Laserfiche WebLink
PERMITTEE NAME/ADDRESS l/nrirdrFrWryNaWLxeuon UDleE.w) <br />NAME pOYDEkHO1tN COAL COf1PdFY <br />ADDRESS d0AD5IU, wiR"r.'., `; L ~ FL3RTA LS <br />P.U. EDri 19Ju <br />PALiSAl;3 CO yl';26 <br />FACILITY <br />LOCATION <br />AT:h: JUnn ti. ~NA~ F:t~JL?i:sf <br />--' - ---NA'TIO,q t-OLEUfANTOISCHMGE ELIMINATION-3yBTEM ~NPDES/ <br />- _,__. LNi1sC P6E MONITORING.REPORT ~OM91 <br />u <br />PERMIT NUMBER DISCHMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAY <br />FROM I TO CI 03 31 <br />/74711 lI7-731 !74751 176771 l78-791 !34311 <br />--_£ormA provsdt-__ <br />Poen 1 a so coal-rt~• ZoaG,ooog. <br />(St18 P. LC) Po a[glcRi{ego5~3~$~--~-.~ <br />F - FINAL 1LL]4~ >' .~ <br />f~INGn <br />NOTE: Resd Inetructioru belore ompletinQ this form. <br />PARAMETER l3 Ord Onlyl QUANTITY OR LOADING 14 Grd OnlYl QUANTTY OR CONCENTRATION NQ FREQUENCY SAMPLE <br /> !46531 !5461 !3B-I5 !46531 1546// DF <br />l37-371 EX <br />ANUysls TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !61.61! !5/-581 !6&]Ol <br />JIL ANU GREASE SAMPLE ;t~gr,r{: ( 94) +CO;~#r}tt ~;L.t~AL` ;: >y~O;; rF <br />Y I:i U A L MEASUREMENT <br />~4uti6 1 0 0 PERMIT #t=:04~ REPORT E5=1 R~~>ati~ d~-'~*~ xsrtt:.M>a #t~# <br />EEKLY <br />ISUAL <br />:.FFLU+hT GROSS YALU REQUIREMENT 5~. ~ ~~ ~~#~ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />~ ~ ~ ~ ~ ~ ~ ~~ <br /> REQUIREMENT ~ ~ <br />~ ~~ <br /> SAMPLE <br /> MEASUREMENT <br />~y. PERMIT <br />F i'I 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 cERTIFr UNDER PExuTr GF LAw THAT I HAVE PERSONUIV ExAMINED AND TELEPHONE DATE <br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HERON; AND BASED ON <br />,1 <br />S ~IJ V <br />J ~ ~ r MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br /> TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT TNERE ME <br /> <br />+' SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING / <br />q /(( <br />~ <br />~7a <br />1 <br />l ~/ <br />~ l <br />~1 <br />l <br />~ <br />CI ~ ~ THE POSSIBILITY OF FINE AND IMPNSONMENT. SEE 18 U.S.C. f 1001 AND 73 SIGNATURE OF PRINGPAL EXECU7NE / <br />d <br />/J <br />" ~ ~ <br /> U.S.C. f 1310. lhrl.lb. ulWr Ne« mroroa nrY McFd~ a«. w ro f ]0,000 AREA <br />`~ TYPED OR PRINTED ensrmuMwnilprlrm«rr e/yn.«nsmmNaWb yeral OFFICER OR AUTHORRED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRdsrenee s// sttechmenb here/ <br />SE'LTLEAOLY SOLIDS LIf11i APPLIES OtiLY IF <=lUYH.24H° PR2CI?ITATICN EVE'ST IS CLRIPcp. PERMITTEF HAS <br />~utiLEN Uf' FROOF YHEN hi3QUi;STING HELIF:F F3GM Si:TPLEAEtLF 501.IO5 FRItlARY LIl"ITRTIOh5. <br />EPA Form 3320.1 108.951 Previous editions may bs used, (REPLACES EPA FORM T30 WHICH MAY NOT BE USED.) ~ PAGE OF <br />00712/ONC223-1256 <br />~~ r <br />