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NAI IONAL t'ULLUI AN I tLltalr,A I IUN SYt i tM <br /> DISCHARGF IORING REPORT wm'Approved <br /> 108 NO. ISS-Ro073 <br /> ' . r <br /> MTD—CT COAL (PREP PLANT <br /> PO BOX 158 <br /> CARGO TALE INSTRUCTIONS <br /> 1• Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> i <br /> CO 81623 J 2. Enter reported minimum, average and maximum values under"QUANTITY"and"CONCENTRATION" <br /> 1 In the unite specified for each parameter as appropriate. Do not enter values in boxes containing <br /> u•a1 1,4-1e1 117•191 --- asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAXIMUM" <br /> and"MINIMUM"are extreme values observed during the reporting period. <br /> 0000396 0I C. ]2]] 3 Specify the number of analyzed samples that exceed the maximum(and/or minimum 86 appropriate) <br /> ST PERMIT NUMBER DIS SIG LATITUDE LONGITUDE permit conditions in the columns labeled"No. Ex." If none, enter"O". <br /> [ k 4. Specify frequency of analysis for each parameter as No. analyses/No. days. (e.g., "3/7- 1B equlva- <br /> tzo-zu (u-zm (zaza Ixe•zv1 Ixe•za1 (so-so lent to 3 analyses performed every 7 days.) If continuous enter"CONT." <br /> S. Specify sample type("grab"or"—hr. composite")as applicable. If frequency was continuous, <br /> • enter "NA" ' <br /> REPORTING PERIOD: FROM 9 ) 1 TO o 1 1 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 /> 8. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> 1 ax-an <br /> (7..rd only) QUANTITY (I r.rd only) CONCENTRATION FREQUENCY <br /> (ad-45) IJa-e 111 te4-611 lax-ael(3e•4e) t4a-eat 154-6U 162-631 SAMPLE <br /> OF <br /> PARAMETER NO. NO. TYPE <br /> .'� MINIMUM AVERAGEPXI UNITS EX MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS <br /> FLO'v IN CONDUIT <br /> PfiRM1T mGn 14GD <br /> 50:;50 CONDITION # # # # # # # K 1/7 IN <br /> SOLIDS• TOTAL UISS REPORTED <br /> (DISS-:LVED) G/DAY MG/L <br /> PERMIT <br /> 7'j3r)i) CONDITION 1/90 GR <br /> I <br /> SOL I DS e TOTAL FUSP REPORTED +I p <br /> " (SUSPFIdGc�) KG/ AY MG/L_ <br /> PERMIT <br /> 053il CONDITION # # # # # # # !' # 30 <br /> 1/90 CO <br /> Iw' <br /> TOTAL(AS FE REPORTED ti # {r # # # # 1i ♦t # # <br /> , ) <br /> IRON <br /> PERMIT KG/DAY MG/L <br /> 01045 p ti # # # f► # # # # # !i # 3.5 7. 1/90 CO <br /> r� r CONDITIOH <br /> PHYr IGLD REPORTED {� ji �i {i f� li * t<} # jI �i' } 1 # <br /> SU SU <br /> PERMIT <br /> 1iO4+1� CONDITION 6e(i 9ep 1/90 1 GR <br /> Yt _- <br /> OIL 6 GREASE9VISUAL REPORTED # It <br /> PERMIT <br /> AJr•u2 CONDITION 10 1/90 VI <br /> fIfIIII REPORTED <br /> PERMI T <br /> .jiCON01 TION <br /> .U� REPORTED <br /> PERMIT <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> 4017 .te.Pilonails <br /> ify that I am familiar with the Information contained in this W <br /> P�."•.t'� ur QQ Olt <br /> d that to the beat of my knowledge and belief such infor- <br /> .4 17�I^�,3 a true, complate, and accurst& Q14.. T..F OF PRINCIPAL EXECUTIVE <br /> „LAST FIRST MI TITLE JYEAR MO DAY OFFICER OR AUTHORIZED AGENT <br /> EPA F.ra 7310.100.74 PAGE OF <br /> ORIGINAL 1 1 <br /> 002 IS SETTLED MINE WATER FROM HEAR CREEK MINE ANY SINGLE GRAB CANNOT <br /> EXCEED 45 MG/L FOR TSS <br />