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PERMITTEE NAME/ADDRESS R~'>~ FatiliryNarndLocwitn i/o~grrenq NATIONAL POLLUTANT DISCHARGE ELIMINATION SY57EM (NPDES) Form Approved. ' <br />.NAME COLOW LD COAL COl;PAN Y, L•P• DISCHAR GE MONITORING REPORT (OrMR;91 gINOR OMB No. 2040-0004 <br />ADDRESSCOLOYIU tlINE 000045161 009 B (SOBR NY) Approval expiresOb31-88 <br />S%31 STATE EIGUYA[ 13 PERMIT NUMBER olscliARGENUMBER F - FLNAL lIOFAT <br />dEEXER CO 81641 '~ININ6 BIi TO SECTIOY ld POYD <br />FACILITY MONITORING PERIOD <br />LOCATION YEAR; ri.MO_ DAYi ' YEAR MO DAY <br />vx TO ~ vo ~v <br />FROM ~~~~ ~,~ <br />G34 H~fy DI ~f Y~ <br />ACE <br />~~}-9~~ <br />A T T N : J . D. N A H K 0 N , GENERAL N A N AG E R . <br />(zav~ -~rzs 3)„ (tazsl: '-' tzazr) tzaze) t3aa1) , <br />NOTE: Read Insty coons belore completing this form. <br /> (3 Cord Ony) QUANTITY OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION ~ ~ NO. FREOUENC SAMPLE <br /> PARAMETER (46-53) (5I-61 (38-05) (4H-53) 54-61J EX OF TYPE <br /> (313D ~ AVERAGE ;MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ,,,,, ,_, ~~;5 rm~m <br />• a v a n ~. SAMPLE <br />U SPEN DED MEASUREMENT <br />0530 1 D 0 °. pERMITf^` <br />FFLULTNT GHD55 PALO I'REOUIREMENT <br />n n SAMPLE m:. <br />OTAL RECOY ERAHLE MEASUREMENT <br />U9b0 1 0 0 pERMIT'~'; <br />FFLUEN? GROSS YALUFREOUIREMENL; <br />v 1t, in ~unu it vH SAMpLE <br />HRU YREATNENT PLAN. MEASUREMENT <br />OU50 1 0 U y;-: <br />.p„ „PERMR~4r; , <br />FFLUENt GROSS YALUItRCOwavrecnrr: <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />SAMPLE <br />NAME?ITLE PRINCIPAL EXECUTIYE OFFICER <br />>R~F <br />~irt# .. <br />RGD <br />G/~L <br />T <br />~t <br />TELEPHONE <br />TI:I:UHMIC /WU IiUMYLtIt I M1'XWAHG IHMI IHGHt qHC JIIiNIFII:/WI ° NV (/ V ~' <br />PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE /n]~T~-~ fJ~t <br />~/ ~ ~.'~ POSSIBIUN OF FINE AND IMPRISONMENT. SEE 15 U.S.C. 51p01 AND 33 U.S.C. S NATURE OF PRINCIPAL EXECUTIVE V+ ~f/1 ~IJ G ~ ~~~D ~~ n7 ~ ~rf <br />4 1x18. (f9nett/es under rhsse eretures mey intrude lines up ro S/D,OBO end w OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED medmum lmpdsonmere or 6eMeanemonfhs end 5yeeW.) ':~~~ CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY YIOIATIONS (Relerence ell attachments here) ~ ~ ~ _ <br />NONITOHIYG REQUIREKENTS SEE Ld.1.N, PC. 5. BUHDBN OP I~CIf HEQUIR$thE1T5 - 5EE I.A.3, PC. <br />-'. ~ ~ ~ . . <br />EPA Form 33241 (08-95) Previous editions may not be used. (REPLACES EPA FORM T~0•WHICH MAV NO7 BE USED.) PAGE OF <br />sane-.<.:~,..:uj•.-w:v,; .. . _.~_._p1 a.•= <br />