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o <br /> NATIONAL POLLI� .'Rio.HARGE ELIMINATION SYSTEM <br /> DISCH ITORING REPORT <br /> OMB NO. 158-ROO73 <br /> mtD-CT COAL (PREP PLANT <br /> POD BOX 159 <br /> CARB()VIDALF. 4v1 <br /> INSTRUCTIONS <br /> LCO 81623 1. Provide dates for period covered by this report in spaces marked"REPORTING PERIOD". <br /> 2. Enter reported MinilaUra, average and maximum values under"QUANTITY"and"CONCENTRATION' <br /> 1 101 In the units specified for each parameter as approptiata. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" Is average computed over actual time discharge is operating. "MAXIMUM" <br /> 1211 end"MINIMUM"are extreme values observed during the reporting period <br /> C(11 '-00396 <br /> 'A <br /> 3. Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> AT PE RMIT NUM BEN IS sic LATITUDE L..Gi permit conditions in the columns labeled"No. Ex." It none,enter <br /> L- —1 k <br /> 4. SpcclfY frequency of analysis for each parameter as No. analyses/No. days. (e.g., "317-is equi va- <br /> 42D-ZO (22-231 124-261 t&6-271 (28-29) 430-311 lent to 3 analyses perfornled every 7 days.) If continuous enter"CONT." <br /> S. Specify sample type("grab"or'�—hr. composite")as applicable. If frequency was contlAbous, <br /> F r enter "NA". <br /> REPORTING PERIOD; 8 1 6. Appropriate signature Is required un bottom of this form. <br /> FROM .0 4 q I <br /> YEAR MO DAY - 7. Remove carbon and retain copy for your records. <br /> YEAR MO DAY] <br /> S. Fold along dotted lines, staple and mail Original to office specified in permit. <br /> 4do-al <br /> (3—d only) QIIANT!TY CONCENTRATION QULNCY <br /> PARAMETER - 146-aw 1 646 0 162-6 13—ol FRE SAMPLE <br /> ------ OF <br /> MINIMUM AVERAGE MAXIMUM UNITS NO. <br /> F x MINIMUM AVERAGE MAXIMUM UNITS N ANALYSIS' TYPE <br /> x <br /> FLOW IN CONDUIT REPORTED <br /> it it it M D <br /> PE RMI T 7 <br /> 5 6 • <br /> ONOIT 0 <br /> 1/7 IN <br /> 5OLID59 TOTAL DOSS REPORTED <br /> .-)LVED)(DISS' �GSDAV MG/L:PERMIT -,-� 1�( <br /> 7-1 3 f),- C it r <br /> ONn.TION 1/90 i GR <br /> SOLIDS* TOTAL SUSP REPORTED <br /> 4*/ <br /> PERMIT q <br /> (SUSPENDED) KG y <br /> CONDITION 0 1/9() CO <br /> R <br /> !RO-N9TOTA1-.(AS FE REPORTED <br /> PERMIT KG/DAY <br /> CONDITION M6/L 1/90 CO <br /> PH,F IFLD REPORTED <br /> PEW11T SUS <br /> suk <br /> 0 04�,D C 0 1/90 <br /> ONDITION 900 GR <br /> V <br /> OIL GRE4SEOVISVIA REPORTED L <br /> HERMIT <br /> CONDO 110H VI <br /> A it <br /> REPORTED <br /> PERMIT <br /> f.ON <br /> PERMIT <br /> CON01TION <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER DATE <br /> that I am familiar with the information rerN gained in this 63 <br /> PFGvi��s 1 4.)14 t4 4 EAF:CUTIVS VIC-F- P9E$i061q7- report and that to the best.1 guy knowledge and b':al"ief such in(or- -- <br /> ag.tiotj in true, complete,and accurate. SIGNATURE OF PRINCIPAL EXECUTIVE <br /> ° LAST 17 1� <br /> FIRST M1 1 0 <br /> ITLE DAY OFFICER R AUTHORIZED AGENT I i <br /> EPA Farm 3320-1100.72) <br /> 0111GINAL PAGE OF <br /> 003 IS SETTLED MINE WATER FROM COAL BASIN MINE ANY SINGLE GRAB CANNOT <br /> EXCEED 45 MG/L FOR TSS <br /> A., <br />