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I -- <br /> �' NATIONAL POLLUTANT ''HARGE ELIMINATION SYSTEM <br /> DISCHARGE ORING REPORT , Approved <br /> ' • IVO. 158-R0073 <br /> ;AI ID-CT COAL (PREP PLANT q A)ME <br /> PU BOX 156 <br /> CARBINE)ALE INSTRUCTIONS <br /> 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> L CO b 1 623 J 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> I2.31 u•lal m•Ial 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"ore extreme values observed during the reporting period. <br /> Cf 0000396 0;;" 1211 a Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> 6T PERMIT NUMBER Dt5 SIC LATITUDE LONGITUDE permit conditions in the columns labeled"No. Ex."' If none, enter"0". <br /> 4. Specify frequency of analysis for each parameter as No. analyses/No. days. (a.a., "3/7"is equlva- <br /> I20.21) (22.23) (24.25) (20.27) I2e-29) 430-31) lent to 3 analyses performed every 7 days.) 11 continuous enter"CONT." <br /> 5. Specify sample type("grab"or"—hr. composite")as applicable. If frequency was continuous, <br /> 19 enter "NA". <br /> REPORTING PERIOD: FROM { 1 ' 1 TO 9 t 4 1 6. Appropriate signature is required on bottom of this form <br /> YEAR NO DAY YEAR MO DAY 7. Remove carbon and retain copy for your records. <br /> S. Fold along dotted lines, staple and mail Original'to office specified in permit. <br /> 132.971 (abaa) (aa-Ta) <br /> (3 card only) QUANTITY (4card only) CONCENTRATION FREQUENCY <br /> 133-491 14a-091 104•all 10 2-631 1 38.45) 14a•03) (04.61) la2•a3l SAMPLE <br /> PARAMETER OF <br /> MINIMUM AVERAGE MAXIMUM UNITS NO, MINIMUM AVERAGE MAXIMUM UNITS NO' _ TYPE <br /> X EX E ANALYSIS <br /> FLOW IN CONDUIT REPORTED O <br /> PERMIT MGD MOD <br /> r'-V i:SU CONDITION # # 1F. # * # AF 1F # # # ri * p {l # # # # # # # 1/7 IN <br /> I <br /> S^LIGS• TOTAL DISS REPORTED * 1? # # # iF # # Ai # # 1F # ,Y # # /QL�c� # # iF iF (a 2f�p G-K <br /> (OTSS::LVFt�) —PERMIT KG/DAY MG/L - <br /> 7:,3 .^, CONDITION # # 0 ri it # st # p # p # it iF" it ii # # # # iF tF # # 1/?0 OR <br /> S%T,')Sr TOTAL SUS? REPORTED # # ti >t +a * # * * # # # # # # # # # # # z�90 co <br /> (SUSPENDED) KG/DAY MG/L <br /> PERMIT <br /> •'v'�-'� CONDITION 30 1/90 Co <br /> `r .t?0N9T0T.A1_(AS FE) REPORTED # Ai # C iF # p #' ii # * # � * #' p Vo 47 0.-Z O Z!'�O CO <br /> ` rr G PERMIT KG/DA.Y 1-46/L --_ <br /> J1045 CONDITION iF. # * # {► # # # # # * 3e5 7aU 1/90 CO <br /> ('` <br /> .. PH1FItM) REPORTED # # # # # '.` q * iF' AF # # p1, • ? # # # #" 6. 2A6 <br /> -I PERMIT Su `C `�U <br /> :1400 CONDITION # +� * * It '� * # # * 6.0 # +► # ++ 9a:1 1/.90 OR <br /> OIL b GREA$E,VISLIAL REPORTED # 1F if 7f Y 'If tt # # # # # {} # # # # # #' # O . <br /> PERMIT <br /> CONDITION 10 1/90 VI <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> PERMIT - - <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> .1 f certify that f am familiar with the Information contained in this <br /> jot�'v t1 PRES 11) tv t 7 9 3 report and that to the best of my knowledge and belief such lnfor <br /> matlon is true, Complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> LAST FIRST MI TITLE YEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> I — <br /> I EPA Form3120.1(10-72) PAGE OF <br /> ORIGINAL 1 1 <br /> 002 IS SETTLED MINE WATER FROM BEAR CREEK MINE ANY SINGLE GRAB CANNOT <br /> EXCEED 45 kiG/L FOR TSS <br />