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RERMITTEE NAME/ADDRESS pwdi6 F.nlq N••/fxnrm dDrQwwp <br />NAME POMDEF.:fORN COAL COnPANY <br />ADDRESS ROADSI'vE ~+LNE, N 5 5 POkTALS <br />P.O. rOY I1t~U <br />PALIyP.I>E <br />a__ - ~- . -T.,----- - --~-- ~-- -- ____ ~T~ -~ <br />~,..~sy _ -GtiAI~((~-g~~IMIN ~""'FE >R-;~_._ _ ______ _-.._~_Eohrr ADProved.: <br />'yF? L _ ~TQRIN. T/ .jQ~-~~~ is <br />OD 7 tOifff ~ 3ff COdt CR°- ,- <br />{g DER YC) PP[ovel ellRlEg~05-31-98 <br />PERMIT NUMBER DISCHMGE NUMBER F' - P I I A I ~ 1 L J 4 <br />CO 81520 <br />FACILITY <br />LOCATION <br />.iTTiI: JUFId A. ,7Ck.4g, Ihd9IDENT <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM TO <br />!767/1 121-131 174-151 176-771 178-791 !30.311 <br />"IINOR <br />r## NO DISCNAECH ~~~ ##G <br />NOTE: Reed Inetructiom beforYETnpletlnp this lorm. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !~ Grd On/y! QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE <br /> 146531 154-611 !38-45 !46631 15451 of <br />191-371 E% MALVSts .TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE ' MA%IMUM UNITS m7-bal !64581 16g701 <br />eH SAMPLE #####S, QQQ#>X# t=T#### { 1L) ~1 <br /> MEASUREMENT ~ Y <br />i1+1UU 1 0 0 PERMIT:~~~ . . ' #.L#.IYQ~ ~ :: ##!ilt:l!##• ~ <br />. <br />. Q## •5 . ~ >p#010Ht# 9:,,.'0 ... :• ~E~$KLY N TU <br /> <br />'FFLUENT QROSS YALO <br />i:REOgIREMENT:: <br />.: '..:..% . <br />... <br />-':::: .:.. ; '.: <br />#*.tC <br />N .:~.~. <br />~ .7G <br />;OLIDS, TOTAL SAMPLE. ##01#QQ RRO$#Q #i#### x.19) <br />~JSPEYDr:D MEASUREMENT <br />USJO L O 0 ',-:.-PERFAITt:::::.'. ':#6HQiJt~l~::..%i: :;?g#C3?~I!?I~:: . ##Q ¢::R~:11111c . n~S :' : <br />~~ <br />^ <br />NCE <br />I :RiB <br />FFLUENT 6R;D55 YALU `REQUIREMENT: ', #Q(AQ ~.e <br />~ > . <br />iOLIDS, $$TSLEABL~: SAMPLE #4i1?frG G#Qql#G #QSaa# { ~5) <br /> MEASUREMENT <br />u5us I :'Q:,. O PERMIT #sx;rQlC/# G#Q>k4~ ~; ~ a#>ert~a# RpFO.R? R$DOR$ Nt.E/ :AAe <br />{FFLUENT QrI~iSS YALUE .REQUIREMENT. Q>0jc# D A .AYG <br />IiUN, TUT' r SAMPLE :~f4=:Y:F at#C44"S ###L## - { 19) <br />(A5+ ) MEASUREMENT <br />r 1 u45 I ~; 0 U .... PERMIT ~~. ###Qr# ~:~~ :..AL Ip ~F# >aI Q#G R qQQ## g <br />3. <br />7:0 . <br />ikCE/ <br />:@AB <br />,FFLUENT gAOSS VALUE REQUIREMENT ~ ;.. .,: OQ#Q r 3.0DA .AlG flAT'IY '!1 Q< L tlOY <br />.IL AND GYEASE SAMPLE F##CcRQ ##¢>OrrOc# ##Ipq¢t { 1.9' <br /> MEASUREMENT <br />J 1Shc 1 -~ 0 O ~ F>;,::PERMIT%;~~~ '#4Y.'..k##Q~';~. ..-is#Y+#QI¢ >M a## ~~'~ -#:#0#:IC# ~ R~FO;ft~:~~~: ~'~: <br />'::;:.:.:~~ ~~ ~ ~- :',c DiiTtN +RA3 <br />fFLDENT f~ROSS vALU pREOUIREMENT ### 3~OA ~G . <br />..,.~•i '9 CA ` ~16 N <br />LUp, IY COY DUI'i OR SAMPLE { 03) ##Q##* #0#### ##,#;nG <br />(dkJ TREATt4ENT YLA NT MEASUREMENT <br />~UUSU 1 0 O PERMIT: R6Pa&T :. BEPDB3 ##0### ##i##t+ #l:If>S#lk/ ~## EEhLY .k5TA9 <br />'FFLUENT GROSS VALUE REQUIREMENT ,30pA~.AY6 ~DAILi~ MX~:~ GD <br />~ ~ ~ ~ #### <br />i L Se TOTAL SAMPLE aAgac>< QQQQri# #0#### ( 19) <br />JIS$OL>!ED MEASUREMENT <br />70295 1 U 0 PERMIT QQ#YSItrC. :: ..#>Gc~l;l#~ YA #O;: QOIQsfQ# RLPO.'RT REFORT TdLY :RAS <br />YFLUENT 6ROS~ VALUE REQUIREMENT' <br />##a <br /> <br />gATS AEG <br /> <br />:.GAT:1 ldlx. <br /> <br />tlG/L <br />NAMElTITLE PRINCIPAL E%ECUTNE OFFICER I cERTI Fr UNDER PENUTr of uw TNAr I NAVE PEaso NALLY ExAMINED MD TELEPHONE DATE <br /> AM FA MILIM WITN THE INFOR MATION SUBMITTED H EREIN: MD BASED ON - <br /> MY INQUIIfV OF THOSE INDIVIDUALS IMMEDIATELY aESPONSIBLE FOR <br /> <br />~. E. Stover OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMADON IS <br />TRUE, ACCUMTE MD COMRETE. I AM AWME THAT TNERE ME <br /> SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLWING <br />A ent , <br />THE POSSIBILITY OF FNE MD IMPRISONMENT. SEE 1B U.S.C. 1 1001 AND 37 970 245-4 ~ D ~ DD ~ D D2 <br /> Ela <br />D00 <br />lAxWd.. r.l.~ ~~ bn <br />~~ r g10HATURE OF PRINCIPAL EXECIlTrvE <br />TYPED OR PRINTED m.. m.y <br />w. w ro <br />, <br />.w w mum.rr <br />HµNaomwnr b Wrrwn 6nbnduW 6 yw.l OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER YEAR MO DAV <br />COMMENTS ANU CAPLANAIIVN OF ANY VIOLAIIVNS lRe/erenCe e!/efEBChTenh here/ <br />6GTTLEABLE 50LLDS LItlIT APPLIES ONLY IF <=LOYR/24kR P3ECIPITATION F-VE6T IS CLAIhEL'. PEEnITTEE t~A5 <br />6Ukl;t±N OF PROOF WHEN REQUESTING RELIEF eROn SETTLEABLE SOLIDS PRItlAHY LIhITATI0l15. <br />1 <br />~r <br />„~1, <br />y,, <br />y. . <br />r <br />EPA Form 3320-1 108-B61 Previous editions mey be used. /REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 D D487/98 C 2 2 3-1256 PAGE 1 OF <br />