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PERMITTEE NAME/ADDRESS (Include Faci/in• Namr/Locatiun jD~erenrl <br />NAME CYPfiUS YA!'tPP. VALLFY COAL CCkP. <br />AgDRESSyINE5 1,2E3 JOGTH, ~t: PCKMAN P3 <br />'100 BAST ttInh4A1 CICLE <br />ENGLEU00L C:I d01S5 <br />FACILITY <br />LOCATION <br />-'I'TX: ;1JRRIS 4. !i?SLEY, i;*_'NE.RAL ATNY <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (OMR; <br />f2d 6) f11, 91 <br />COD027154 vv^O1 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM "v v I u L TO vL~ y r ~t <br />(40-41) (4443) f2<.25) (464)) (2849) (3631) <br />Form Approved. ' •, ~a. - <br />OMB No. 2040-0004 = ~ - I <br />MAJOR <br />(S D 8 R N G) APProval expires 05-37 r9R( <br />f' - FIt~rL AdU"Y <br />P.CE;'1?-17 PCNC A TC F~IGEL =~ c:rR <br />~'° NO CISCl1dN0E" I~I •:~ <br />NOTE: Read Instructions before completing this form. <br /> (3 Card Ony) QUANTITY OR LOADING (4 Cerd Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (54-61) (3845) (46-53) (54-61 <br />EX <br />of <br />TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />lczm) ANALYSIS <br />(6a-68) <br />6470 <br />-4'.UUL11Y1'1'1 SAMPLE rr'x::4,:: :c;c;v x; :A;; ;~ st:-7~ ( 1.1) <br />7 <br /> MEASUREMENT p <br />~j 3D "~ q <br />'-S'S ! ~ D /S ~ y~AB <br /> <br />l,~yu 1 U U <br />".;?PERMIT "~ ~ s*-: s <br />~~ ". <br />hHC/ <br />R F <br />H <br />~' ! `.' L U E "'1'L' C k a S $ VALUE. REOUIREMENS-- ~€,~ _- <br />~'. , <br />~ <br />" 4+~ ~'~ + <br /> ..a <br />' _ <br />.. <br />• ~ <br />: <br />. =. <br />~ <br />:.-~ SAMPLE <br />RE <br />M <br />S <br />T ~ <br />~,:;.+az Yr <br />a ~ <br />I <br />7 <br />g'~ s -+r<:,~.u <br />B' <br />~ <br />Z ( 1j <br />O <br />` /~ p, <br />G~ <br /> EA <br />U <br />MEN . . <br />. <br />. ~/ <br />,lluvu 1 U D ,+-~7 ~ <br />ae <br />ERMIT ~ ~ t 1 <br />. <br />~ <br />" a~~ .S <br />~ ~ <br />. <br />~, ~+ '~~ <br />~" " <br />~~ <br />" ~ t <br />~ <br />~~~ .R <br />. ~ <br />UEN_ ';kOSS VALUE ~ <br />REQDIREMEtJT . -_ d ~ ~.~t, <br />,~ <br />- <br />~ ~~I:°% , <br />riIwlKtl>~ . <br />, <br />~ , <br />~ <br />~ <br />p; <br />`~ SU ~ z <br />.~''~ <br />+` <br /> < <br />, I ~ - <br />~.: t.l Uv,'" U'l SAMPLE fi4=r,::c:;: a. :,~>F~•?,'~ 4~L+7pr;X ( 19) ~". ~j~ <br />.' :i P E N D E D MEASUREMENT . ~ ~~ ~ <br />I:, tU D U 0 ^^-4 <br />. <br />PERMIT <br />Y+) 3 <br />- q#C REP RT; ~ '_' REFCRT T NHBHLf ' <br />C07yA8NSS",( L0. , <br />,: <br />REOUIREMENT, I+tw." ~ .r +a~>R+t . "-dQDA ~RR~ '~1AILY "dx i'G/L hORTN" . <br />., i.l t)y, U SAMPLE aLC Or .'I' 'g ~. ~ ( ) <br />]. 3 <br />1 t; P E: N C $ A - MEASUREMENT . IO. OO Q $~ (a f~~a <br /> <br />L 7 i D ~ D ~ - fi i .'~ .h ;r.~ rr <br />a x x - - <br />0 ~ <br />T <br />ftB H/t 5~i: <br />RAll <br /> <br />-,.DENT CHOS$ VALUE <br />• <br />ENT <br />F~ <br />t, '~° <br />~='''•• <br />'~.~~~ <br />A kMG <br />DAI1r"I 1t~' <br />"G/L <br />, <br />tlC <br />N <br />TH ,t, <br />:1.. U , ..':"'LtoU C .SAMPLE <br />RE <br />NT <br />M fi'. :-. -F ~. D•F t'~. b4 f ~/~ ( ~~) II /) <br />~J <br />~ N/ti <br />/ <br /> EASU <br />ME it <br />'YA ,P' <br />,7^ ,•I <br />1 <br />1'.517 O U U <br />. ~'? PER~T~,~?; <br />~ } ,~ t>» <br />~ ~ <br />" <br />' oav iC k$PO '~i= <br />. <br />' ~i. _. '~ :: <br />`" <br />" ~.µ,~ &EE/f AA83"• <br />CUt'S YI ` <br />.•'L5 BF:LOY REQU RE ENT s~., <br />+wt~$T ~,y'-E -.: <br />.::~ 6fi4G ~3(}~}~' <br />~ <br />a r <br />T <br />~fR - '~L/L -`"t ~ON1'Yi <br />L'L1 S, _... LG H ~ SAMPLE <br />SURE <br />ME <br />ENT ~ -: rJ 7v~g OJl rz r~r?,~ <br />~p'' <br />1 <br />~' I ( ,) <br />~ <br />~/j I <br />~nF <br /> A <br />M . cV <br />!J717 1 U U ;;'.pERM~T':" a ~,,, ~, <br />l <br />~ Oft. _ !).p it <br />~r <br />~ _ .'F. Z $ E t iAbl-,'. <br />°FLL'E~T CFCS$ YA.LCE REQUIREMENT ~ <br />'; oo*~ ~ ,~ <br />~'~*T ~ <br />$~L'k'dX~ "L/L NTY <br />~ <br /> y, <br />" , <br />' _ <br />~ , <br />. <br />.J .- ~~ L. ,i ;. OP, SAMPLE <br />T <br />RE Lx'r :: ::: r,: +: fi>7 ;FF: 4 rJ7Vlt# ~`TZ t <br />• <br />I <br />~ <br />, ~ I ) <br />~/A <br />1~J1 <br />N ~ <br /> MEASU <br />MEN i <br />Y I 1 <br />;, ~tiF3 1 <br />;i U <br />' PERMIT <br />av;" <br />.•. <br />.. <br />:,~.; <br />¢ <br />a~ <br />` <br />C <br />UN2I2; ( <br />'RAE1 .. <br />''r'}i.UEt.'f +;F.O-i5 Vn'.G:' REQUIREMENT - <br />~ ~~:~,': <br />~ - ,'S1P$T dA-i( . !"G/L R,"{3T <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY E%AMINED AND <br />IN; AND BASED ON MY TELEPHONE DATE <br /> <br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON <br />SIBLE FOR OBTAINING /// <br />/ <br />Richard Mllls THE INFORMATION, I BELIEVE THE SUBMITTED INF <br />RA <br />D C <br />PLETE <br />AM A <br />RE T <br />T ORMATION IS TRUE, <br />ER ~ <br />~~~ <br />( <br />// <br /> <br /> <br />TE AN <br />I <br />WA <br />HAT <br />H <br />ACCU <br />OM <br />PENALTIES FOR SUBMITTING FALSE INFORMATIO <br /> <br />E APE SIGNIFICANT <br />N <br />INCLUDING THE ~ <br />~ <br />(~ <br />/ <br /> <br />970-870-2712 <br /> , <br />SSIBILITY OF FINE AND IMPRISONMENT SEE 18 U <br />S <br />C <br />$ 1001 AND 33 U <br />S <br />C ~J <br />F r mAn tR I 11f AnianP. r . <br />. <br />. <br />. <br />. <br />PO <br />. <br />i <br />s <br />le <br />u <br />utle lines u <br />t <br />510 <br />000 <br />nd or SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED ~~ <br />~ <br />6 <br />~n~~ <br />p <br />, <br />o <br />a <br />maximum impn'swmenl of be <br />Years.l OFFICER OR AIII'HORIZED AGENT EA <br />DE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /nelerence all artacnmenrs nere) <br />-:0'~t:CNr1T° LI".ITS FCn 1'55 ~).::LER.'.':.h, :i0LIC5 (LIIC 'O') APFLY C;ILY I5 <= 10-Yr., c4-Hd PRt:CIr' F'iEkT LS <br />CLAIMED. SSE I. A. Z, PG i ', PJr 'L10-'^I. J~' pPOJf' kE~~ULIIF;M8nT5. CIL ~. Ci;E:ASE--~ c F'.".[:'L',CT~ F/, PL 2. <br />EPA Form 3320.1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) ,; 0 00 ] / 0 ,) 0 ~ 0`I- i 5 O 1 PAGE . OF <br />