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PERMITTEE NAME/ADDRESS p.ar4 F«WryNsw/lsnrw Jorp....p <br />NAME pOyUER$OflH COAL OiMPANY _ _____ <br />ADDRESS ROAUSIUE "1IRE, 4 -, J PO4PA L:, <br />P•0. ROY 1430 <br />PALIJACt; CO b.~26 <br />FAGLrrv <br />LOCATION <br />r.i i:.: J~)nd A. C':NAt, ~'~t >;SjU£N: <br />NATIONAL POLLUTANT DISCNMOE f(IMIITATiORBYSTEM (NPDES/ <br />DISCHARGE MONR9RINO REPORT lOMRI <br />_ -72, Ib1. _. _ _ _ -. - 17-19 <br />coooz~LUb Esn w <br />PERMIT NUMBER DISCNMOE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM .1 TO v 3 <br />116111 l11-13) !II-16I !16171 118-29I 13o-311 <br />Form Approved. <br />A~DTE YEi TESL-80~~°D~°~T~Q~o.~T~3 <br />(SU9R 5C) - PP~bve[-e8~i~e~ 3 •s8-= <br />f - ?TFA1 1L <br />7lsce ' <br />''°"• C I:ISCdn4GE ~ ~ ;•r:r- <br />'~ NOTE: Rsed Inetrudlatw before completing this 1orm,,`i}} <br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !/ Grd Onlyl QUANTITY OR CONCENTRATION NG FREQUENCY SAMPLE <br /> !46531 l50-8I !38-05 !4653 l50-sll OF <br />l31-37/ EX M,ursrs TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lsz~ssl l646B1 159-701 <br />., ~~: J1r~ :'. 4';H^: ACI <br />y SAMPLE :;~6+t## :~fi?#:F <br />tGdG': <br />::r$O:rY <br /> <br />(z3~ <br />l.., r. iU.rhi n"!IA MEASUREMENT ~ <br />? p(~ ~, `yo Cl1~ <br />i,1 °,J'.7 (r J <br />' PERMIT -. #::ktt# Yf ~'-'##~k: ,?#.;: ~()0 sf1 pQ1 O#S'rJ ,yfi ',:~1; 4T.YL. ' 'Eft- 'E ALT sRAI4 <br />.. f <br />r'Li, :~'.i ~405~ VALU REQUIREMENT ~ ly;.hy2 n~s. tA~bUE ~ ~ - $ ., <br />~~iV ~-„::;E 9hH4 AC SAMPLE ##Ol:::.r If 134#%.# C+4".1'.' #CO;:#: 23 <br />( ~ <br />I <br />~ <br />F~ ~' :: r ^ A L ~ 3 MEASUREMENT ~ I ~~ /r~~ • <br />/? <br />L~~'. ~ _ 1 0 C) ~ PERMIT. -~ ~ <br />. i~tL.#plG+i?.~ sS##Ip:~lS ~ %f $# <br />l0O .OO~o~i ~ ~ <br />3#IC~•11b <br />~ '.~~t+A14:>p#~~~ ~ ~ <br />R- - 1'$~L ~~~ i~'~(1 <br />~:: - L.,.:.:. i ,;4055 VALU .REQUIREMENT ~oaC t4N YAi.ttE C !t <br /> SAMPLE <br /> MEASUREMENT <br /> ~::.!FP~RMIT ~ ~ - <br /> ~REQI~IRE:Iy~ENT ...r. <br /> SAMPLE ~. <br /> MEASUREMENT <br /> .PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> `;:: ~ PERMIT <br />~: <br /> REQUIREMENT ~ . ' ~ .. <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> .REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT ~ ~ .. <br />NAME/TRLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY Of LAW TNAT I HAVE PERSO <br />AM FAMILIM WITH THE INFORMATION SUBMITTED H NALLY EXAMINED MD <br />EREIN <br />MD BASED O TELEPHONE DATE <br /> <br />-S ~ ~ ~ <br />L ~ I ; <br />N <br />MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTAINING THE INFORMATION, I eEUEVE THE SUBMITTED INFORMATOM IS <br />~~ - <br /> <br />\ TRUE, ACCUMTE MD COMPLETE. I AM AWME TNAT THERE ME <br />9GNIFICANT PENILLTIES FOP SUBMITTING FALSE INFORMATION <br />INCIUDINO (' _ <br />~l <br />I <br />\ r• '~ , <br />THE POSSIBILITY Of RNE MD IMPRISONMENT <br />SEE 18 U <br />S <br />C <br />1 1001 MD 3] I7! ~ ~!~ j t ll/•I i ~ '' ~~ ( <br />~~ <br /> . <br />. <br />. <br />. <br />S <br />C <br />E Isle <br />lPrWtlr, unwr tiw« mnm <br />u <br />nr <br />N <br />ae <br />~ <br />rIO <br />O IONATURE OF PRINGPAL EXECU7NE _ <br />_ <br />TYPED OR PRINTED . <br />. <br />. <br />. <br />. r <br />Y <br />.... rq ro <br />e <br />. <br />, <br />pD <br />rwrnwinun inM'se+le+r orMlw«n smmNa endb Y«ral <br />OFFICER OR AUTHORRED AOENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMtNIS ANV tXPLANAIIVN Vh AN7 VwLA nurva IRSrerence sn srrecnmenrs Oare/ <br />L,. PAki t.; .'. -''I-_ C~:Aii_, Jr 1`.-;T ?fiJC,.ilJF.r:. 3F'I :.O it f.;i:" CIL!'IfC? (:'°FLIJ~c:) 4H:CH I:; L4T4AL 1'0 i::, ;;p <br />i is -ri OHL;AhI51., (L~. 'T7~ ~ ~i'I 6C=! aCU P~ :OX LCI:T "CSST rF,?v tiT FO.ri" 1C `~n'F;. ';'7 P~i P,S CF ALL l1•FC '!!iSi` d`. b~sT <br />~l rD - ~4:.'I 'i ~T ~'^1 -l•~-T TT r rem J env nnt~f(. '~ npr rim <br />EPA Form 3320-7 (08.961 Previous atlitiona mey be used. (REPLACES EPA FORM TAO WNICN MAY NOT BE US D.1 ~ ~ !, 27 9 ~ ~ y C 2 ` 9 _ 1 Z `i f., ~ P GE i O~ <br />_. <br />