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NATIONAL POLLUTANT r"SCHARGE ELIMINAI ION SYSTEM <br /> DISCHARGE ITORING REPORT -m Approved <br /> I f)NO. 35d•140073 <br /> r A:D-CT COAL (PREP PLr.IJT <br /> C eox 159 <br /> rAFN 1"I1>4LE INSTRUCTIONS <br /> L CO 81623 J 1. Provide date*for period covered by this report in spaces marked"REPORTING PERIOD". <br /> 2. Enter reported minimum, avenge and maximum values under"QUANTITY"and"CONCENTRATION" <br /> la•R 1e-10 nr-1v1 In the units specified for each parameter as appropriate. Do not enter values in boxes containing <br /> asterisks. "AVERAGE" is average computed over actual time discharge is operating. "MAIIMUM" <br /> and"MINIMUM"are extreme values observed during the reporting period. <br /> II t),300396 Lot IC21 1 3. Specify the number of analyzed samples that exceed the maximum(and/or minimum as appropriate) <br /> STPERMIT NUMBEq SIC LATITUDE LONGITUDE permit conditions in the columns labeled"NO. Ex." 1(none, enter"O". <br /> �. Specify frequency of analysis for each parameter ae No. analyses/No. days. (e.g., "3/7" is squlvr <br /> Im•2n Iz2•ta tie-ta laeaN 12e•2n Iao-3u long go 3 analyses performed every 7 days.) If continuous enter"CONT." <br /> S. Speufy sample type("grab"or"—hr. composite")as applicabla. If frequency was continuous, <br /> ��� �� enter 'NA". <br /> REPORTING PERIOD: FROM �'} 1 1 TO 9 r 7 1 6. Appropriate signature Is required on bottom of this form. <br /> YEAR MO DAY YEAR MO DAY 7. Remove carbon and retain copy for your records. <br /> 8. Fold along dotted lines, staple and mall Original to office specified In permit. <br /> lu-aTl _ _ __ we-ea les•rol <br /> (3 card only) QUANTITY (4 card only) CONCENTRATION FREQUENCY <br /> PARAMETER <br /> I6e•461 lee-631 lea-ell I62-�31136d6) ly-ga --•—l t* -- —a-611 (e2.61 OF SAMPLE <br /> — -- <br /> r� 'R MINIMUM AVERAGE MAXIMUM UNITS NO MINIMUM — AVERAGE MAXIMUM UNITS E%. ANALYSIS TYPE <br /> FLC)W IN CONIOUIT RaPORr'sD V•02 6y07 t9 •ZZ # # # # # # # # # # # # 117 IN <br /> -- -- MGO <br /> PERMIT <br /> 15 CONDITION UI T I ON <br /> # # # # # # # # # # # # # # # # # # G # # # # 1/7 <br /> IN <br /> t1 <br /> ILTI�St TOTAL DISS REPORTED # # # # # # a # # t7 # a► # # # # cS�rJ # # 4 IS _ II190 <br /> 0 ISb LVEr0 _PERMIT KG/DAY MG/L 1777---- - <br /> 7;3 J CONDITION • # # # # # # # # # It It # # # # # # # # # # # # 1/90 GR <br /> J.)LILSt TOTAL SUSP REPORTED # # # # # 10 # # fi # # # IS # # # # It #- # � --- 5 --'f19O <br /> e <br /> (5115Gt NnE7) PERMIT KG/DAY — - --- MG/L <br /> CONDITION # # # # # # # # III, it # IS # # # # # # # # 30 1/90 CO <br /> .P0, sIOTAL(AS FE) REPORTED # # # # # # # # A # # # # # # # /a77 4.7 t1/70 cc) <br /> F <br /> PERMIT �r— KG/DAY ; MG/L <br /> 1L45 coNolTloN # # # # # # # A, # # # # t.' # # # # 3a5 7•E1 1/90 CO <br /> C F' REPORTED 4 # # # # # * # # # #• # aIt 61.6 <br /> fi/I <br /> PERMIT Su �''f.' SU '^I <br /> CONDITION # # # « # # A # # # # # 6,0 # # # # 9e0 1/90 GR <br /> C,IL & GREASE9VISUAL # +► # # At # # It # * # # # # <br /> PERMIT 10 1/90 VI <br /> Q•.'�'i 2CONDITION ISA # # # # # # # # # # # # # # # # # # <br /> 0 REPORTED <br /> N©'. TS S �FA/7 <br /> CONDITION <br /> REPORTED <br /> PERMIT <br /> CONDITION F1 I <br /> NAME OF PRINCIPAL EXECUTIVE OFFICER TITLE OF THE OFFICER OAT[ ' <br /> _ _ _ C/' f certify that!am familiar with the information contained in this <br /> R��V� S Jc�t1N A PP��S I Dt N�' 7 / 7 feport and that to the beef of my knowledge and belle(such In/or SIGNATURE — <br /> EXECUTIVE <br /> LAST FIRST MI — TITLE }YEAR MO DAY n1a!!on la true, complete,end accnrrafa. OFFICER OR AUTHORIZED GENT <br /> EPA Fors 3320.1 00.72)' PAGE OF <br /> fPAQl�1T ORIGINAL 1 1 <br /> 00$ IS SETTLED MINE WATER FROM ANY SINGLE GRAB CANNO <br /> T EXCEFD 49 I46/1- FOR TSS <br />