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PERMIT7EE NAME/ADDRESS (1.d~4 FscWry NO.dLxalm lJDlDi.ev) <br />NAME PO(iDERHORN COAL CGHPANY <br />ADDRES5ROA0`IDE .`;I,'lF., h ~, :, PJHidL:i <br />P.O. HO% 141'1 <br />PdLL5dDY, ~0 ul`.i2a <br />FACILITY <br />LOCATION <br />dT'fN: JOt4N A. "C9AFF i'r-r:i:'_':I'l <br />NATIONAL POLLl1tAt$b1;LNAg ORING REPORT (OMRIPDESI <br />DISCHA <br />1-161 '. 17-I9 <br />t <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAV <br />FROM Ll ilI TD CI G3 ?j <br />176711 173-731 17a-761 /16171 118-191 /36311 <br />- - - Forts Approved._ _ ~ .. .. <br />POMD 6 20 COAL CRND.zoao-oQQa.;;;'~ t <br />v ~ i e OSa3"4+'9fi~ <br />(SU9R MC) "1~~~~ ~ <br />F - FI FAL ' <br />11INOR <br />NOTE: Rssd Irutruetions bsfor' complstlnp this form. <br />PARAMETER !3 Grd On/yl QUANTITY OR LOADING !~ Grd Onlyl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE <br /> 116531 15481 !38-15 !4653 !545/1 QF <br />l37-37/ EX <br />MALrsls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is7,ea1 (54581 !83701 <br />~1L kMD i:REASF. SAMPLE :::0'.`•;~:: ( y4j ra###CC :`C#i!#'. ,.zYa~tt <br />Y L:i U A L MEASUREMENT <br />' 4L)bb 1 U L PERMIT Xr>;a:~pn;: REPORT E5=1 C#'~ak~r# ',t####,~ >LY>r'r##~/k :#.6 <br />EEIiLY <br />ISUAL <br />;.f'FLUBKT GROSS YALUc REQUIREMENT IN T Y N.= ###C <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ~ " <br /> REQUIREMENT ~ ~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI FY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY EXAMINED MD TELEPHONE DATE <br /> AM FA MILIM WITH THE INFORMATION SUBMITTED HEREIN: MD BASED ON <br /> <br />I t .~ G Y ~ r MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELr RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE, ALCUMTE MD COMRETE. I AM AWME THAT THERE ME <br />SIONIRCMT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING <br />/ <br /> <br />[-~ ! <br />t , <br />THE P <br />SSIBILITY OF RNE <br />D IMPIIISONMENT <br />SEE 14 U <br />S <br />C <br />1 1001 <br />D 35 ~7(/ ~ <br />I C, <br />7 <br />J - ~ ~ Q I G ' <br />/ <br />G <br />I p v_ . <br />. <br />. <br />. <br />O <br />M <br />M s10NATURE OF PRINCIPAL E%ECUTRlE . <br />" U.S.C. !tats. lA1rRbA uM.r 1MSt .Arroha nIEY AxArAr rw. w ro t 10,000 <br />TYPED OR PRINTED .nenmv:nlm irwdaymrrt olMrrwnemalNa nMeE.FrAI OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RNarsnes s// sttschmsnts hare) <br />SETRL£pyLN SOLIDS LIMIT APYLIr.S ON L7 IF <=1GYr~,24HF.' PRF.CIPITA?ION P.VF9^. I+ CLAI"FD. Pb'kY,IR'Ic£ Hh:; <br />.iUriUEH i.F PF.ODF YnEN 6E'~UESTLAG IiELLE7 FRO[1 SETTLEAHLc SOLIDS ?PI["RF'! LI°1ITkTIO>,S. <br />EPA Form 3320-1 108-951 Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY HOT BE USED.) 0 C E `~ 2 / 9 ? C 2 < 1- Z 2 5 !~ PAGE .j OF <br />~_ <br />