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PERMITTEE NAME/ADDRESS lG[A'6 fsmnA'~rGae,nm dDl6wwrl .- _-~,,.a.- ~ - ~ - - _ NAME POYDrRHORN COAL CON PANT --- - .re- _____ r• ' ADDRESSR0AD5IDE !SINE, ~ E 5 PORTALS ~ F . U. fi0 X Z 1 .i I; PERMIT NUMBEfl ~ DISCNMGE NUTABER PALI5ADE CU B152b FACILITY LocnnoN rvT'I'Iv: JOn~Y A. !iC'vrtd, d.~iL'SIUENT MONITORING PERIOD YEAR MO DAV YEAR MO DAV FROM TO !16111 /72-731 !7415) 176-77I !IB-191 !30371 _- ., _. -~'." - roved. ,~'a_`.s-+r'.•. 0004. ' "_' (SUBR YC) ~,xp~l~~o5.3a-98 - F - FINAL t1IN0A #-- NO CISCHARGE ~~ -k# NOTE: Rssd Irutructiars M1ors eomplstinp this form. PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !~ Grd Onhl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE !46531 15b6/1 I3B-45 !16.53 I5L6I EX QF TYPE l37-371 rss MN AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is1-s3! . 0-661 169-701 H SAMPLE ###,'t## #i,'K### #0#### ( 12) MEASUREMENT U4U0 1 U 0 PERMIT.. . . ##'#~# ' ".+RrYCF##1# ### a5. ##il### 9aQ LEKLt KSITU Cr FLi3 ENT GROSS VALU: .REQl11REMENT ~ ~ »~# .hi:81B~ , iOLIDS, TUT-L SAMPLE #IL16$## #91#### ###### t 19) ;USPENDED MEASUREMENT OS.iU 1 0 0 PERMIT '... :.. >$~'#Q:#~ ::. ..:~?buR#!?1FI#: . #4# i:.#:*~~~ ~5::. :~:Q:. `::: ::':: 'NCE[~:: ~:ER#~ 'FFLUENT GROSS YALUE REQUIREMENT ##$$ ~QDA 4 G : ~'ir >~ !!Y ~ i0L , T LEAnLE SAMPLE +:•##### a#aa#a >tr>t###a ( ~§) MEASUREMENT US4S 1 0 0 PERMIT ###AI## ##t+IR~# 4## 4i###'-I# AR Ff)s~r BQi~OjI X'. 1~~.'Eit i'QAfS FFLUENT GROSS VALU REQUIREMENT. A##$ 30QA AMG AT' 'Y !4Y RL/L ~ < iRUN, TUTAL SAMPLE #r`.#### r#####' #####r7 ~ ~9) (AS PE) MEASUREMENT ~lU4S 1 0~ U ~ .PERMIT #####f ~ ##4r#St'P ~.-. CI¢##0# ~a~ ~ ~7~d ~~. ~ ~$Ck;f~ iRAB 'FFLUENT GROSS YALUE .AEQUIREMENT - ~ ###$ ~ ~ ~ 3OU~'A~4~G. ~ rlA: ~~ ~ Y !}C L' :~ 'b H IL ABD GREA3c. SAMPLE ~##### ###### ###### ( 19) MEASUREMENT 3582 1 () D :.' PERMIT.. ~ #'~t,Yl,~U,01#..~ :' .:.:.:#>N#*tY# ?~ 40 ~ ::#+tktf'#fttp R.~E8A2 '.~ ~';Q~ '~BTtN. iR1~8 '!'FLUENT GROSS VALUE REQUIRENIENr #IQ."# 30DA'14'~G`: .~NSt 8AY ~{G G N ~, N CONDUIT OA SAMPLE (O3) ~####a *s##~# ?>r#### CHtiU TBEATNtNT PLANT MEASUREMENT ~UUSU 1 () 0 .PERMIT REPJIIT. REPORT #'#x+01## ##z### R:#i61R#tQ. #1G It 'EEKLY N$1'AN `FiLU tNT GROSS YALUE ~REQUIREMENT ~Oltil a.r.I~ . ..n~Lil.a 11x. tlGD ~ ~ ~ ~ ~ #### ~O , T SAMPLE ####+"+# O##### ###### ( 19) `I-iSOLY~(7 MEASUREMENT /U2Y5 1 0 0 PERMIT~~~.: ###RiEF~~~ '~: #.####+R i P## ~ ~~#iC'lIA1Q BEFGHT~ ~~ - ~~ .:5.$FaAT~ ~ ~ TRLi ARAB .: F'FLUEwT GROSS VALUE REQUIREMENT: ~~~~~. ~ ~ ###¢ ~ ~ Sl!!1'&.AiiG: . ~RTF ttXx. MG/L NAME/TFlLE PRINCIPAL EXECUTR/E OFFlCER I cERn AM FA Fr UNDER PENN.Tr of MILIM WITH THE INFO uw TNAT I NAVE PERSONALLr E%AMINED MD RMATION SUBMITTED HEREIN; MD eASFD ON TELEPHONE DATE ~• i MY INOUIIIY OF THOSE INDIVIDUKS IMMEDIATELY RESPONSIBLE FOR G _ r~ 4' 4 ~'Q OBTNNING THE INF011MATION, I BELIEVE THE SVIMITTED INFORMATION IS ACCUMTE MO COM0.ETE I AM AWME TNAT THERE ME TRUE -/ G , . SIGNIFICANT PENN.TIES FOR SUBMITTING FN-SE INFORMATION, INCLUDING ~~ ~~_~/D/ ~ 2 O ~~ THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 18 U.B.C. 1 1001 MO 33 IDNATURE OF PRINgPAL EXECUTNE T u.s.C. f t 3t s. IM1rulel„ uiM N.w mnma R.Y hrNM r,.., IP ro ! loaoo AREA TYPED OR PRINTED weren.irxnl hrpriamlrttNMnrwn sinvrMard6 wrtl OFFICER OR AUTHORO:ED AGENT CODE NUMBER YEAR MO DAY COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Re/erencs sll errschments here/ ,t:'C'1'LtA8L6 SOLIDS LINI'r APPLI::S OttLY IF <l0YR,24HR PRECIPITAT70N EYEN7 IS CLAINEC. PEHtlITTEE MA. c.U:.DEN OF PROOF NI1EN REQUESTING RELIEF~FR~Jt SETTLEABLE SOLIDS PAIEAAT LIMITATIONS. EPA Fwm 3320-7 108-95) Previous editions may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE UBED.1 0 D 5 2 5 / 9 8 C 2 2 3 -12 5 b PAGE I Of