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NAME <br />I'•I?iK ?? • ELK FIRFtl?l'Y'L•LC <br />COAL f.?'i:4iy1:a <br /> r f t) 03, <br />G <br />' w 1.0, <br />t <br />UBIR, <br />'ADDRESS <br />t 4EW ELK <br />_ <br />MINE <br /> <br />PEMIT NUMBER <br /> <br />DISCHARGE NUMBER <br />+ c: <br />F F I NAL 6•_;?=:)'IP•?i«r <br />1 S? <br />+ <br />l C• J:-- <br />I!"•,r?.}"I -37-1 .1•: i <br />?t.. r? <br />i AI /C, ?F ? T F :1F 15??2' ;• DF t14 i •#, A <br />FIR 1 <br />i?I7 DAD co e O82 MONITORING PERIOD <br />FACILITY PLI'k <br />MCATlniv, ,,-",,.."-f-?,.: Pl I NE <br />°n 1 t")q f <br />Fg0M YEAR, <br />:.ct MO <br />r; 1, DAY <br />A i . <br />TO YEAR <br />fie MO <br />/1 7; DAY <br />7 { .". M t <br />** i? <br />I" -.J ' tom I ' NOTE: Read instructions wore compleung tnis torm. <br />FREQUENCY SAMPLE <br />NO <br />. <br />QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />PARAMETER TYPE <br />ANALYSIS <br />> <br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />[ <br />< <br /> <br />LG' a0, ',?}`I•?`1TI•' E <br />SAMPLE <br />#y? 3F# <br />:# sF'+ <br /> <br />75 <br />.Fib R### <br />tt3i t£ 3t iE 231 <br />f <br />i <br /> <br />(?-' <br /> MEASUREMENT <br />C:RtI UAPI~4hIH :W ' ' <br />' <br /> rf': <br />t <br />' f u 3tnF ? ?•## lop. 0001 1t?t 3i 3t# #f••„* <br />* ~ 6T{'"? t= <br />z <br />5i?st":'113 :4 `'i G <br />IT <br />PERM <br />REQUIREMENT <br />? <br />i 1 <br />t <br />;.lh?f# <br />VICE! : °A{-"1 <br />G tri"! <br />1I"F I••UFNT Ftf355 VAIrU <br />F t <br />TR <br />r : <br />SAMPLE ti #'X##'.t 3t zt t?? H' of q ri 8i # •3f# ## It ii 3i iI [ "??`? f? I <br />? <br />S T { <br />,, <br />I_C 5 MEASUREMENT 100 t/ <br />Ft' IMEPHALES - ' <br /> . 1F3l ?t 3t# :; # r t Ff l . it h. IM 9001:- 33 33 :! 3t •!F ::t #t i # r3E trR <br />- y <br />E I+IE i :R. ?y f) <br />EFFLUENT GROSS VALUE MIT <br />PER <br />; REsQIJIRENIENT ; ? IFx t`1t?! :;•4'A,I.tJE : .` <br />" <br />CE#?i"T <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> hERIVtIT <br /> FiEQU1REMENT ; <br /> SAMPLE <br /> MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />R?RMPI' <br />R1El5t1igEM6NT.' <br />:SAMPLE <br />MEASUREMENT <br />P9AMI# <br />REQUIREMENT' <br />NAME/ME PRINCIPAL EXECUTIVE OFFICER I certlfY under penalty of taw that this document and off attachments were TELEPHONE DATE <br />prepared under my edirection d or Supervision in accordance with a system designed <br />assure that qualified personnel properly y gather and evaluate the information w,.?-•-? <br />to <br />?(? Yc f1 0- t?"?'u Q submitted. Based on m inquiry of the person or persons who teenage the system, /N? <br />Q or those persons direI& responsible for gathering the mfomtation, the information 7 4 $ 1 ? ??} if( R <br />submitted is, to rho best of my knowledge and belief, but accurate, and complete. SIGNATURE OF PRINCIPAL ECUTIVE <br />I eat swats that there am significant penalties for submitting Wee infbnmation, OFFICER OR AUTHORIZED AGENT NUMBER Y R MO DAY <br />TYPED OR PRINTED including the possibility of fine and hePrisomnoat for knowing violations. COMMENTS AND EXPLA ATION O ANY VIOLATIONS (Reference all attachments here) <br />w / Mn ew w w t+,+ r+M •T' r f.ol r ... IC• , 11 , y Pr! ! r r. <br />47? k• /<i. i 1 PP 4 -6 FOR DETAILS O I•EST PRUCL-U10F4L-- 1?1?{"LII? 1 L. L:70.1 i.7 i f i t d i:t i 1a n, , ti. a,y a -? , a r ,r, » rvr i 4W r A I_.E`t'1-1AL ro 50% OF TEST 10ROANISMS, <br /> AND !`arTACH ACVTE TOXICITY STEST I=;,E„t"''OPT FORM TO C.YMR. <br />PAGE OF <br />EPA Form 3320.1 (Rev. 3188) Previous editions may be used. 00084 4 00W8* %•'4A 'b?' ?