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PERMITTEE NAME/ADDRESS (Include Facility Name /Location if Different) <br />NAME ; ,Y, LLC <br />ADDRESS KING COAL MINE <br />4424 COUNTY ROAD 120 <br />;1EsrERUS CO 81326 <br />FACILITY 1--UNG COAL MINE <br />LOCATION HESPERUS CO 01326 <br />ttT-r?,t• n " N' P P-- 9 Tr `T7 K 1 1 MJr N F F N GT N F. E R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEmgNPDES) <br />DISCHARGE MONITORING REPORT (D iR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY I YEAR I MO DAY <br />FROM I TO <br />Form Approved. <br />M INOR OMB No. 2040-0004 <br />0 UBR GU <br />F - FINAL L'-T kj <br />UTH SEDI iL) <br />NOTE: Read Instructions before completing 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 />MAXIMUM <br />UNITS <br />SAMPLE <br />JSUAL <br />MEASUREMENT <br />4066 1 0 0/ <br />PERMIT <br />J IN <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 />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I -'ut,' under penalti, of law that this document and allat(achineins were <br />prepared under my direction or supervision in accordance with a system designed <br />TELEPHONE <br />DATE <br />-r-1z V, I <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 them are significant penalties for submitting false information, <br />including [lie possibility of fine: nd iniprisomor.1 for knowing violations. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA <br />CODE <br />I NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIL)LA I IUNS (Heterence all attachments here) <br />.Ej iL.tA--,LL 60L'I ii.--, L.SIyll f WAIV,11�b fuR 10-YRi 24 HR FRECIP EVENT SUIDJECT ID ii-,�;'Rijk.�N OF Ff:1Jt-j-?i- <br />1111:1,r ANY ADDITIONAL. DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HGURS. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 00040/O`ftWiQ9t-Pi1Mnn. PAGE -OF <br />