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PERMITTEE NAME/ADDRESS (rnclude Facdiry Namr/Lxarian ifDiffarenp <br />NAME <br />CYP'i~JS YA'1PA YALLr",Y COAL CORP. <br />ADDRESS:Iik°5 1,1&3 SCU4N~ `~ iCK!'P.N PK <br />9?~C .iA7I /II•S h'HAL CI9CLh <br />FACILITY r'ICL'; 1700D CC t+U1Sti <br />LOCATION <br />i.'P 1'fi: Y. O8~i5 L'- KEGi.FY_ :M-F'?iAl. ATNY <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FOrm ApprOVed. <br />DISCHARGE MONITORING REPORT (DMRI OMB No. 2040-0004 <br /> r2-1el " ~_-- (1z el '. o ,70 d Approval expires 05-31-98 ~ <br /> <br /> nn. 7 te. 11 l1t r1 ~=o ~j .. }' yr ni <br /> PERMIT NUMBER DISCHARGE NUMBER 1.~ _ r 7 ': A L H~~ I?'ifT <br /> MONITORING PERIOD ~`~~+GA~E-:S: C':, '"? '~ ~:') FOIGEI. Cyr ~ ei <br /> YEAR MO DAY YEAR MO DAY <br />FROM ~'U C U1 TO UU U7 31 •'~ '+J GI~Ct~3d;, <br />` , c ~ <br />~ =`~~ ' <br />Izo-zTl Izz-zsl rzs-zsl rze-zr/ (zs-zs/ (soar) NOTE: Read Instructions _ <br />before completing this form. <br /> (3 Card Only) QUANTITY OR LOADING" (4 CeN Only) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (4653) (54-61J (38-45J (46-53) (54-61) EX OF TYPE <br />(3:-3:J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />reaosl nNALycr3 <br />(64-se) <br />69-70) <br />7AUCR4c::iF, TOTAL SAMPLE <~O'`•`•`'` '%~<nx'? +:-1',=yt~i: Q•'y u{y~ ~ jq~ ' ~~ <br />ff 2C , V dri A 9 L C' MEASUREMENT -g-~-~• Q, ~, '3 Q <br />Llll3 1 U U PERPAIT. ~~~4t¢~~ 'P'#~tR#7R'>« >~-7z~ Orkp#Q14 ~t~ ~°~~g~,"- `C N 1~ <br />~~`C :ALCT!l <br />tiFF'LUEr•i' i:HD55 VALUE REQUIREMENT - <br />~ . r,0>r;: . <br />"~ ';~bLll.~#~YG" '` ',>~iR,'X."' t7G/L ".- ~ <br />B4i•MfRH. .. <br />PLUw~ if. C09DUZT OR SAMPLE ~ ( 0}~ IGO#4oS4 ~X:at##!+ #fi4K:y.# <br />, <br />A~~D <br />tHR1J 'L'?F.AI"TEAT PLANS MEASUREMENT r . 0 ,~~ <br />)UUSv I U 0 r '.:PJ=RMIT _ <br />~, <br />- <br />F` it$~ '~ +F1~1~!+G{r ~4ik:91'{S+R xk+3 yr'~4 d~0 11 '.. `) Fl il~ ~ :ALC'.''. <br />'t'FLUC':'L r„{055 YALOE `R`EOpIIiEMENT ;~1~~;'. _ <br />DA -~`"-!S I[ CC. C' - ~ ~ - •''''~+ ~i'~~-' i1Q - 1! <br /> SAMPLE <br /> MEASUREMENT <br /> .PER I ~ <br />~ ~;nT:- <br />' '",'. ,~ ~., , _~ ..._ <br />S <br />~ .. . , . -. , <br />- <br /> REOUIR <br />77~ ~- <br />.:, -i l; <br /> <br />SAMPLE ,,1 <br />,A MEASUREMENT ,.. y, <br />I <br />',I <br />- --PERMIT <br />- <br /> <br />~ - <br /> <br />."~ <br /> <br />-~ ~ <br />i~ <br />'"~ <br />~ <br />• <br />~ <br />t; ' R <br />EOUIREMENT ~ - ; <br />~',. ' <br />~ <br />~ <br />I <br />~3 <br />: <br />. .. MEASUREMENT <br /> <br /> <br />' .PERMIT ~ <br /> <br />,~~ <br />Y x, <br />'~ ~ ~ . <br /> <br />i <br />~ ~ "'" .. <br /> RE UIREMENT: ,s <br />.~~ <4 aS.!~ia <br />.Jli "•.-',`~. ,a :J'~! Ltx:-... •-; <br /> SAMPLE <br /> MEASUREMENT ~ <br /> <br />- <br />~ <br />f~ t- <br />~~ yy-~ <br />LS'~..~ ~ SY# fT, ~ <br />" P <br />~ _ _t } 4'~i ,.~ - <br />` J Yy r I .- <br />P. <br />. <br />.~ 'JR~MENT <br />L -,,, <br />L <br /> SAMPLE <br /> MEASUREMENT <br /> -: PERMIT ' <br />H-~ " . k :_ <br />` ~ ~ t- rr :` <br />~- <br />' <br />r <br />` _ - u'--' <br />' ' <br /> REQUIREMENT - ,, ~ <br />• <br />; <br />r r + <br />.h .5,xe~ - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND <br />AM FAMILIAR WRH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MV TELEPHONE DATE <br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~ /~ <br />'Richard ~Aills <br />' THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, / <br />/ <br /> <br />9 <br />9 <br />l M <br />na <br />er <br />t <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICAM <br />INCLUDING THE <br />PENALTIES FOR SUBMITTING FALSE INFORMATION '(/ <br />_ <br />, <br />~ <br />970-H7O-YJ1 Z <br /> <br />- <br />~ <br />g <br />a <br />a <br />; nvironmen , <br />1001 AND 33 U <br />C <br />E <br />T <br />EE <br />U <br />S <br />C <br />S <br />~ T7 <br />' <br />" <br />(: . <br />POSSIBILITY OF FINE AND IMPRISONM <br />N <br />. S <br />18 <br />. <br />. <br />. § <br />. <br />. SIGNATURE OF PRINCIPAL EXECUTIVE XJ ~ <br />'] <br /> <br />'~~~~ TYPED OR PRINTED 4 1319. (Penetties under these smtures may include Imes up ro E10,000 antl a <br />maximum impnsonmenr o/Oehvaen6monfhs entl5years.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MD <br />DAY <br /> <br />I <br />9 <br />~~ <br />I <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />D1~~~'EHMI!+E 3U-DAY AVERAGE CONCE6TRATION USING A FO°MAL ARITH!1['TIC CEa9 OF ALL S'EF.KLY 2r: `. 1!L'IS OUTAIRY.U FNG;' <br />SA~lfRLt~ COLL.'s'CTED A? FOINTS UUlA~ UU56. 0.ND CU7A Dt;HING THE aEPORTIFG PERIOD-I.9.1, FG :... <br />3320-1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.) 001 ]. Z ~ 00 0 4 G S-1 `, U 1 PAGE 1 OF <br />