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PERMITTEE NAME/ADDRESS Onclude Faci7iry Name/Gacmiun iJDifjemnq <br />NAME CYPRUS Yr'•PA YALLRY COAL COkP. <br />ADDRESS'fIhFS 1,li:J .iOU?B, E cCKNAN PX <br />y2UU EAST ~INF.HAL CIi(CLE <br />E'~GLk'~OOD CO bUl>> <br />FACILJTY <br />LOCATION <br />;. °N; :90FIS 6. KCGLEY, G6ti_HAL ATNY <br /> (3 CeN Ony) OUANTI <br />PARAMETER (46-53) <br /> <br />(32-37J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS <br />70 <br />9 <br /> fsz-rte/ (64-68) ) <br />6 <br />- <br />L,~UtI, '1'U"AL <br />(AS Y°) SAMPLE <br />MEASUREMENT a~:~!,::c =.~~:=rs: fi <br />OI~~Q <br />OrztO ( Iy) <br />Q <br />)~~ , <br />~~ <br /> <br />i ~S 1 U U ,., P 9}Y)IS aCF ~v ~ t• ~ * i ~ Q M C 1! 8 ' ' <br />i i't~~LJ ~ti GSIOSS YALUE . <br />REQUIREMENT - '__ t" <br />_ '~_ <br />`:_ 40+:+G "~,Q~~ :~'-r ~J~~j,~~~~ f!G/L " HGM SIN - <br />.~ <br />;'I.' N, ,ti l:UN1,'U Ilk <br />A9 :i i• <br />i;U =' ; <br />T t'L <br />4 HT SAMPLE ~Wt <br />O ` <br />e <br />QO1 ( S) i-fi rt O,• fii >RP .A 01SII,'kA. O ~~ <br />r <br />Y. <br />.v <br />. <br />~ MEASUREMENT I . <br />J <br />,UU57 1 U U <br />~Ft'LUh`.T G$OSS YALUE e`• :PERMIT <br />REQUIREMENT v4 <br />FOU,1„~y •~ ~'`i <br />~ ~~' <br />' <br />' <br />ISGD !~ n ~ <br />~' ,~~` ~~ ` ~ -" <br />~ ~"fit ~2 <br />I '~'-' '~~ 1140 <br />40#4 «~.. ,~'t <br />~ "- :7193ltA <br />~7~ <br /> - a <br />~ ,... <br />.:i NhU v!tL ~ SAMPLE v 'su. Y Yfifi ~ fi.'fiFte .n, .. <br />V I'~U AL MEASUREMENT O O ~~' V1SI~IL <br /> <br />~vGbb 1 U U <br />PERMIT <br />,~• ~' .D ES=1 a>R >R '~ ~ ~~~ R Y S~Ae <br />cFFLUEN7 G8055 YALU-` REQUIREMENT T*S'C MA'X" M0=0 +--r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT '~ axs ~ <br />. <br />° <br />~ - <br />- <br /> REQUIREMENT - - ~" - ' ,. <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> - PERMIT <br />REQUIREMENT r) ~,` <br />~ .~~ I <br />~ ~ ~ ri ~ <br />~e - n t ' <br />S : ail- '; <br />~- ~ ~ : ~I; <br />;;'- <br /> - ,, ~, „ . <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />: :.., . <br />- <br />'~" <br />_ <br />...';c: ..,: <br />-.. - <br />'gi' <br /> -REQUIREMENT - _ <br />~ "~-~•I'- - - ~ ~~"- - - <br /> SAMPLE <br /> MEASUREMENT <br /> ~, PERMIT ~ ~ ~. ~ - - ; <br /> REQUIREMENT <br />' NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONALLY EXAMINED AND <br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MV TELEPHONE DATE <br />970-870-2712 INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br /> THE INFORMATION <br />1 BELIEVE THE SUBMITTED INFORMATION IS TRUE ~ ~ <br />~ <br /> <br />Richard MIIIS <br />, <br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT <br />PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING THE ~~ <br /> <br />970-870-2712 l <br /> <br />~ <br /> <br />~' <br /> <br />073 <br /> , <br />Environmental Manager POSSIBILITY OF FINE AND IMPRISONMENT SEE I9USC.41001 AND 33 U.S.C. <br />r <br />flfl <br />Cg7 <br />tl <br />l SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED , <br />en <br />or <br />p <br />6anrsen6mpnll~s enCSYeersjsup <br />msximum impnsonmem of OFFICER OR AUTHORIZED AGENT E NUMBER YEAR MO DAY <br /> D <br />'.r <br />'S'. <br />1 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference 91/ attacnmenrs Here) <br />-L:'~HHnT° LIt1LTS FOH TSS, IHUN E ~cTTLEAP.LE' SOLIDS (LOC 'C') AFPLY ONLY IF <= 1G-Y°, 24-;!F. Y.°F.CIP hY'8tiI' <br />(:inl tlEu. .°.cE I. A. t, PG 111, FOR LIURI`O"J '7F PnOG'F EEQUZRF. 19b NT5. OIL t. ~R~ASE-58E FOOTNOTE E/, PG 2. ` <br />~•ar.Y .oMD1.TNr: c u~•cr.RTTNr ruarTiMrrn~.Na_rnnrNnTP ni. <br />EPA Form 3320.1 (0&95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NO7 8E USED.) D O 0 3 C / 0 D D I! 0 5 -1 `~ D I PAGE Z OF <br /> ;. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (OMR; <br />z <br />rs <br />nT <br />w ,e <br />A JO R OMB Nn. 2040.0004 + -,'; <br />~~ <br />- <br />~ <br />- <br />r gpproval expires Or31-98 .' k' <br />COOU27154 OU3 A (SU~3 hii) i ; <br />PERMIT NUMBER DISCHARGE NUMBER F - FINAL ~ T <br /> .'I 18 E 1, : O N C :~ i C F O 19 E L C A E E <br />MON170RING PERIOD <br />YEAR MO DAY YEAR MO DAY i <br />FROM vv ul ul TO uu ur ~1 _ <br />•• NO DISCHARGE. <br />~ ~ <br />~ -'""~' <br />fzostl Rz~z3) (2Y25) (Yfi-z]l lz8.29) (30-91) _ <br />NOTE: Read Instructions belore completing this loan <br />Y OR LOADING (4 Card Onry/ QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />~ <br />(54-61) (3B~45) (46-53) (54-61J ~( pp TYPE T <br />~ <br />