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PERMITTEE NAME/ADDRESS (Include Facilirv Name/Lncarion ifOrf(erenr) <br />NAME CYY3U5 YAY~PA VRIL''Y COAL COHF. <br />ADDAESS•IIYhS l~t'Sj ~OUIr1~ G }:CKt±AN p{ <br />yLL'U fA51' 'SItlEHAL CIP,CLE <br />~~:'L4'wUJD CO dv1S=~ <br />FacluTY <br />LOCATION <br />A1'1'a: ':DB:YjS N• r.h'GLtY~ Gf;1ii:HAL ;,'LNY <br />NATIONAL POLLUTANT DISCHARGE ELIMINA710N SYSTEM (NPDES/ Form Approved. <br />DISCHARGE MONITORING REPOgT (OMR; <br />z-rs <br />nn s) <br />P <br />4JUR OMB NO. 2040-0004 <br /> ( <br />l <br />couU27154 <br />001 A . <br />(~O:iS <br />N«) Approval expires OS-31-98 <br /> PERMIT NUMBER DISCHARGE NUMBER - F I N R L 4 (r 1(T ~,' <br /> T.C F::1A`1 "rCND A TC FOI DFL CP.EFY. <br /> MONITORING PERIOD <br /> YEAR MO DAY YEAR MO DAY <br />FROM • v ~n vl TO w vD ~i ., :i0 CI`.C4Ai?GE ~ _I >~': r, <br />Izo-zp Rz-z31 (za.zs) rzs~v) (zs~z9) 13031) NOTE: Read Instructions be fore completing Ihis form. <br /> (3 Card 0 <br />QUANTITY OR <br />60ADING <br />5) i4 Cara OnNI QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER S <br />3 <br />6 (3B~45) (46-53) (54-61J EX OF TYPE <br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />162G3f aNALVSIs <br />(64-68) <br />63-70 <br />-UG VUl,7 Y1 .CI SAMPLE ~Y.?;: ::~ -:.~-=~:,:4 ;:~~~~~ y <br />~ I •~ <br />34 b2 ( 11) <br />D a <br />~l <br />l ~^~ <br />H <br />L <br /> MEASUREMENT l ~ <br />JUUti4 1 U U ~~ .!i ¢;~~ .s ,4 R8•PA p MY.G/ T NRE'E/( .RAi3 <br />'fF'LI';'-T GP.O55 YALUE rF3E0UIREMENT ~~ <br />~ 9t=~~ a ; ~~ ;?~ i1y '~YGI D3~ <br />~Y 3!`~~3 Cr dONTi1 <br /> ~ <br />r. <br />- .,. <br />~ 1 ~ , , <br />. ti `u +ti •;zr u~¢ ter..,. <br />~ <br />~ ~ =t; :g;f--=: <br />~' <br />(~ <br />( 1 ) <br />~ <br />(~~ <br /> MEASUREMENT r + <br />)vµ01' 'L U U <br /> <br />' <br />' <br />' T:~ : :; ~ 44rf' ~ :. ~ ." <br />Y" <br />~ c SI EERLYI ,kAd <br />, <br />r <br />}I,U :'+ <br />.T GN055 YALUh REQUIREMENj-t ,i ~,i- -.- F40'< t{zljj (1{~', ~ <br />~,, <br />~ :. _ SU <br />>l`1.1 L.=~ U" <br />' SAMPLE ~_ 'F"'~ -f r7 :.: i:GGrf q <br />A ,1 <br />a ~ 19 <br />~ <br />i <br />1 :i P ~ ii U F: U MEASUREMENT ~ ry ~ f V (, I" <br />~'v ~J;1 O U U <br />'" PERMIT 6`~ ~ ,~ <br />- ~ '`...., <br />. <br />~- <br />~ - '%~" n+ <br />- <br />s <br />' ,*'-A - <br />~- <br />~' ".E C _ <br />r <br />' ~ T f; IA~+B <br />'~ <br />,L:. 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REOUIR; MENT - ( <br />_ <br />~ ~ <br />... <br />"^ gn~2• •~ <br />,~ 30' <br />.G ~ <br />...~ :+ <br />DA.~,Lf: <br />• NG/L ~, <br />>~: L1 5, 1UlAL <br />' SAMPLE r:sr,r:e-r 4=IC .' ;t .:' IR:k3O'# <br />~ <br />O <br />'~ ( 19) i'.,. <br />~ <br />~ ' <br />~ <br />iU: <br />,YENUEU MEASUREMENT ~:" .. ir <br />' , 3 . <br />«~ ~V <br />J U ~ JU 1 U Il <br />' PERMIT >a~ '- 4;`'4 <br />a'k ~'x ~TF 3 „a;' , <br />r !1 -'. <br />~~ <br />` `~ <br />* <br />"'~ 3 <br />q <br />' <br />P .9055 Y9LUE <br />:e FLU EN REQUIREMENT ~ r -~ !1X <br />t~ <br />r <br />... rG/L :.za_ „': <br />>ULl 1 ~ ,C't'1' t D G SAMPLE ,"::t -;<:> ;=4 .;x ~=;> c.=,r;=>r :~;e ( z ) -. <br />~ <br /> MEA <br />UREMENT ,A <br />N I.5 ~ Q ~' . rI ~ N/~ <br />U S <br />MEN* <br />' <br />i•R f, ,~r#~ <br />tJt+ <br />' ~~ ~ '~ ^ '~JS~ <br />~ •Y <br />, <br />) # O ~I 1r15'~t'~+Y< I I + RB <br />COAtlENTS t)ELOM <br />iEE ~9EQ <br />E <br />U ~ <br />, 0fi, <br />-»I = <br />~ <br />, ' <br />~U J~ :i G" SAMPLE O~-s:v ~=J .P <br />~~ <br />L ~~~ <br />~ ~ ' ~ <br />{ ~ 5 <br />I~ <br />3~3~ ~~q <br /> MEASUREMENT <br />)U~4y 1 U U <br />PERMIT <br />' v <br />w ~. ,, <br />1k <br />~ rate . .ASS. ,}1RT <br />L" <br />+' ': -A&FR~ ':~ ~ .',T NA~t;~j; ~8A5 <br /> <br />:FFLUEHT :;:'TOSS YALUt•. <br />"REOUIFiEMENT <br />{ <br />~ , . <br />•f <br />.. <br />I'^'a~` ~ <br />",. <br />1yy ,y <br />'SEt~~'~"~AiG <br />'~k~1~ r~';. <br />"L/L <br />l10~1?~` , <br />J2 G btt^., .•t: SAMPLE +=:f ~-::u~~A :. <br />,.rte: ;F^•.A:X A'.~ •~ -•. <br />N~ ( 19) <br />~ <br />~~ <br />1~1A' <br /> MEASUREMENT <br />)U755 1 U U <br />' PERMIT '- >a> . +C. s ~~= k pre,} i+FF .7irp of L , . _ <br />i- - C JNTI2ii , AU <br /> <br />?'rFLUr.a'1' U!;OSS YALUt <br />~REOUIR~ENIENT <br />`~' <br />p;*~~ <br />~ ~,; _ <br />= <br />~IM~S"-lt12 <br />i':/L <br />GENT ~"' <br />NAME/TITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALN OF <br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HERE NALLY EXAMINED AND <br />IN; AND BASED ON MY TELEPHONE DATE <br />Richard h1i I Is INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING <br />I BELIEVE THE SUBMITTED INFORMATION IS TRUE, <br />THE INFORMATION <br />/~1 N <br /> <br /> <br />Envlronmentai Manager , <br />ACCURATE AND GDMPLEfE. I AM AWARE THAT THERE ARE SIGNIFICAM <br />D <br />HE r <br />((((~~/r [(,L <br /> <br />97O-B7O-2712 <br /> PENALTIES FOH SUBMfTTING FALSE INFORMATION, INCLU <br />ING T <br />ty'I aL <br /> POSSIBILIN OF FINE AND IMPRISONMEM. SEE 1B U.S.C. 4 1001 AND 33 U.S.C. <br />li <br />r <br />P <br />h <br />l <br />E10 <br />000 <br />9 <br />k <br />i <br />tl <br />tl SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED nes up ro <br />, <br />en <br />o <br />g 131 <br />. ( <br />ena <br />res under t <br />ese statutes may <br />nc <br />u <br />e <br />menmum imprisonment of detween6monrhs entl5yeers.) OFFICER OR AUTHORIZED AGENT EA <br />Op <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments Here) <br />!. LT h,H!i?'I'`' LI'fITS FCH T5i g ~r:".'TLEAP;.°, SOLIDS (LOC 'O') P.?PLY U'iLY I- <= 2G-Y"~, 24-r+[, F:;.i:If L4'`N"' I5 <br />CLnIi^t~- SEE I.A.1r PC lir FG4 d'J:i:'r,N OF VFOU5' iiF;UIRQI!F.NTi. vIL b?°e SE.--~: F:;;:, ~. =/r ,., <br />EPA Form 332b1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) 0 U r; r~ ~ / O ~ ~, ,i ~ r~ _ ± , .: 1 PAGE 1 OF <br />