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NAME NEW ELK COAL COMPANY ,LLC
<br />ADDRESS NEW ELK MINE
<br />1 22 WPCT PTPCT CT1Z'F!RT
<br />(SUBR V K)
<br />on nnOn906 DiscNAR13EN ER 1- " FINAL. LAMAS
<br />PERMIT NUMBER
<br />iIIS:^I-1AROE T(::! {..C7RF;;iWCI'l"O CANYON
<br />TRINIDAD C) cu CO 81082 MONITORING PERIOD
<br />C Q, D YF.AB
<br />M0. DAIG }r?E* NO D15C1-iARE I?I
<br />LOCATION: FROM
<br />WESTON CO 81091 09-01 01 109 03 , 31 i NOTE: Read instructions before completing this form.
<br />JOHN MCCULLOCH „
<br />QUANTITY OR LOADING QUAUTY OR CONCENTRATION NO, FRE4UENCY SAMPLE
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<br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />NAME/TITLE PRINCIPAL. EXECUTIVE OFFICER x fly under penalty orlow that this document and OR attachments were
<br />prepared under my direction or supervision In accordance with a system designed
<br />/
<br />k TELEPHONE DATE
<br />JOHN MC (' UL L O C H to assure that qualleed personnel properly gather and evaluate the information
<br />submitted, Bawd on my Inquiry of the person or persons who manage the system,
<br />ey
<br />CEO or those persons directly responsible for gathering the information, The larormaton l 1 9 - 8 4 6 - 4 9 7 09 04 17
<br />submitted Is, to the best of my knowledge and better, true, accurate, and complete. SIGNATURE OF PRINCIPAL EX UTIVE
<br />I am aware that there am significant penalties for submitting me information,
<br />risonment for knowing violations.
<br />f fi
<br />d i OFFICER OR AUTHORIZE D AGENT A NUMBER YEAR MO DAY
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<br />•rvtinn no PRINTFn including the polsibitty o
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference alt attachments here) ph
<br />!.•..+.. r' (..•. „ ;, z I..:t I?'i ?: i{ i I ED FOR ;/.Off f NR Fi ECI !'
<br />T!3;:t, :(ROItiI & MANGANESE L,IC'?:?T;a rr;:I:L.;,.., LEI:? ?,,;s?): ?I.!? ,?: ..,. ~? ••
<br />EVENT'S TSS, IR061 & SETTL_EASI-E SOLIDS 1, IMI`I`S bdal4?f::T1 FOR 1,O?fft, ?'?41IFf r-°F'T?t:.]Fr EVENT S!}S.fl:11 T13 t?xtll?1. .rr t l iV?l r -r,
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<br />EPA Form 33204 (Rev. 3/99) Previous editions may be used. OC 15'? ,r ,l? 4,jj f rlri PAGE ?OF
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