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PERMITTEE NAME/ADDRESS pndr6 Fr0lryNaw/(an~m dDy6...p <br />NAME POaUti(iiONfl r <br />C~nl. C.., P9,IY <br />ADDRESS fiOAU:;IDE "Iti E, t. _; ~rOkTALS <br />P.U. Pn,; 1~.3^ <br />PALI;AUE CG ifi.2b <br />FACILITY <br />LOCATION <br />nT'IN: JOnM A. 9CNAfd Pki:SiD~N <br />~.:_,; : <br />NATIONAL POLLUTMT g9CHM0E ELIMINATION SY9TOA /NPDfSI ~ ~ '~ ~~, "FDrIlt<ApprOVed. <br />DISCHARGE MONITORING REPORT IOMR/ - p 2040-0004 <br />n-r6i r7-IS/ PORD 11 TO COAL C~dhlexpire~05-31-98 <br />rn n»n a ^ N (SOPR YC) 12345 <br />PERMIT NUMBER DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM rL TO 9 <br />11411/ l1I-131 !1415/ /16-171 118-191 !36311 <br />F - FI1AL <br />rINOR <br />NOTE: Rea Inatru ana • qr - !sting thb form. . <br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING 14 Grd Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE <br />l3Z <br />371 106-531 151511 (38-15/ !16-53 15L8I1 ~OF . <br />- EX <br />Y59 <br />MA T <br />VPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is]-s]! < <br />161-6g) l6&701 <br />1:1 SAMPLE <br />MEASUREMENT ##fi### #tI#### ~ #C1### <br />( 12) <br />L/U4UU 1 U <br />U <br />`:P,E~MIT.: <br />... #~#+i!a.0i' <br />.tEIGAli>k?A .. <br />IF#a <br />b.5 ': <br />a:##o:>a?p <br />4,CI <br />:' <br /> <br />EifX'~if <br />115IRq <br />., ~iEQUIREMENT ~ :~ :.:~. . :: ::. ~~~. :. .. ~ <br />~ <br />' ... <br />' ' <br />' ' ~ <br />~ <br />:~ <br />~'~ " ~ :~ . <br />. <br />• <br />; <br />, <br /> .. <br />- . ~..:: .. ~::.; . .:, <br />~~r•.~ ~~:.;: .:.. . ~ <br />.: Fir <br />: : <br />.::: ~:~~,: r. ..:ar~':. <br />:. <br />, <br />iULIUS, PUTAL SAMPLE <br />MEASUR #oa#aa aaaea# aoaa#o _ <br />_ <br />~ ~9~ <br />SUSPENDED EMENT { / <br /> <br />u U 5 3 U I 0 W PERMIT:;iz, <br />,:. $'i <br /> <br />' .... <br />r"`diyyF.. 1~?.;' <br /> <br />°- ...... <br />•:•, <br />::: .. .. <br /> <br />,., aa~s>a#a <br />`:: <br /> <br />a.ao <br />,, ........ <br />IF ..~~b <br />.!et+da :.: <br />'~ .... :... <br /> <br />: , . <br />~9 <br />: ...:.:::.::........ <br />.~ <br />~ :, :, <br />:`::.' <br /> <br /> <br /> <br />' <br />°` .. <br /> <br /> <br />l:~~k:l~' <br /> <br /> <br />: <br />l: FLU N ^ 03.5 YA Ic REQUIREMEN7;' . <br />.. <br />: . <br />... - . <br />SOLIDS, SETTEEAiiL^ SAMPLE t:4#-r,;# x=;:#3,•,.;) ####~# ( 25) , <br /> MEASUREMENT <br />UU54$ 1 U U PERMIT.. <br />REQUIREMENT 3-##IR t;;c :. :#####'#' #-)O #a###: <br />nn FORT <br />REFO.RT.. <br />1 <br />CI:t <br />rH~B <br />t.FPLUENT 'H $$ YALUc ;#-F'J M M <br />IHOai, TOTAL SAMPLE -:#O#,~:, ay>raa# ###ww~ <br />( 19) <br />(AS P£) MEASUREMENT <br />LULLS 1 U U PERMIT: . .###.#na, : <br />~~ ~ ~ ~ :=: :a <br /> <br />.. <br />" ~' ~ ~~ #;iG ,.' ~44a#fsa 3eS 7~{1 #CL/ saAts <br />. <br />aFF UEN .REQUIREMENT `r~., <br />. :iG al <br />.. TE1 +• . <br />A trie r r rn .r <br />JIL ARU GkEASE SAMPLE ##aaa# <br />~ ~ aaa#'#A <br />- #####C <br />- ( 19) <br /> MEASUREMENT - <br />L' 3 Sb 2 I U I) PERMI.T':: : '':+ON1130tarl¢< : <br />: <br />~ <br />' <br />: <br />~ : #E:~i-01#'# ; ##0 a.#.AI~l4 ~R.. ' '::: <br /> <br />~ <br />~~'~'1T' <br />© "' <br /> <br />~, <br />'I I N <br />i_RA B <br />E F P U E REQUIREMENT .: <br />, <br />:: <br />:: <br />. - <br />:: .... <br />FLUw, IN CUI:JL'i;' ~'u SAMPLE ( U,3) #aa#ar #l+:1a#:: >'.`t##t# <br />PI1RU THCA T:"F. ';T LLn N7 MEASUREMENT <br />,0050 1 u U PERMIT '. <br />T REPO{T REPOHi K<.aoo#a #ooa±pa xr#C#~i#. I I#=)a EEf!LY' NSTAN <br />tE'FLUENT Vki;55 V6LU' REQUIREMEN <br />. M : ###'-A <br />~oLIDS, TOTAL SAMPLE #;:rFf:## ###a## ###a## ( lye <br />LISSOLYEU MEASUREMENT <br />1U195 1 U 0 PERMIT ;;##>a##.- ' <br />~~~ ~ <br />~ '. ##d>710:#. <br />~ ### ###>d#LI <br />.RE <br />!)RS <br />REPORT <br />~~~ ~ <br />ITRLi <br />>HA3 <br /> <br /> <br />E-f'fLUEN'P ROSS VALUE ~REQUIREMENT~ <br /> <br />: ' <br />~ <br />~ ~ ~~~~ ~~:~ <br /> <br />-. .:.. ##d# ::~":: ., ~ <br />£ <br />: w <br />. <br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF uW TNAT I HAVE PER90NALLY E%AMINED MD <br />F <br />H <br />N F <br />I <br />EI <br />~ TELEPHONE DATE <br /> <br />//L 1, ~A,>" P /j,~ sf ~ <br />~ MY <br />INOUIRY OF <br />THOSE <br />INDINOUAL9 <br />IMMED ATELY <br />RESPON91e F <br />FOR <br />OBTNNINO TXE INFORMATION, I BFl1EVE THE 9URMITTED INFORMATON 19 <br />,~ TRUE, ACCUMTE MD COM0.ETE. I AM AWME TNAT THERE ME <br /> 91GNIRCMT PENALTIES FOR 9U9MITTINO FAL9E INFORMATION <br />INCLUDING <br /> , <br />THE P0951eILITY OF HNE MD IMPW90NMENT. 9EE to U <br />! 1001 MD ]] <br />9 <br />C Y ~ ~ / ~ ~ <br /> . <br />. <br />. <br />U <br />9 <br />C <br />E 1]1a <br />/ArrEr1 uVr WI <br />mnm <br />N <br />hd <br />h <br />J <br />0 <br />0 SIGNATURE OF P111NCIPAL EXE NE ~ <br /> <br />TYP DOR PRIN ED . <br />. <br />. <br />. <br />M <br />. mry <br />c <br />r <br />wa W ro <br />1 <br />, <br />00 <br />Wnnraiw.nhw+aarl..nr merewa.asmwa. An06 revs/ <br />OFFICER OR AUTHORIZED AGENT <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAV <br />~ AMU CAILANAIIVN Vr' ANT VIVLAIIUNS I/TBTMaBCe a//BRBCOTBnE3 be/B/ <br />Sc'PTLEAbLE SOLIDS LIMIT APPLIES ONLY IF <1CYA,24NR PRECI?I TATIONS EY,EaT IS CLAIPEDe PENI".ITTEF, HAS <br />HURDEN OP PROOF fiHEN RE:QUSSTIN:; RtLIEF FAO[! SETTLEABLE SOLIDS PRIhART LIMITATIObS. <br />EPA Form 3320.1 108.951 Prerrous edltlona mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) PAGE OF <br />C0729/99C223-125b 1 <br />