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! NATIONAL POLLUTANT GE ELIMINATION SYSTEM <br /> " '• DISCHARGE MIRING REPORT Approved <br /> `00 NO. I Sd-R0079 <br /> MID-CT COAL (PREP PLANT <br /> PO 90X 158 <br /> i CARBONDALE INSTRUCTIONS <br /> t <br /> L CO 81623 1. Provide dale&for period covered by this report In spaces marked"REPORTING PERIOD, <br /> 2. Enter reported minimum, average.and maximum values under"QUANTITY"and"CONCENTRATION" <br /> I=-a1 la-lel I17-0e1 in the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> -- asterisks. "AVERAGE" In average computed over actual time discharge is operating. "MAXIMUM" <br /> i•. and"MINIMUM"are extreme values observed during the reporting period <br /> M C^ 0000396 OG 1211 3. Specify the number of analysed samples that exceed the maximum(end/or minimum as appropriate) <br /> ST PERMIT NUMBER DIS SIC LATITU OE LONGITUDE permit conditions in the columns labeled"No. Ex." If none, enter"O". <br /> 4. Specify frequency of analysis for each parameter as No. analyses/No. days. (e.g., "3/7"is equlva- <br /> Ias-all Cei-sal (xa-let (30•271 /2e•2e1 (so-]u lent to 3 analyses performed every 7 days.) If continuous enter"CONT." <br /> 5. Specify sample type("grab"or"—hr. composite")as applicable. If frequency was continuous, <br /> enter "NA". <br /> REPORTING PERIOD: FROM 9 I 0 1 TO 0 1 d 6. Appropriate signature la required on bottom of this form.YEAR MO DAY YFAR MO DA 7• Remove Carbon and retain copy for your records. <br /> 8. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> lab all (e heel _ I11 9-701 <br /> (3 card only) (e card only) ---� <br /> .r.. QUANTITY CONCENTRATION FREQUENCY <br /> PARAMETER (swam lee-sal Ie�e 11 (ea-ea tee-�tn 4+e-e5) Ieaen _ Iex•ear OF SAMPLE <br /> MINIMUM AVERAGE MAXIMUM UNITS HX• MINIMUM AVERAGE MAXIMUM UNITS NO TYPE ANALYSIS TYPE'--- <br /> FLOW IN CONDUIT "6PORT`D <br /> f GD NIGD <br /> PERMIT # # # # Y p if # # # # ♦! # 4t # # it <br /> ,`y' Sl)i+50 CONDITION 1/7 IN <br /> !.: SOLIDS• TOTAL DISS REPORTED R # q # # iE # # # u # # tl # f: +► # u # +► <br /> 101SSC'LVE[)) PERMIT XG PIG/L <br /> T, 733, 0 eDNDlTIDN +► # # # #' # # # it +► # # ;t' # # ti # n # # # 1/90 GR <br /> SOLIDS, TOTAL SUSP REPORTED It # # # It # # # O # # { f # # {t # <br /> (SUSPENDED) PERMIT AY MG/L <br /> 6 :A �0530 CONDITION # It # it # 30 I/90 CO <br /> iRONoTOTAL(AS FE) REPORT HD # # w # # # * # st # it # # # <br /> PERMIT K�GY MG/L, <br /> 045 CONDITION # # a # it if # # ft it # # # ' } # 3 7.n 1/90 CO <br /> PHrFIELO REPORTED <br /> r PERMIT # # # # # # # # Su # # SU <br /> /0400 CONDITION 6.i, 9a1) 1/90 GR <br /> OdL L GREASE9VISUAL REPORTED It # # It it # # # tt it # # # # # K # # <br /> PERMIT <br /> A 0 0 0 2 CONDITION it # # # ii # tt It # p 10 1/90 VI <br /> REPORTED <br /> .Z' <br /> PERMIT <br /> .Sa CONDITION <br /> i <br /> REPORTED ' <br /> PERMIT <br /> ' CONDITION <br /> I.i <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> f certify that I am familiar with the information contained in this <br /> �wFs 7 report and that to the best of my knowledge and belief such infor <br /> Je�t�N a PRcs�Dr-Ai]' gip a, Q <br /> a ration is true, complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT , <br /> EPA Form 3320-1(10.72) PAGE OF i <br /> ORIGINAL 1 1 <br /> 004 IS SEtTLED MINE WATER FROM CUTC H CREEK ANY SINGLE GRAB CANNOT EXC <br /> EED 45 MG/L FOP TSS <br />