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.DDRESS (Include Facility Name /Location l(Different) <br />2(3,Y FUELS COAL, INC. <br />)THFIELD MINE <br />u. BOX 459 <br />_ORENCE CO 8122 <br />>OUTHF"IE:LD MTNF <br />FLORENCE CO 8122 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY I YEAR I MO DAY <br />FROM TO <br />MINOR <br />(SUBR TV) <br />F ° FINAL <br />DSCHG TO TRIB <br />Form Approved. <br />OMB No. 2040 -0004 <br />FRMNT <br />OF NEWLIN GREEK <br />xco NOT E: Read Instructions befo pleting this form. <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO <br />EX <br />FREQUENCY <br />OF <br />ANALYSIS <br />SAMPLE <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />I MAXIMUM <br />UNITS <br />SAMPLE <br />iF #3 sk Yr# <br />MEASUREMENT <br />PERMIT <br />;}y; 4 0 1 ( i 0 <br />c .-+R r VAL <br />REQUIREMENT <br />i I ij5, SETTLE.>:ABLE <br />SAMPLE <br />MEASUREMENT <br />-545 1 G 0 <br />PERMIT <br />! c..l T� <br />0 '_• <br />r <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />Lt= 2 S C it <br />PERMIT <br />c #iz sPdF <br />J <br />REQUIREMENT <br />_ "* <br />SAMPLE <br />THRU TREATMENT FLANI <br />MEASUREMENT <br />PERMIT <br />5C) t G 0 <br />-R8 rJ 11ALL. <br />REQUIREMENT <br />i:r9[E. <br />SAMPLE <br />5l}AL <br />MEASUREMENT <br />PERMIT <br />I °;c: <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />/ 'y <br />PERMIT <br />REQUIREMENT <br />- <br />j <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were <br />prepared under my direction or supervision in accordance with a system designed <br />to assure that qualified personnel properly gather and evaluate the information <br />submitted. Based on my inquiry of the person or persons who manage the system, <br />or those persons directly responsible for gathering the information, the information <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />_ <br />TELEPHONE <br />DATE <br />t <br />r \ (C1' A ' t " j.Y --' <`�; I U <br />J/y <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />GVMMLN I, Arvu LAPLANAI IUN OF ANY VIULAI IUN, (F(ererence an arracnmenrs nere) <br />€ " €LF =fi: .. WP+IVFi. F °OF: F�ECIP EVENT SUBJECT T!� BURDEN L�F' Pi�l1 ?F P7 �tfTREMENTS IN P , <br />Tf13 h ANY ADDTTIOP.fA_. DATA SHALL: BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS. <br />°A Form 3320 -1 (Rev. 3/99) Previous editions may be used. c• This, }s�4 4 -part form. <br />