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PERMITTEE NAME/ADDRESS pkAr6 F.cdoyNa./Loenlpl~(Dlpw..y}-:jF~ <br />NAME POMDCKMOKN COAL CO~p1N! "'~ <br />ADDRESS ROADSIDv MINE, A ; S POR?ELS <br />P.O. f'.UY 11!30 <br />PALISADE CO U1525 <br />FACILITY <br />LocnnoN <br />Ai'TN: JUEiN A, tlCNAL, 2kE5LL6NT <br />.. <br />.,. cud NPGfrS~'=. _. _ ...~ ~--.r.` - ~ a.-r _ W.GVed,_. n <br />00 146 GO ($UBR YC) porous egpiy(~ -s8 <br />PERMIT NUMBER DIBCHMGE NUMBER F- F I 6 A L <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM 'J U / TO <br />no-zll n7-731 r74-z5~ rzbzn rzs-zsl 13o-3r1 <br />~IxOR <br />"'` !iC DISCHARGE ~~ ~t~ <br />`NOTE: Reed Inetluctlorte belore completlnp this form. <br />PARAMETER !3 Ord Onlyl QUANTITY OR LOADING II Ord Onlyl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> !46531 l5F61I l38-451 !4653 l5L6/1 <br />EX OF <br />TYPE <br />137-371 ~ MALrsls <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS l67-631 154-581 %69-)O/ <br />AIL AND GREASE SAMPLE ~~AB;^-+:~ ( 94) t;G~OC oA#OOrt ~rC~+?# <br />V I S U A L MEASUREMENT <br />4U6G L 0 0 PERMIT ~..>:~aa>t 8a~a~lt : ;s=1 as>~~aR.. .ataaal:ega .. <br />a~~R#>s~ aag 4~4~i~t i v:~ <br /> <br /> <br />dFFLUER? GROSS VALU <br />REQUIREMENT <br /> <br />~RS.1't;'~j~.t: <br /> <br />r0=0 <br />~ <br />~ - "` <br /> <br />... . ; <br /> <br />1 . <br />. <br />'.. <br /> SAMPLE - ~ ~ ,- <br /> MEASUREMENT ~ ~ - <br /> PERMIT .. ~~~~~:. ~`::..~:::,:':}~.-:. ~. :::~ ~; ~ <br />,. <br />: - <br />, -.~~~;~,~ <br /> <br />•,: <br />~ k;:~~~', ' <br /> .REQUIREMENT <br />> . .".:.: <br />: ' :. ::': <br /> <br />~i~t:' <br /> <br />'. 5:~, <br /> SAMPLE - <br />' MEASUREMENT <br />'~. PERMIT - .. ~ ~ ~ '~ ` . <br />'t~~y REQUIREMENT <br /> SAMPLE <br />~g~ MEASUREMENT ' <br /> ' <br /> :.PERMIT <br />' REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />' ~ ~ PERMIT .: <br /> :REQUIREMENT ~ ~ ~ ~ ~ ,:,~ ;~z:~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ ~ .. <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> ~. PERMIT <br />. <br /> . <br />.REQUIREMENT. <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I cERn Fr uNOt[R PENN.n of <br />IT <br />T <br />E INFO uw THAT 1 NAVE PERSONALLr ExAMweo Mo <br />MD BASED ON <br />RMATION BUBMITTEO HEREIN TELEPHONE DATE <br />' ; <br />AM FAMILIM W <br />H <br />H <br />MY INQUIRr OF TNOSE INDINDUN,B IMMEDIATELY RESPONSIBLE FOR <br /> OBTNNING 7HE INFORMATION, I eEUEVE THE SUBMITTED INFORMATION IS <br />~~ F:. $tOVeT TRUE, ACCVMTE MD COM0.ETE. 1 AM AWME THAT THERE ME <br />INCLUDING <br />BMITTING FALSE INFORMATION <br /> , <br />SIGNIFICANT PENN.TIES FOR SU <br />Agent THE POSSIBILITY OF RNE MD IMPRISONMENT. BEE to U.S.C. 1 1001 AND ]3 BIDNATURE OF PIEINCMAL EXECUTNE ~ n <br /> B.C.f t3to. lnn.lw+I+N+. rMS +oam+nNy MCAd+r+.+wrof10,P00 <br />V AREA <br />TYPED OR PRINTED . <br />rldwnM+hx+n irrpolm+rlfWArfrwlb+.atn++nd6 y+ral OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS lRelerencs ell etfechmsnts here/ <br />:iE??LEwbLB SOLIDS LIMITS APPLIES 0!(LY IF <=l0YR,14Ak PAECIPITAT70N EVFFT IS CLAIeED. PERdITTEE BAS <br />bUHDEN Ur' PROOF YNEN AE(~UESTING RELIEF FROI". SETTLEAEiLE SOLIDS PRIRAkY LIl1ITA7I0115. <br />EPA Form 3320.1 108-95) Previous editions mey be used. IREPLACE6 EPA FORM T40 WHICH MAY-NOT BE UfiED.I C 044 8/9 9 C 22 3- l 156 - PACE TOF <br />