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PERMITTEE NAME/ADDRESS fi indr Fucw,)• Narrte1Ltcodon ifmffe aw <br />NAME <br />ADDRESS 1 EAST & Wlip'r !-IINEE <br />b-.:: i( 483 <br />a.;IgIA Crj 8142E <br />FACILITY -1F. NU. 1. EAST 7r 0 MINES <br />LOCATION W X CO 8142E <br />416UEY E. HANSEN, VP/GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM I TO <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR I <br />( SUBR MF <br />F - FINAL DELTA <br />COAL STOP6. '! UNNAt-'l ;-) !1 ' i <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />? OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />:. T "?T 1 SAMPLE <br /> MEASUREMENT <br /> PERMIT RFFit] HT REFOFZ i "TFC <br />,L REQUIREMENT QRTR AVG QRTR MAY in <br />- SAMPLE <br /> MEASUREMENT <br /> PERMIT REPL7F?1 5=' ai#i it#ic tEiF#>~## #itir#iFif E3F#1F <br />1 <br />4 EEVsL_-T <br />.; I •U AI. <br />LUr.i'• ' '_G 'VALU': REQUIREMENT I NST K,) r, <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cenih under penalty of law that this document and all attachments were <br />d <br />d <br />v <br />d <br />d <br />/ TELEPHONE DATE <br /> prcparc <br />un <br />er my direction or super <br />ision to accor <br />ance with a :system <br />esigned <br />N to aisurc that qualified personnel properly gathcrand c.aluatc the mf rmatton <br /> submitted. Based on my inquiry of the person or persons who manage the swan, C i <br /> or those persons directly responsible for gathering the information, the information <br />J > ; 1 submitted is. to the best of my knowledge and belief, true, accurate, and complete. <br /> <br />I am aware that there are <br />i"ifiwnt <br />enalties for suhmittin <br />false information SIGNATU E OF PRINCIPAL EXECUTIVE -,-:2,;- 'A / <br />- <br />i <br /> <br />TYPED OR PRINTED s <br />p <br />g <br />. <br />including the possibility of fine and imprisonmem for kuowtn <br />nolanmts OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />O <br />DAY <br /> g CODE <br />L;UMMtNIJ ANL/ LAFLANAlwrv Ul- ANT VIULAIIUNZ) (Hererence an arTacnmenrs nere) <br /> <br />EN OF PROO1 <br />I i l: t 1 I ar , r, .. PAGE o