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PERMTTTEE NAME/ADDRESS pneY6Fedk#yMowrLoeetton (/DW~) <br />NAME CENTRAL APPALACHIA MINING, LL.C <br />ADDRESS MCCLANE CANYON MINE <br />P.O. BOX 98 <br />LOMA CO 81524 <br />-FACILITY MCCLANE CANYON MINE <br />LOCATION LOMA CO 81524 <br />ATTN: WALTER WHIT'LEDGE, NINE MGR. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDESI <br />DISCHARGE MONITORING REPORT /DMRI <br />C00038342 002 A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM O8 O4 O). TO OE3 Q JO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR (SU€3R DW ) <br />F - FINAL GRFLB <br />UNDERGROUND MINE TO E SALT CR. . <br />NO DISCHARGE 1jg[i ### <br />NOTE: Rsad Instructions bsfors c..o-iWpNtinp this form. <br />PARAMETER <br />[ <br />< QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> <br />PE <br /> > EX ANALYSIS TY <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />PH SAMPLE td #31i'#'k It 3s! 3i?i #34 ##3S <br />$T <br />f <br /> MEASUREMENT <br />00400 1 0 0 PERMIT <br />? <br />EFFLUENT GROSS VALU i#EQUIREMENT t <br />f __ <br />F ate,°r <br />SU <br />SOLIDS, TOTAL SAMPLE <br />#•3#'?•it•?•# <br />-#••t:-#•?i• # it• <br />.•. • •• 19D <br />SUSPENDED MEASUREMENT <br />00530 1 O 0 PERMIT :: r : 3s 3€ B n. <br />EFFLUENT GROSS VALU itEQUIREMENT • #tS#A° ili?tn <br />k <br /> <br />M <br />G <br />/L <br />I RON P TOTAL SAMPLE it 3 t, ?1 • 3t # tt tr tt t1 3I ) <br />{ <br />2 <br />(AS FE) MEASUREMENT <br />01045 1 0 0 13ERMiT .: ? ;:, < = st# <br />r _ ... <br />EFFLUENT GROSS VFcLU )Et1UIREMENT; st x? 3t <br />UOIL <br />T: <br />OIL AND GREASE SAMPLE ##??r## 3t ?#### # r s ? ? : is ??..F ? ? 3? { 19) <br /> MEASUREMENT <br />03532 1 0 0. 1'ERMIt' F,f=r?x <br />EFFLUENT GROSS VALU REtiUIREMENT', <br />....... ?#:q# NS NA X MG/I_ <br />FLOW, IN CONDUIT. OR SAMPLE { 03) ??#ttia? ?t????## #???#x <br />THRU TREATMENT pLAN EASUREMENT <br />517050 1 0 0 PERMIT R P Rl R E i C)P,T 'EEV%.i... INS'T'A <br />EFFLUENT GROSS V A L U l?l:l3UIFtEAiiENT"' <br />.. 7X)u.;'' AVG DAILY NX MOD <br />TOTAL <br />SOLIDS, SAMPLE <br />3f F.r.??? ?y <br />,. f# <br />s,•>_• z? <br />{ 1 ) <br />DISSOLVED MEASUREMENT <br />70?$5 1 0 {3 0 <br />02 PERMIT ,,. R.; ,3t z. ? tt r # F? :P13tw: T ?= P OR 1 t.. Y <br />-17771- arc <br />t <br />1?•Ai L l? ?b <br />Y"C LUGIWT GMt0 ?7 V ALU 1b F?l? ?fy? <br />. r74E U?RGMEN.T. "3l'#7S• ?.:i i tl +' ? r f ._ MX <br />L AND GREASE SAMPLE ## #:? { 94) <br />-VI UAL MEASUREMENT <br /> <br />0 <br />81•{366 1 0 <br />f'EFtMIT <br /># _ ??E-< <br />;' r <br />ES=1 <br />EFFLUENT GROSS VAL <br />.... ......:........ N0=17 ?? ## <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br /> <br />dar mnadirection y law sthls document and alt <br />Prepared nn y or supervision in amrdonceatlaehmenwith ab were <br />system designed <br /> <br />TELEPHON <br /> <br />E <br /> <br />DATE <br />- - ?°' <br />? <br />? to assure that qualified personnel property gather and eraiuate the information (? <br />? <br />+ <br />?• submitted. Band on my inquiry of the person or persons who manage the system, / <br /> <br /> <br />• ' <br /> <br />it <br />ilt <br />d Is <br />t <br />directly responsible for tethering the Information, the Information <br />or those <br />tt <br />th <br />d b <br />t <br />t <br />t <br />beg of <br />r <br />d <br />l <br />?.// <br />/0 <br />9 <br /> <br />8 <br /> <br />/O <br /> <br />"``CCCC????..????•• , <br />o <br />m <br />e <br />comp <br />war <br />e <br />my <br />an <br />rue, accura <br />e, an <br />I <br />e <br />e <br />, <br />ete. <br />ware t <br />o kal there' art significant <br />enalti <br />m <br />f <br />ti <br />b <br />itti <br />f <br />lse I <br />fo <br />SIGNATURE OF PRINgPAL EXECUTIVE f r <br /> a <br />p <br />es <br />on. <br />a <br />a <br />or su <br />m <br />ng <br />a <br />n <br />rma <br />TYPED OR PRINTED Including the possibility or fine and Imprisonment for knowing •1otaUons. OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANT VIOLATIVN5 /RStsrsnCS en &rr*Cnmsnrs nerd <br />30 DAY AVERAGE IS HIGHEST MON'THL-Y'AVG. DURING PERIOD REPORTED. OIL & GREASE - SEE I. B. 1. C. TOS MONIT'ORI <br />NG - I. B. 2. SPECIAL MONITORING - I. B. 3, PG. B. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. d: 03007 / t M&-2gtf8rM. PAGE IOF