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NATIONAL POLLUTANT iARGE ELIMINATION SYSTEM <br /> DISCHARGE OTORING REPORT m Approved <br /> �• �a NO. 158-R0073 <br /> r ;4'ib CT COAL (PREP PLANT <br /> P9 PDX 159 <br /> CARBOr1DALE INSTRUCTIONS <br /> L CO 81623 1. Provide dates 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 /> .I2•>a 1,6•I6) u'r•1o1 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 /> and"MINIMUM'' are extreme values observed during the reporting period. <br /> NCT <br /> 0000396 03_ 1211 3. Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> PERMIT NUMBER DIS SIC LATITUDE 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 equiva- <br /> 120•21) 122.231 426.251 t2a•27) I26-291 130-611 lent to 3 analyses performed every 7 days.) If continuous enter"OONT." <br /> • S. Specify sample type("grab"or"_hr. composite")as applicable. If frequency was egntinuous, <br /> 9 7 1 79 10 1 enter NA". <br /> REPORTING PERIOD: FROM TO 6. Appropriate signature is required on bottom of this fora. <br /> YEAR MO DAY YEAR MO DAV <br /> 7. Remove carbon and retain copy for your records. <br /> S. Fold elan dotted lines, staple e i g do d in ap d n mail Original to office specified In penult. <br /> iu-an (64-e6) 109-701 <br /> (S cord only) QUANTITY (Ic6rd°mIy) CONCENTRATION FREQUENCY <br /> PARAMETER lee•ea I46.63) (roe•a0 162�_6311 6.45? 166•aal (54.611 tax-66 OF SAMPLE <br /> MINIMUM AVERAGE 'MAXIMUM UNITS NO. MINIMUM AVERAGE MAXIMUM UNITS NO. TYPE <br /> EX EX ANALYSIS <br /> _ FLOW IN CONDUIT <br /> JL <br /> PERMIT MGI.I MGD <br /> 1/7 IN <br /> CIOLIDS► TOTAL OISS REPORTED <br /> MISS LVFD) VKGr� MG/L <br /> 7(3 11 PERMIT CONDI TION # # # # # * # # # d # # # # ii # t1 # # # # # # 1/90 GR <br /> SOLIIDS► TOTAL SUSP REPORTED * f} K # o * # <br /> (SusarrJo1') PERMIT KG/DAY — — MG/L <br /> G530 CONDITION u # # IS # # M # # # i} c # # 30 I/90 CO <br /> 'RONvTOTAL(AS F0 REPORTED # # # (_//0� # # # # <br /> PERMIT - Y --- -- MG/L <br /> ii1�45 CONDITION # a # # # # # # # it �}. # �t} # # is 7e0 1/90 CO <br /> PH►F Ir_LD REPORTED <br /> SU <br /> PER^0400 COND TION # �► # ii # i} # # —# G # n # 9a0 SU 1/.90 �GR <br /> OIL 6 GREAS'"tVISUAL REPORTED # <br /> } PERMIT <br /> A.0(' 2 CONDITION # �} # # # �} �} �} I} �} # ><} # # # # �i} 10 I/.90 VI <br /> REPORTED „ <br /> I <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> 7 ! repf certify that f am familiar with the information contained in thisjSIGMAIRE <br /> ort end that to the best o(my knowledge and belief such Infar17 motion la true, complete,and accurate. OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA form 3320.1(10.72) <br /> PAGE OF <br /> 1 1 <br /> CO3 IS SF'TL.ED MINT 41ATER FROM COAL BASIN MINE ANY SINGLE GRAB CANNOT ORIGINAL <br /> FXCEc'D 45 •1G/L F014 TS5 <br />