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<br />PERMITTEE NAME/ADDRESSp~4F~cWryNrwf<cnrw.8prp..rr) <br />NAME POYDERRORN COAL CJ(1PANY <br />ADDRESSAOADSIDE "!IN6, R E. S pORTAL$ <br />P.o. pox Iu~c <br />PALISADE CO 81526 <br />FACILITY <br />LOCATION <br />;. i'r !+: JOih A. CC1+F P, LIt c~IG6NT <br />- °-- '. .~~.~,-..-,µ_ ~-._ . °F^'?""~°'- roved. <br />-° ~ = - ~ ~ .. nip oooa <br />- .~ - - -. _ _ - ~'R e.05-31~ <br />27 4 - (BONA FC)- - - ~`~~~ <br />PERMIT NUMBER DISCMMGE NUMBEII F- F I! A L <br />MONITORING PERIOD hINOR <br />YEAR MO DAY YEAR MO DAV <br />FROM u 70 crti NO DISC`iARGE ~,( #c-~ <br />114111 111-231 11I-151 11617/ 118-T91 (34311 NOTE: Reed InetrucNwa Mfore eompMtinp this form. <br />PARAMETER !3 Grd Onhl QUANTITY OR LOADING II Ord Onhl QUANTITY OR CONCENTRATION NG FREOUENC SAMPLE <br /> 1t5-531 !5461 I3B-15I !4663) 15/-61 DF <br />131-37I <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX <br /> <br />Is]-6]I <br />MALres <br />IISI-5B1 TYPE <br /> <br />!63701 <br />J L PI G&BASE SAMPLE ###### ~ ~' yq~ 4811!## #4tR#40 #qa##rtt <br />Y I .i L A L MEASUREMENT <br />4066 1 U U PERMIT ,:. .: t.O>Ort101ia <br />: RBpGR.x ES=1 F.4A~!?aQ:. f?tt0#Ik~b 'eta#16~fu 3#Yr SQ:K~.Y ISUAL <br />EtFL'JENT GR09S VALU REQUIREMENT. <br />, <br />:: <br />.. . .. <br /> <br />.. . <br /> SAMPLE <br /> MEASUREMENT ~ ~ ~ ~ - ~-~ - - <br />` <br /> . / ' <br /> ! <br />-:~~.. PERMIT!.: ;. ! :::~. ..<.. y,...:.:.; :.~: ::( `~' ~ ~ :.. .:.:.... <br />:: ~'.'...... ..'.1 . <br /> <br />~ ~~ <br /> <br />~ ~ <br /> . <br />•REQUIREMENT. . <br />: ~ ~ ~ ~~ ~ <br />:... ,. <br />~ ;.,,;. <br />~~ <br />. <br />~~ ~~ <br />. ..,::. .; <br />i~ <br /> SAMPLE <br /> MEASUREMENT ~ - <br />- PERMIT <br />~ - ~ ~ ~ ~ . ~ ~ .. <br /> REQUIREMENT ~ ~ ~ ~ ~ .. ~ ~ ~. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ - ~ ~ ~ ~ ~ ... ~ - <br /> ~REQUIREMENT ~ - ~ - <br /> SAMPLE <br /> MEASUREMENT <br /> :PERMIT ~ .. ..,. ... .. .. <br />~~ .. <br /> REQUIREMENT ~ ~ ~ ~~ ~~~'~~ ~ ' ~ <br />, ~~ ~ ~ ~ ~ ~ <br />~ <br />... ~ - <br /> SAMPLE <br /> MEASUREMENT ~ ~ '~ <br /> 'PERMIT ~ ~ ~ ~ ~-~ <br /> .REQUIREMENT ~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT . <br /> REQUIREMENT <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I cERnFr uNO[q PENALTY of uw rHAr I NAVE PFRSONALLr El(AMINEO MD TELEPHONE ~ DATE <br /> AM FAMILIM ViITH THE INFORMATION BUBMITTED HEREIN; MD BASED ON <br />c_'_ MY INQUIRY OF THOSE INDINOUALS IMMEDIATELY RESPON9BLE FOR <br />~~ <br />J C ' <br />v L;JfY OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE, ACCURATE MD COM0.ETE. I AM AWME THAT THERE ME <br />BIGNIFICANT PFHN <br />TIES FOR BUBMITTING FALBE INFORMATION <br />INCLUDING <br />~~ <br />~ , <br />. <br />THE P055161UTY OF RNE MO IMPRI <br />ONMENT <br />BEE <br />S <br />C <br />1 100 <br />U <br />D ]3 ,/ <br />24f~` <br />/I / .~.n <br />~ . <br />. <br />. <br />S <br />1B <br />. <br />1 M <br />BIONATURE OF RIINCM°AL EXECUTIVE f vy Q p <br />TYPED OR PRINTED U.B.C. f tJ1e. rPerlrM. uNr dwr mem. nnY Nehw rvwa w ro t room <br />.nCarmuim.n hrpi,anwN a/btwrn6moRFha rw6Yrra1 OFflCER OR AUTHORIZED AGENT COEDE NUMBER YEAR MO DAY <br />COMMENTS AND EXHLANATIUN VF Anr VIULA 710NS (KO/f/once s8 erreCOTBnT] nets! <br />~S'rTLEABLY: SOLIDS LIMITS APPLIES ORLY IF C=l0YR,24RR PREGIPTTATION EYENT IS CLAIRED, PERMITTF.E HAS <br />yU/:Gatl GF PROOF WREN RE;~UESTIHG t;ELIEF FROM SETTLEABLE. SOLIDS PfiICAFY LTKITATIOAS. <br />EPA Form 3320-1 108-%1 Previous editions mey be used. /REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) 0 04 0 6 / 9 d G 2 2 3 -12 5 6 PAGE , OF <br />c <br />