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PERMITTEE NAME/ADDRESS /IncWAr FrmryNaWlaanw pDl/>.r~0 <br />NAME- POYUERMORN CCAL CJt1?A]y <br />ADDRESS ROADSIDE MIN?, N ~ PO:tTAL~ <br />P.O. BJl( 1430 <br />PALISADE CO if 1516 <br />fACILITV <br />LOCATION <br />ATTH: JJHR A. r}CNAd, Fr;°~ILt.vT <br />NATIONAL POLLUTANT DI50HM0EEFIMINAA. ~}}~I21NSY$T~pEMA-~'~ ~~) <br />DISCH? R61E MONRORIN6ftEP.Of {T YTYB~ <br />0000 7 V6 <br />PERMIT NUMBER DISCHNIOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAV <br />FROM TO U <br />!16311 !ZI-131 l14Z51 /I8-I71 118-I91 !36311 <br />forts APProved. <br />POND 5 SO COAL C,epp~cBn~.~o zoao-oooa <br />(SORB YC) ^PP'°v°L 1Pjr~e~05-31-98 <br />F - FIFAL 1 <br />MINOR <br />fiat: NO DISCHARGE ~ ~~~=r <br />NOTE: Reed Inetruetlaa Mfore om letlnp thb form. <br />PARAMETER 13 Grd OnlYl QUANTITY OR LOADING !~ Grd On1Yl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br />7 146-531 154-511 138-151 11653 154-61/ OF ~ <br />l3Z-3 <br />1 <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS EX <br /> <br />!63.691 <br />ANALYAG <br />!6458) TYPE <br /> <br />l69-701 <br />IL ANU L.l1 EAS F. SAMPLE :L.fi~r IF# ( gu) al00oalo 0{>pO9fi fioafiaFl <br />Y ISU AL MEASUREMENT <br />b406b 1 0 U PERMIT #~IC~IOIQ.: :::REPCr:~Z' ES=1 P4A4:~X: ~AOIQQIP `4#>444#':; Ofi4 _., EBKLT ~SVA <br />~FiLUENT GROSS YALU REQUIREMENT <br />,. . <br /> SAMPLE ~ - <br /> MEASUREMENT <br /> I. <br />~ <br />~ <br />- I <br /> PERMIT ~ <br />~ v;::.:c:.,.~;:: <br />~ <br />i:~,:.:; ,,.:., ~ <br />~ .. ~ ..:?r:~. .. <br /> REQUIREMENT : <br />...:., <br />..: ... .. : , ~.~ .: ~ ~: ~ . ~~ <br /> SAMPLE <br /> MEASUREMENT - <br /> PERMIT ~~ ~ ~ ~ ~ ~ ~ _ <br /> REQUIREMENT ~~ ~ ~ ~~ ~ ~ - - - <br /> SAMPLE <br /> MEASUREMENT <br />~ <br /> PERMIT ,. .~ .... ., ,~ . .: ~ <br />~ ~..: ~ - :. <br /> REQUIREMENT ~~ ~~~ :~~~~~-~"=~~= ~ <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT ~~~ . .. ,....... - <br />~ <br />~ .. <br />-~~ . <br /> REQUIREMENT ~ ~ ... ...' . .:.:. :. <br />~~ . <br />. ~ . <br /> SAMPLE <br /> MEASUREMENT <br />~ <br />~ <br /> PERMIT.. ~~ .,. ;: <br />~ .. <br />.. ~ <br />~~ ~ .. ... <br />~ <br />~ <br /> REQUIREMENT ~~ ~ - ~ ~ <br />~ _ <br /> SAMPLE <br /> MEASUREMENT <br /> .PERMIT . .. .: ~ .. . <br /> REQUIREMENT. :. ~ ~ <br />:.:. ~ ~ ~ <br /> <br />~ ~~ <br />NAMERITLE PRINCIPAL EX CUTIVE OFFICER I OERTI <br />AM FA FY UNDER PENALTY OF LAW TNAi I HAVE PERSO <br />MILIAR WITH THE INFORMATION ~SUBMITTEO H NALLY EXAMINED AND <br />EREIN <br />AND GAGED ON TELEPHONE DATE <br />~~ ~ ~~ ~ <br />~~ ; <br />R <br />II^ <br />S <br />E <br />0 <br />" f <br />w~ <br />" OBTAIN NO <br />TNE NFORMATON, <br />BEL ~E THE <br />UBMITTED <br />INFORMATION <br />19 - <br /> TRUE, ACCUMTE AND COMPLETE. I AM AWARE THAT THERE ME <br /> <br />61GNIFICANT PFNALTIEG FOR GUBMITTING FALSE INFORMATION <br />INCLUDING I <br />// <br /> . <br />THE POSGIBILITY OF FINE AND IMPNGONMENT <br />GEE 16 U <br />G <br />1 1001 AND ]] <br />C ~~ <br />~~ . <br />. <br />. <br />. <br />U <br />G <br />C <br />f 1 ]1° <br />/FMW <br />4 <br />' gIONATURE OF PRINCIPAL E THE r <br /> <br />TYPED OR PRINTED . <br />. <br />. <br />. <br />F <br />r v,W.r Lbw mnm. mry McAnAr A <br />wa w ro !10,000 <br />An6wmArirxAn MpionwnrWMlwwn6mmMr An66Y.vAl <br />OFFICER OR AUTHORIZED AOENi <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />wmmcn I a nnu ur~nnn I wn ur nn r YwL.n I luno lrtsrersnce en enecnmenrs n6re1 <br />~ETTLEAiiL6 SOLIDS LIMIT APPLIES ONLY IF C=IOYR/24HR PRECIPITA7ICN EVL1T IS CLAIIED. PERMI?TEE r1A5 <br />bUHDEry OF P$OOF YNEY REQUESTING RELIEF F$OH SETTLEABLE SOLIDS PFIMART LIMITATIOlS. <br />EPA Form 3320-1 10&951 Previous editions mey be used. IREPLACE6 EPA FORM 740 WHICH MAY NOT BE USED.) 0047 0 / 9 fl C 2 2 3-12 5 6 PAGE 10f <br />