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NATIONAL. POL.LUTANT ,1+ARGE ELIMINATION SYSTEM <br /> ( DISCHARGE, TORIMG REPO' / M `t NO.r158 R0073 <br /> r M-.D—CT COAL (PREP PLANT _1 <br /> PO BOX 158 <br /> CARBC'JGALE 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 /> tx•bl I4 141 uT 101 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 /> "MINIMUM"are extreme values observed during the reporting period <br /> C fit u t1345 � 1211 Spa 3. Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> ST PERMIT NUMBER DI5 SIC LATITUDE LONGITUDE permit conditions in the columns labeled"No. Ex." If none, enter"O". <br /> 4. t)peciiy frequency of analysis for each parameter as No. analyses/No. days. (e.g., "3/7"Is egaiva- <br /> f20-au i22-a31 f24-24t (26.27) 428.201 130•bU lent to 3 analyses perfarmed every 7 days.) If continuous enter"CONT." <br /> 5. Specify sample type("grab"or"—hr. cornposila")as applicable. If frequency was continuous, <br /> 9 C 1 11 79 C'4 (I enter "NA". <br /> REPORTING PERIOD: FROM TO 6. Appropriate signature is required on bottom of this fora. <br /> I YEAR MO DAY YEAR MO GAY 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 /> 1 42•brl t44441 I150-10 1 <br /> (3 card only) (4 hmrd only) <br /> QUANTITY CONCENTRATION FREQUENCY <br /> 134-451 144.431 144•41 147-43119E•4al 144-031 164-C II (62-031 SAMPLE <br /> PARAMETER NO. OF NO. <br /> MINIMUM AVERAGE MAXIMUM UNITS EX MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> IN CON WIT <br /> 'UIT REPORTED <br /> FLO <br /> '� PERMIT MGD h4GD <br /> 5 j..15:i r� CONDITION 7/7 Im <br /> S^LIDSII TOTAL OISS REPORTED it It {} it it 1t it # # A <br /> (nISS;:LVE!)) G/ p(Y MG/L <br /> PERMIT 7)vl' <br /> CONDITION <br /> 1/7 GR <br /> `•GL?�^S• Ti1T.AL SUSP REPORTED <br /> (SUSPENDED) — Ku/DA MG/L -- <br /> PERMIT # } # #. f1• {} # <br /> ��.}`s CONDITION 3 1/7 CO <br /> 1 -Z�W,i TOTAL(AS FE) REPORTED # rr �f zr t� �► # # — — <br /> r <br /> PERMIT DAY MG/L <br /> L'1,'45 CONDITION lot #. # It # # # \ tt 6 # p es 7eO 1/7 Co <br /> PNr FIELD REPORTED <br /> PERMIT SU SU <br /> I'll 4 Ile 0 CONDITION It 900 1/7 GR <br /> OIL 6 GPEASE9VISUAL REPORTED <br /> ^ _. PERMIT L1 A Il 1a• if # it # # # # 1Y # Elf 1t # !i' it ItAV`f�•, CONDITION IO I/7 VI <br /> - �� REPORTED <br /> + PERMIT --- <br /> CONDITION <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICF.t DATE r <br /> ' }��1 l� r�/ [I I'cardly that I am familiar with the information contained in Chia /a'� •r�,µ,�L <br /> C�1[ C`>II)E T - 71 + (} Lf 3 report and that to the best of my knowledge and belief such infor- KJ <br /> _ Marion is true, Complete,andaccurale. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA Form 3320.1 f 10.7Ti PAGE OF <br /> ORIGINAL I I <br /> 001 IS TREATED YARD 6 DISTRIBUTEED A RFA RUNOFF FROM COAL PREPARATION PL <br /> ANT ANY SINGLE GRAB CANNOT EXCEED 45 MG/L FOR TSS <br />