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-~ ~ PERMI7TEE NAME/ RESS~.r~M4fcYiyNw/LxnewUDfdwO <br />- NAME POYp~YYi COAL CUl1PANY <br />ADDRESS ROAD.'1iIDE tIIF~F, N :S ~i FGii'iAL3 <br />P.O.i BOY 1ttj0 <br />PALISADE COti 812, <br />I FACILITY <br />LOCATION <br />A^TN: JONN A. '".%t.AH_ pa F. ~. •. f. P.AT <br />- ..y.:_ -r--.. -~ -:+y~YSaIwfqlW~AeOd.~04- <br />POND 2 TO-COLOR a~~,j~Q[~{~e,§OS•31-9e <br />(S 13P.R AC) ~CJ'F7 <br />P - FIt1AL <br />KI!~Ofi <br />~.~ I <br />f~ d <br />~` <br />.x#0 YO CISCHARGE ~,/~~. #~~ '~ <br />NOTE: Reed Inetluclioru belorl ci mpletlnp this form. <br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !I Grd On/yl nUANTITY OR CONCENTRATION ND, FREQUENCY SAMPLE <br /> lf653/ !5461! 13851 !4653 154-611 EX TYPE <br />137-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !sz-ss1 µ,AYyS <br />16468) 16370) <br />~;f SAMPLE :::x0o:x O#:x;7 +'.• vt~k~9-'.~ ( 12) <br /> MEASUREMENT <br />00400 I 0 0 PERMIT ;-ax#>R:. ::+xtxu~# r~ .5. #~~~#¢ . 5„?3 .. L.BfCLY- ltSITO <br />~YFLUENT GROSS PALO .REQUIREMENT #~# enlt <br />SOLIDS, TOTAL SAMPLE .Gpc :;::: :x~.7::.-: II#3>d## ( 19) <br />:iUSPE;NDED MEASUREMENT <br /> . .. ... <br />UU530 1 0 0 .PERMIT ':#:_#.~^, :: ,':#:A:fYY #r.R . <br />`#*#+01?!?I <br />~~ ~ ~ <br />~.7 <br />Q~ <br />- <br />~{~i$~~.' <br />i$A ~? <br />EFFLUENT GROSS VALUE REQUIREMENT <br />: ~ ##7;# G . <br />:,U LIDS, yETTLl:AeLE sAMPLE r#>;:::;::: s^:x:xr:r ###~#o ( Z5) <br /> MEASUREMENT <br />"0545 1 0 0 PERMIT #~+C#;x:k :x#~kz:F;=~ :x~:~ o=X##~z# REFOAT R°fOAx t $CE/ :R1E <br />EFFLUENT GR055 VALUE REQUIREMENT !TgOpl 3D d M' <br />IdON, 'TOTAL SAMPLE ~-:~#:;:;:,',: t::#?'s:;: #o.x+x#". ~ I9) <br />(Aj PE) MEASUREMENT <br />11145 1 0 0 PERMIT ::~=s~i,~:,M :x=xv##~x :~ 4#o#r,# 3,5 7~~.. t pCE/ :BAN <br />/:FFLUENT GROSS YALU FEnuIREMENT ;rr# Y(: (: 1 H <br />AIL AND GREASE SAMPLE .., ;::x#~;: y+ts,'k:f#-x ###Y,+#? ( I9) <br /> MEASUREMENT <br />' J5tl2 I 0 0 ~PERMIT~ 4v"4fi..-'Fv k#rar~Xu :r# (<##z}## R$Ft}RT 10:~ ~ ~ ON'PIN >RAB <br />:.FFLiIENT GROSS VAL1; F1EnuIREMENT #r,;:# 0 A AY, S N K <br />E'LOY, IN CONDUIT VA SAMPLE ( 03) ~####0 r;#q ;; -f47C#~ <br />iNkU TREATMENT i LA N MEASUREMENT <br />10050 1 U U PERMIT. kdP04T REPORT GtS',i#~# #~~### :t#Rt## ~ ##• 1 6ERL'L 'NSTAN <br />FFLUENT GRO55 VALUE REnuIREMENT 300A AVG .DAILY. TtX '1 CG $### <br />SOLIDS, TOTAL SAMPLE r~~:~aa >z##±r#: ###=x»a ( 19) <br />ISSULYL'D MEASUREMENT <br />/0195 1 0 U .PERMIT. ::4#t:=~ #3#LLII#. a~ nam##a REB()RY NEfCRT TREY 'kAB <br />FFLUENT GRO55 YALU REQUIREMENT .#>xa RTR AY6 `RT6.tMAY. nG/L <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENKTY OF UW TMAT I HAVE PERSONALLY ERAMINED AND TELEPHONE DATE <br />AM FAMILIAA WITH THE INFORMATION SUBMITTED HEREIN; AMD BASED ON <br />MV INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY PESPONSIBLE FOR <br />J, ~, Ir[CYL OBTNNING THE INFOMIATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />1 AM AWARE THAT THERE ARE ~ /^~~- <br />ACCIAVITE AND COMPLETE <br />. <br />TRUE, <br />/ ~` `~ SIGNIBCANT PENKTIES FOR SU6MITTINO FALSE INFORMATION, INCLUDING o-e~ Ir ~Df <br />~ /f/. O t Q~ <br />~ <br />vl W~~~rrr THE POSSIBILITY OF FINE AND IMPWSONMENT. SEE IB U.S.C. E 1001 AND Jl 610NA <br />URE OF PRINCIPAL EXECUTNE ~i11w T E/V T <br /> U.S.C. F tSte. lANrRI., ulw ah,.r mnma In.F IrtA.d. Awa w ro lIO.lXM) T AREA <br /> <br />TYPED OR PRINTED <br />.M>mF.:nun,rr,rismNnr W Mnvrn 6 monlAS..d a PANS/ <br />OFFICER Ofl AUTHOflIZED AGENT <br />CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference sl/ etteeAmsnts here! <br />aETTLEAE3LE SDLID5 LIMIT APPLIES O;.Li IP <=1JTR,24Nk PRECIPITATTCV FYEhT IS CLT.Ih°C. PEH!1ITTEF 4AS <br />hUnDEN OP PROOP WHEN REQUESTING RELIkP FROtl SETTLEAELE 3JLID5 PFIMAR't LIMITATIOIIS. <br />EPA Fam 3320-T 108.951 Previous editions mey be used. (REPLACES EPA FORM 740 WHICH MAV NOT BE USED.( ~ G b 0 S PAGE OF <br />/9RC2-13-12]G I <br />