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tt (f NATIONAL POLLUTANT °HARGE ELIMINATION SYSTEM <br /> • DISCHARGE ITORING REP0aT m Approved <br /> �R NO. ISS-ROO73 <br /> r (41M-CT COAL (PREP PLANT <br /> �}-$ YYl I A)J ., <br /> PO BOX 158 <br /> CARBONDALE INSTRUCTIONS <br /> L <br /> LCO 61623 - 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> J 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> t2•al lalal u7.1#I in the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM" <br /> CC OG 0 n 396 1 and"MINIAIUM"are extreme values observed during the reporting period. <br /> _ 7 1211 I 3 Specify the number of analyzed samples that exceed the maximum(end/or minimum as appropriate) <br /> ST PERMIT NUMBER DIS SIC LATITUDE LONGITUDE permit conditions in lire columns labeled"No. Ex.'.' It none, enter"O". <br /> 4. Specify frequency of analysis for each parameter us No. analyses/No. days. (e.g., '3/7"is equiva- <br /> j 120.211 I22.2m t24-26I 126.27) 426.291 130•3U lent to 3 analyses performed every 7 days.) If continuous enter"CONT." <br /> 5. Specify sample type("grab"or"—hr. componi:e")as applicable. If frequency was continuous, <br /> 9 C 1 1 79 T[} 1 enter NA". <br /> REPORTING PERIOD: FROM TO 6. Appropriate signature is required on bottom of this form. <br /> YEAR MO DAY YEAR MO DAY 7' Remove carbon and retain copy for your records. <br /> g. Fold along dottedilines, staple and mail Origindl to office specified in permit. <br /> 1 a:-rut <br /> oaaly) 104-061 10#•701 <br /> (3cerd8.451 QUANTITY (58.451 nty) CONCENTRATION FREQUENCY <br /> PARAMETER 1ae•.m t46-031 leteu _ Irz-a311a6•am I46-531 16M011 102.631 OF <br /> SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNITS EX MINIMUM AVERAGE MAXIMUM UNITS NO. ANALYSIS TYPE <br /> —.— <br /> t� FLOW IN ccNr;ulT REPORTED <br /> PERMIT MGD <br /> 5;; 5, r•tGD T <br /> Y <br /> `) CONDITION # �} # {} 1i # # # 1/7 <br /> IN <br /> ' '7L MS• TOTAL DI SS REPORTED <br /> (0I5S .iLVEF)) - K /DAY --- <br /> }• r, PERMIT MI:/L <br /> J �:A.�•7 J CONDITION 4 # ;} # # t} # # 1/90 GR <br /> OLIDS# TOTAL SUSP REPORTED # # # is # It # # #. # # e} It <br /> (SUSP=NSF"I�) _ <br /> PERMIT MC/L. <br /> CONDITION # a a w # ss fi # # �t. # # # # 3G 1/4f CO <br /> f T?0 ,TOTAI"(AS FF) REPORTED <br /> 'r <br /> fPERMIT -_ Kinky MG/L <br /> i C 43 CONDITION # # # # # +► # # # # x tI # # 7.0 1/90 CO <br /> PHIFI"FL D REPORTED # >t # # # # # # # # {} 4 # <br /> i/ PERMIT SU \ - SU --- <br />? corIDITION u # # # # # # # # q # C 6 n # tt 1/9 GR <br /> I 9.0 G <br /> OIL S GREASE.VISUAI REPORTEDPER IT <br /> x # a {� {} . # # # ;• # _ # r, # # # <br /> CONDITION # # tr S # # # # # # # {} # # # # {} # # # 14 1/90 VI <br /> r <br /> j REPORTED <br /> PERIAIT <br /> CONDITION <br /> REPORTED <br /> PERMIT <br /> ' CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICf..i DATE <br /> f certify that I am landliar with the Lrformation contained In this <br /> F ���'��.5 .Aol-ll1/ PAf=,fl d t-NT -1,q �% /,3 sport and that to the best of my knowledge and belief such intor- �'"f'�'• � f '�' —� <br /> rL_1j l / ration is true, complete, and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORiZED AGENT <br /> 11 EPA Form 3320.1(10-72) <br /> PAGE 1 OF 1 <br /> 603 IS SETTLED MINE WATER FROM COAL BASIN MINE ANY SINGLE GRAB CANNOT ORIGINAL <br /> EXCEED 45 �'G/L FOR TSS <br />