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PF$MITTEE NAME/ADDRESS QMr4 FrdlryNw/luea/m UD1E:...q <br />NAME pOpDE~iHORN COAL CGCPANY <br />ADDRESS ROAUSIUE NIRe, N ; S POkTA LS <br />P.U. EOY 143Q <br />PALISADE CU B152G <br />FACILITY <br />LOCATION <br />A'1'7N: JOdN A. Y~CNh~. pyESiDF.NT <br />-- ---' - -- -` ~ TOA19G REPORT - <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM QQ Q (il TD OD Q? ?Q <br />lZ6Z 11 l11-131 111-15) !16171 119-191 136311 <br />_-- -- - --~2[D?APProved. <br />POND li SO GOAL 2oao-oooa <br />~e a pire~05-31-98 <br />~snaR wc) ~~`34_: <br />v - FI1.AL <br />"!7 ;OR <br />#;: ;: MO CISCHAHGE yyyy #>:-, <br />NOTE: Reed Irotructiorr befori'c~7npletlnp thu lorm. <br />PARAMETER !3 Grd Onlvl QUANTITY OR LOADING !1 Grd Ontyl OUANTITY OR CONCENTRATION NO, FREDUENCr SAMPLE <br /> !16531 151-611 138-051 !06531 15461 <br />EX of <br />TYPE <br />l31-371 MALY515 <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /eI.691 15q-681 159-701 <br />IL AND GREASE SAMPLE #44a>~.. ( 94) ##t~#OY ###OC. #C###r <br />Y L S U AL MEASUREMENT <br />4066 1 U 0 PERMIT : . ~ #1CQr>Ot#.~ ? ~ <br />~ <br />ESI`FC~ <br />~ <br />~ BS=1 pIC#+910'!. #O0##4 ~ . ..3+Oltit#~D. ##7 ~~~ LEKLY X5UaL <br />AFFLUENT GHVSS YALUE REQUIREMENT . <br />. <br />. <br />... <br />. _ »O <br /> SAMPLE <br /> MEASUREMENT <br /> :... PERMIT:.`: <br /> <br />,. <br />,.. :: <br /> <br /> <br />~ <br />~ <br /> <br />~ <br />- <br />~ <br /> <br /> <br />' <br /> EQUIREMENT ~~ ~ ~..:. <br />. <br />... <br />~. <br />.. <br />~ <br />. <br />~ ~.. ~ <br />: <br />~ ~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> RMIT <br />~~' P <br />E <br />. 13 <br />~. <br />REQUIREMENT - ~ . <br /> SAMPLE <br /> MEASUREMENT ' <br /> .~ PERMIT <br /> 'REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT ~ ~ - <br />i - REQUIREMENT ~ ~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> ~REQUIREMEHT. : <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />AM FA FY UNDER PENALTY OF <br />MILIM WITH THE INFO LAW THAT I HAVE PERSONULY EXAMINED MD <br />RMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE <br /> MY INOUIFfY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br /> <br />J <br />E <br />S OBTAINING THE INF011MATION, I BELIEVE THE BUBMITTED INFORMATON IB <br />WME THAT THERE ME <br />T <br />M <br />tOV@~ <br />. <br />. E. 1 A <br />A <br />TRUE. ACCUMTE AND COMPLE <br />INCLWING <br />FOR SUBMITTIMO FALSE INFORMATION <br />T PF <br />T <br />E L <br /> , <br />SIGNINCAN <br />NAL <br />I <br />B 97D 45-4 01 <br />Agent THE P055181LITV OF FNE MD IMPRISONMENT. BEE 18 U.B.C. 1 1001 MD 3] SIGNATURE OF PRINCIPAL EXECUTIVE ~ <br /> U.S.C. f 1 ]10. IhrWeY. urNr Nrr moms rrNY InFArlE Mw. W ro 510,000 <br />TYPED OR PRINTED .nsa munlurl elpivnwnr e/MwwnemantA.Weyrn.l OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS IRe{erence a//sttaehments here/ <br />ScT?LEABLE SOLIDS LICIT APPLIES ON LT IF G10YR,24HH PHF.CIPITATI095 EV''9T IS CLAI!!FD. PEP."IITTEE HAS <br />bUd~EN OF PROOF rikEN REQUESTING RELSEF FROR SETTLEABLE. SOLICS PRZCARY LIhI?ATIOAS. <br />EPA Form 3320-1 106-961 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 C 0 74 8 / 4 8 C 2 2 3 -125 6 PAGE Z OF <br />