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NATIONAL PCILLUT SCHARGE ELIMINATION SYSTEM <br /> ONITORING REPORT vrd <br /> No. <br /> DISCHAR* Ise-IM73 <br /> 11J)-Cr COAL (PREP PLANT <br /> PO BOX 158 <br /> CARBONDALE aGt INSTRUCTIONS <br /> 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD" <br /> CO 81623 2. Enter reported minimum, average andmoximern values under"QUANTITY"and"CONCENTRATION" <br /> is the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> (4-141 ting, "MAXIMUM" <br /> asterisks. "AVERAGE" is ev,sage computed over actual time discharge is opera <br /> and"MINIMUM"are extreme values observed during the reporting petiod. <br /> CC On00396 <br /> 3. Specify the number <br /> p of analyzed hampies Lhat txcged the maximum(end/or minimuin as appropriate) <br /> permit conditions in the columns laheled"No. Ex." It non.,enter 11011. <br /> ST PERMIT NUMBER OIS SIC LATITUDE LONGITUDE 4. Speci y frequency of analysis for each parameter as No. analyse4/No. days. (e.g., "317"is equiva- <br /> ntinuous enter"CONT." <br /> (26-271 12a-291 430-311 lord io 3 nanlynes per.on.�ed every 7 days.) If On If frequency was continuous, <br /> 470-21) 122-211 la4-251 S. specify sample type or---hr, compoiiiiall)an applicable. <br /> enter "NA". <br /> REPORTING PERIOD: FROM [3 I,I,I:E(- TO 6. Appropriate signature in required on bottom of this form. <br /> 7. Remove caln and retain copy for your records. <br /> r <br /> I flAl <br /> lia <br /> YEAR MO DAY YEAR MO 8. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> IIIJ-311 162-701 <br /> j (3 card—10 QUANTITY (4 card only) CONCENTRATION FREQUENCY <br /> SAMPLE <br /> 04-51 (62.8"00.4. 1 0-e3) Is-0 162-1 <br /> NO. <br /> VER GF UNITS TYPE <br /> PARAMETER NO. — ---- ---I OF <br /> MINIMUM AVERAGE MAXIMUM UNITS Ex MINIMUM A A MAXIMUM EX ANALYSIS <br /> REPORTED <br /> PLO''! IN CONDUIT <br /> f <br /> mGD MiGD <br /> PERMIT <br /> 5 S CONDITION 1/7 IN <br /> ';OLIDS9 TOTAL DISS REPORTED <br /> (DISSOLVED) KG/DAY MG <br /> KG/DAY <br /> PERMIT K 1/90 G <br /> 711 3! CONDITION <br /> SOLIDS, TOTAL SUSP REPORTED p # w A tt it 0 0 0 0 <br /> (SUSPENDED) PERMIT KG/DAY MG/L <br /> a A 30 1/90 CO <br /> 5 3 rl CONDITION <br /> REPORTED 4 0. <br /> -RON19TOTAL(AS FE) 0 co <br /> KG/DAY MG/L <br /> 3.5 7,13 1/90 CO <br /> I 04t <br /> PHPFIELD I co <br /> SU --- <br /> Su <br /> PErimi r <br /> rj 0 4,')Q cONDITiOl * 640 900 1/90 GR <br /> OIL 6 GREAS"vVISJUAL REPORTED a WAR <br /> A 0 PERMIT 0 1/90 V1 <br /> CONUiTION <br /> REPORTED <br /> PERMIT <br /> CONDITION <br /> REPORTED <br /> PERM:T <br /> CONDITION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> certify that I am loniliar with the intimation contained in this <br /> 41 1GY16an, VE VICE pp-a5loaKr 4 94 1 report <br /> ana that to(he beat of my knowledge and belief such infor- LSIGN TUBE OF PRINCIPAL EXECUTIVE <br /> —1 matIon to <br /> true, complete,and accurate. <br /> OFFICER OR AUTHORIZED AGENT <br /> LAST FIRST MI TITLE YEAR DAY <br /> � <br /> iii,,—Form 3320.1(10-1Z PAGE OF <br /> ORIGINAL <br /> - 005' 15 SETTLED MINE WATER FROM L,S, WOOD MINE 93 ANY SINGLE GRAB CANNO <br /> T EXCEED 45 HG/L FOR TSS <br />