "`':. <br />. zt. < . 4t~r, ~~ f <br />:. r _ 1' ~~x ~ •,G L ,w~',,_, `" <br /> tlEBCURY~ P7TAL SAMPLE <br />MEASUREM <br />NT ~~~#~ ~~'x### ~~~~+"~# //1 <br />O(~OZ / <br />;YJGT <br />LJ <br />( 19) / ~r^ <br /> (AS RG) E rL L/ <br />. . ( <br />< <br /> 71900 1 I O ~r <br />`~ Asa ~:, a - <br /> <br />EFl"LUENT GHO55 9ALUF <br />~ <br />~ ,~ ~ <br />, <br />`s <br />-~a <br />;;~ <br />~{~ti: <br />)y <br />'~~ <br />MG/L <br />~~ <br />~ ~ <br /> _ <br /> f'LOr !~ ~. }^ <br />~ ` <br />" `s SAMPLE <br />U <br />~ <br />d <br />O <br />~7 ( 03) ~t#~„xaa #a4# ~? k ~#; #.y <br />l ~ <br /> 05- <br />- MEAS <br />REMENT . . <br />. . 1N <br />/ <br /> fJ07`~'~ ~~ r ~ r4# ~ <br /> UPSTR8At1 11JNTT<1RIN6' ~ I`e~~ ~~ hGD ~' <br />. b <br />`, ` <br />~' ~~ ~c"~ ~ `, qtr#i. ~~~ ~ <br /> . ~ , , <br /> UILU.~LOM FACTOR SAMPLE (Xi ~' uU ( lU) 34+dC3~ '~~:~~`~:: ;~a~~*f <br />~ <br />/ <br /> - ~ <br />~).[ MEASUREMENT b ,(X~Z GU / <br /> . <br /> EFFL •~6ROS5 VALUf ~l~dillt3~N1 <br />... <br />~ ' ~.~ T:.~ "e~ ~ ~ <br />.. „r. a~ ;~ ~~ <br />l ##u# r~, "'; <br /> OIL A ~ EASE <br />Y SAMPLE <br />MEASUREMENT rpr rs <br />F### ( gu) #n;t 4•{<:X rtGrtr.. .. `. p~ <br />l:;t~{; <br />~ ~ <br />/~ +/ ~ <br />~~ <br /> VISUAL w .; Y <br />G, <br /> 8v066 L ~"'0 0 RS=1 e## <br /> EF~LUBNT CROSS YR,~ O~0 ~"~~~ O#:ab,. _ ~ . ~ :x~~ ~+., <br /> ' Y~AMPLE.. <br />~ <br />~ .. <br />(: <br />~~~ ,. <br />r Nor <br />- <br /> MEP,St)REMENT ,t - <br />. i~ <br /> rs • <br />L '~ <br />6 <br /> SAMPLE <br /> MEASUREMENT <br /> ~~ ~ ' ~ <br />! <br />`' f:. <br />' $ isi y, ~ s ' •5~i. - ` <br />F~~ '~ r ,,, <br />' <br /> . :...• <br />.:. .> <br />i <br />. <br />: ~ : <br />, c : t '' ~ j <br /> I fJerl under <br />NAME?ITLE PRINCIPAL D(ECUTNE OFFICER dy penalty of law that this document antl all attachments were TELEPHONE DATE <br /> <br />~An ~ . ~h~e.i,1L prepared under my tlirection or supervision in accortlance with a system designetl <br />W assure that qualified personnel properly gather end evaluate ihamrormation <br />submitted. eased on my Inquiry of the person or persons who menage the system <br /> <br />, <br />... .~ <br /> <br />~ <br />1 or those persons tlirectly responsible for gathering the inlormauon <br />the Information ••..J <br />(~ <br />{. , <br />submitted Is , to the bast of my knowledge end ballet, true, accurate, end complete <br />.S ~ .' I ~ IlW bJl Trh <br />~b AI]:A <br />. <br /> <br />SIGNATUR OF PRINCIPAL EXECUTIVE <br /> <br />~'~ p~.~ <br />c ~rJ • ~~f71} <br />O t <br />~~ <br />ZZ <br /> „ <br />{d- TYPED OR'PRINTED ~ <br />I em aware that there are signRicam penalties for submitting false inbrmaoon• <br />includin the ossibili of lineand lm risonment ror Mnowin violations OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENT .A D EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) - <br />; TS.S 6"TAL IRO~i LI"l ITS HILL HE YALV°O, AND SETTL°ABLB SOL IDS LIlJIT APPLIED Fri f=1UYR, ).4HP P RECIP EVEhT <br />-SEE :2r P Yj PUR DETAILS. QRTRLY SAMPLING INSTROC,TjQN S - I.C•9• hf.THOu Dd:FCTIt~TI L~~IT.S - I.F. 2. <br />~ ay be used. <br />y,;,~ el t ~ <br />1 (^ .}i1 ~ Previous a <br />EPA Form 332. <br />"-A ` <br />r :. ~ ., - rr _ y 1 ~ <br />PART FOR ~ <br />~ <br />T <br />1 ~ ~'P G ~, ~ k . n <br />7 <br />~` <br />e •~' <br />J <br />_ <br />.ti , . <br />v .., _y,. r P 1 9 <br />/ ~ J '; 7 I <br />r. <br />- <br />3 3 z <br />. ,:. ... <br />