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.., <br />7 <br />~. <br />PERMITTEE NAME/ADDRESS pnclvde FanGO~ NamelLormion i/DrJJerenp <br />NAME ('YPb:U:: CA~PP. VALLYY COAL Ci'3P• <br />ADORESSI IS: S::> 1. 2Ej SOU?t;, c% 6C:;MAG r'E <br />v1uU FAST YIVEHAL CIHCLF: <br />FACILITY r. ~+' L L'J 00 ~~ :: (J y 71 S', <br />LOCATION <br />FT °`!! M/'14 ~ I': _ K:[G( F V. ~: 4' V PNA7 QTLY <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FOfm Appf0V0d. <br />DISCHAgGE MONITORING REPORT (DMR~ OMB No. 2040-0004 <br />(z-1s) r7T~ sl .7 A J 0r. Approval expires 0531-98 <br />r r•n n0'TTS nnJ a (SU$P. Nq) <br />PERMIT NUMBER DISCHARGE NUMBER ~ _ F i ~t A L RU U T T <br />MONITORING PERIOD t9T is ;: 1, P U N'J ri 7 0 i3 I C O L E C 9 E E K <br />YEAR MO DAY YEAR MO DAY <br />FROM (U OR 02 TO UO !J ti J1 .~;.;~ NO CI';CfIAkGE '~~~ <br />(zo-zl) (zz-z3) (zrs5) (zs-zr) rzas9) (3oar) NOTE: Read Instructions betoje cornpleting this form.. <br /> (3 Card Onty) QUANTITY OR LOADING (<Cerd On/y) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (as-53J (5a-s7J (38-45) (as-53) (sa-sr) EX of TYPE <br />(3z-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />(szra) ANALYSIS <br />Isa-ss) <br />(69-70 <br />~'1 SAMPLE <br />MEASUREMENT :, t,.:p e;n;:,, 'a;:: 4,i: <br />~ ~j (~ 1~ <br />!I / 1 '• r`~r.'~ ,• ~e ( 1 ~) ~~ i aR(~ <br />(F'`~ <br />' .+UU 1 U 0 <br />/ "'IPERM~T ~1RfipRIR C#1fM016t. >f1 C;:;: ~sj. `SI#1p#1C# i•(~=', M LYf 8A8 <br />FFL114.T C~O55 YALUE :REOUI EMENYr <br />N w~ t+ ,.~ _~., t .Jer:- '~##;t -:r~IFI AIUK ~ ~ !I /-~ !!U!! ~0 ~#:: ~. <br />icILIUS. .i'r;'iTLEAbLE SAMPLE ~:>Y#""^•' c:#Y,,;,#.te -x~e;:#rt;, ( 25) <br /> MEASUREMENT ~ A <br />N tJ I <br />)L~7'!ur U 0 r~... MITiF '" ~ t~'.` ~#dr#1" ?#:x xP~r#?h,G: &EpaR2' o <br />$EIFO&T O ~'$/ ( RAE <br />:-.c t"l ATS EELOM .A :~IR~AENL <br />.. LL` ssr„ ~ ~ `J~= <br />.. Gv#a 30b71'AY6.~ DAI Y !!7[ l'L/L ~ .'L'~N~ i <br />i,ll.~r tidT'fLEASLE SAMPLE ~~~:'`.?::' ;.~...r~ rX;r M4:;a Z5 <br />( ) <br />~ <br /> MEASUREMENT Q.'Q Q~ IO ~ ) /{AB <br />~':LLJ 1 u U <br />1 -PERMIT .#~+~1R4~01 9o+7S~fi#-:p 4#;: s~Yj037!rM# ;.-$$¢C)i~R ,j iv- O EICE/ l hA=~ <br />`°LC t;ti1' Gk1J`iS YAlr;: - <br />REQUIREMENT ; .: ~t =v#t ~' ~''., ~' ~ ; ...3 [:~AY6 -rA L1' ~~; 9L/L - fJY H <br />,rL tr ;: P,EASc SAMPLE .. ~ ::ri#;r:.n ,'.`•+l`#~: C: .,'r #'r•'~~` ( 19) <br /> MEASUREMENT NA tJh A tJR <br />)U05D 1 U U 'PERMIT` .-?4#i'r'~#+F 191-~Qik,P1~'~.i~ 4## -. .#~Yi.1id'# ~'•aR6>Q-lih~>¢ t~ ', 1 r; " C. pNZjA( BAE <br />i F• F L U E!+ 1' L, i10 9 S Y A L J E REp,I(JIREMENT <br />... C~k'-4 ~' -- ~~ ~ ;' - G L 3 <br />eLV4~ IN CUNDUiT Uk SAMPLE ( U3) Y~,7`7t.:4;: #;i'•`•:r' ####G#- <br />'HkU TREATi1L''tiT PLANT MEASUREMENT ~~ ~ pQ~ /~ INST <br />UUSD 1 D D ~ R" jTS "q~ `e6, n, , ~ ~ 1r - ~: {Y <br />'~ ~' ;~: cwt <br />R ' '~~ +: <br />~ ,~i~ <br />P~K$,~~~ <br />-1~gxAN <br />?FFj.UENT GROSS YALUE 'R EMEN ~ <br />~ GU ~ ~~F" ...: FA1i14 <br />- <br />,I 'AND GRF,ASE SAMPLE #'X~'aa1~ ( 94) #9#>k#O 4A1###A #d1CyY;: I <br />I~ <br />ISUAL MEASUREMENT I~,(pfi/ <br />fu466 1 U U '.~PERMl7'' + ~ ;`% '" -_'~ ES=1 •' '` ~i~~ l ~ # -''# (~i~~,J.7 IaUIL <br />iE'FLUENT GROSS VALUE - <br />R~OUIR~MEN7- .., ~~~~ ~~~.'.~ N0=1) ~ ~ 1`:~„ ` ~~A`~' >~ p=o. ~P~ <br /> SAMPLE <br /> MEASUREMENT <br />,ER MIT - ~ _ <br />~ <br />RQOIR EMENT -x <br />`2;~ <br />~( ~ , <br />; , <br />m ( <br />; <br />, _ <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER AMEFAMWAR WRH THE INFORM A ON SUBMITTED MERE NA AND BASED oN My TELEPHONE DATE <br /> <br />Rtchard IV,IiIS INOUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPON <br />THE INFORMATION, I BELIEVE THE SUBMITTED IN SIBLE FOR OBTAINING <br />FORMATION IS TRUE, ~ /~ - <br /> ACCURATE AND COMPLETE. I AM AWARE THAT TH ERE ARE SIGNIFICANT <br />L <br />D <br />TH ~~. <br />EnvironTnentel Manager <br />~ PENALTIES FOR SUBMITTING FALSE INFORMATI ON, INC <br />U <br />ING <br />E <br />ND <br />S - <br />v 9]D- a]0-y7I2 <br />I <br />r POSSIBILIrV OF FINE AND IMPRISONMENT. SEE 18 U.S. .C. <br />C. 51001 A <br />33 U. SIGNATURE OF PRINCIPAL EXECUTIVE y/U / <br /> <br />~~ TYPED OR PRINTED § 1310. IPenetties urltler these sRlules mey inclutle lures up to 570,000 entl or <br />maximum rmpnsonmenl of belweenamonths BndSyers.) OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />YEAR <br />MO <br />DAY <br />Gb' MENTS AND EXPLANAI ION OF ANY VIOLA I IONS (rteterence 811 artecnments nere) <br />L>QJL.LE SOLIDS LI~iT i5 MAIYc:' (LGC 'P') 03LY IF >lU-YF!~ 24-HH PiiECiP ~:Yr''fT IS CLAI:;E:. SSE S.A.2~ <br />1N~r FOR BURDEN GF PkUJF HE(;L1I3eCE8TS. OIL GNEASE-S£E FOOTNOTE F/, P:, i. .-..8i Y '~4~'EL1:•:, E <br />(REPLACES EPA FORM T4(1 WHICH MAY NOT HE USEO.) <br />00107/IJvG405-1501 PAGE1 OF <br />