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PERMffTEENAME/ADDRESSOn<'ludeFnciliryNamr/LocanoniJOgeerv) NAT1pNALpOLLIJTANTDISC <br />NAAAE •COLUY40 COAL COC!FAN4, L. P. DISCHAR GE MGI <br />ADDRESS:OLOYIO hIME 000045161 <br />5731 STATE RIGBYAI 13 ~"°`'~:• PERMIT NUMBER <br />MEEEER CO 81.641 • ~~"' <br />FACILITY ~ _ - ~ MONI <br />LOCATION YEAR "MO DA <br />FROM '~ :'.V7 -_M <br />ATTN: J. D. NAR210N, GFaERAL N.ARAGER rzaz`n~rz>:zsl=,~rz+-: <br />(NPDES) <br />DISCHARGE <br />(16~P)) (Z&Z9) (00.31) <br />Form Approved. <br />H I N U R OMB No. 2040-0004 <br />(S U A R N Y) APProval expires 05-31-98 <br />F - FINAL lIOFAI <br />YP.St PIt 3RD YOtD SO t-iLOR CR <br />~'~~ NO, ,~~CHIRGB )~) t~# <br />NOTE:"Read Instructions before completing this form. <br /> (3 Certl Ony) QUANTITY OR LOADING (4 Ce/n Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE <br />PARAMETER (46-53) (5461) (38-45) (46-53) ~ (54-61) EX OF TYPE <br />(32Jn AVERAGE MAXIMUM ~~U ITS MINIMUM AVERAGE MAXIMUM UNITS. lezml AN~ 8s)S 6370 <br />JLL Al1U Vtl ~ASC SAMPLE +~`i~r4iT D ( 94) 3>xCl7'+~R l97~gS ~G#;t S3' O .1I- l <br />V <br />Y I SD A L MEASUREMENT , 15vrt <br /> <br />64066 1 0 0 <br />.'PERMIT <br />-- <br />AB <br />BS-], <br />1K <br />~ ~ <br />Oi, <br />GFFLUEtIT 6R055 4ALUB :REQUIREMENT <br />~ ~~~ Bp_D ~- ~ s ~ `+r ~~ <br />~ F430 <br /> ~ -~ x ~ M_. xy, ~ <br />_ <br />4 y <br /> SAMPLE <br /> MEASUREMENT <br /> ..:PERMIT, - r: '4" <br />` ` i:~ ~ - <br />3' ~ '~. ,•, <br />^' <br />t' <br /> REQUIREMENT, s ,- <br />~ ~, '~`> 't; ~~ x' <br />,.. t <br />G <br /> SAMPLE ~'~ <br />~ ° <br />~~ <br /> MEASUREMENT " a~ <br /> s• "PERMITS - ~. ~' ~" <br />~ - <br /> REQUIREMENT. ~ <br />~.~::.~ <br />k+•''4- i''` r r £` <br />,. `G~si`x~i, aid; <br />:-3." <br /> SAMPLE " <br /> MEASUREMENT <br /> '~.PERMITy- - ~ :'- Fu't ?EN ~ py ~-' <br /> ~AE~UIRENIENT <br /> <br />~~~~ ' <br />e.. ~ , ' -x'+*. -~ ~*~~'~^~'§~"'::? <br />.m3;~i. k. - <br /> SAMPLE ~,. <br /> MEASUREMENT <br /> ~.",".°~,PERMI~% :, xa ` ~ t ~ .y '' ~~,'~. ~ a i i k.: ~ ~} y s ~ ' <br />'"t . . <br />r a <br /> REQUIREMENT - , •-: Fr : - . <br />x + i . <br />~E VV~~ <br /> _ <br /> SAMPLE <br /> MEASUREMENT ~~ <br /> ;~yPERMI~n~ , ~`; a ; +. ~r , r:,- +..,^ "~' `;'S. ~' ~v h~ . , -' f °`i~' <br />~ ';~- <br /> {7E~UIREMENT tx' <br />TAT ' ~,. ` <br />( <br />~ d "~ ~, f~ <br />'~ ~ `,~ <br />'. <br />i' <br /> ~ <br />. ~ t: <br />.a?. ~. .', -.. .° <br />. <br />~ <br /> SAMPLE <br /> MEASUREMENT <br /> i ::'a',PERMI'~k+" -k s ~ $ ~~uT~ `ai'+$~'~"vt ;, <br />.L <br />~ :. <br />~ ~+~rw~.~,. <br />W <br />- <br />'~ ~,n .; <br />: <br />"+ <br />w' '.` <br />~ <br />': <br /> S <br />RE~UIREMENT: ~* <br />+s <br />2"~~` <br />1« p <br />~ <br />'' y <br />. m <br />4 . <br />~ <br />s m +a <br />,_ <br /> S„ e <br />. <br />~ <br />NAME/TRLE PRINCIPAL EXECIRNE OFFICER I CERTI <br />AM FAM FY UNDER PENALTY OF <br />ILIAR WRH THE INFORM LAW THAT I HAVE PERSO <br />ATION SUBMITTED HER NALLY EXAMINED AND <br />EIN <br />AND BASED ON MV - / TELEPHONE DATE <br /> <br />INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPON ; <br />SIBLE FOR OBTAINING / <br />/ <br />(/ <br />••. <br /> THE INFORMATION, I BEOEVE THE SUBMITTED IN FORMATION IS TRUE, ~ <br />j <br />' <br />`i <br />_ ' <br /> ACCUMTE AND COMPLETE. I AM AWARE THAI TH <br />PENALTIES FOR SUBMRTING FAISE INFORMATI ERE APE SIGNIFICANT <br />ON <br />INCLUDING THE ( <br />/ <br />i"' <br />~ <br /> , //~~ <br />' <br />BUI~ <br />9y <br />~ <br />( ~ <br />ylA 0 VT <br />` POSSIBILRY OF FINE AND IMPRISONMENT. BEE 1a U.S.C. § 1001 ANO 33 U.S.C. SI TURE OF PRINCIPAL ExECIRNE ~1 <br />)f1 ~ oo o <br /> ~ Hnn9 up b ff0.000 entl d <br />m <br />a <br />m <br />~ <br />~ <br />~ <br />~ <br />i <br />O FICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED ~ ~,rs) <br />mu <br />i <br />m <br />onmenr olSeAreen <br />e <br />6 mmfl <br />en <br />tl5 NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) <br />SETTLCAHLE SOLIDS LIRIT APPLIES ONL4 IP G=104 R,24RR pRECIP EIENT IS CLAIhED. IF C <br />T55 G IRON LIMITS PILL NOT BE ^PPLIED TD REPORTED MEASURENEYTS - SEE I.A.2, PG. 5 <br />editions may not be <br /> <br /> <br />/PPROfED 8I YQCD, <br />OwDRY Or.pROOF <br />.'~~ ~~ PAGE 2 OF <br />