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PERMITTEE NAMEIAOQRESS(I.oW.>.t+bryN.s?ler«wnr/n?.?/, <br />NAME <br />ADDRESS - <br />-'KLR rl <br />FACILITY OWYO MINE <br />LOCATION L:Rr- <br />-LI Y 0- S.ANDERSr VIP Or <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION sYsTEM /INPDES/ <br />DISCHARGE MONITORING REPORT IDMR! <br />PERMIT NUMBER Dt FOSCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO . DAY <br />FROM TO <br />Form Approved <br />MINOR OMB No 2040-0004 <br />STOKER COAL. L0AD0U /V"J I-."1-;N GF <br />NOTE: Reed Instruction before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM . UNITS <br /> <br /> SAMPLE ' I <br /> MEASUREMENT <br />- <br /> - --- <br /> PERMIT <br />iL REQUIREMENT I FIST MAY <br />J <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT I <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 />-? <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER t"' " " pen' ly W& . that this d-mem end a9 etiacheswests were TELEPHONE <br />"" DATE <br />P <br />repared under my d1rec1I m or supenffon In a rdance with • system designed <br />// to assure that 4uehfle4 penso"nA property gethrn end erNuete the Infoefnetlon <br />h <br />r_ <br />e system. _ ..; • i; .; r <br />enrbrdtted. Based on my Inquiry a the pervon or prr>,o.M who m.nere t <br />_ <br />the Information <br />risons directly responsible for <br />th"Ing the Information <br />or those <br />, <br />p <br />p <br />submitted le, to the best or my knowledge and beMrf, true, atev ate. and complete. ' <br />NATURE OF MtNCIPAI EXECUTIVE - I - <br /> i am e.ere That them are dgNflcraM ptnattly for wrbmlteng W. Information, SIG AREA <br />TYPED OR PRINTED Inchrding she poeelbluty of nest and Imprisonment roe knowing .Iolellotea OFFICER OR AUTHORIZED AGENT CODE NUMEIER YEAR MO DAY <br />COMMENTS AND EXPLANATION Ur ANT vwLAI IUrvS prererenc• so errecnmenra norer 4FlR PIREC IP E', : t,;Lfli1"IJr17. 1 } r+ : 1'1 ?r risk <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used This t5 a 4-Pert form. AGE OF