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psnM ITrss NAME/ADDRESS (Include a=xmo*=,lL"cauon ifoiffe~°" , <br />NAME <br />ENERGwY FUELS COAL, INC <br />«oonsao SOUTHFIELD MIME ' <br />P.O EOX 459 <br />FL]RENCE CO 81226 <br />pAc/ury <br />SOUTMFIELD MINE LOCATION � <br />FLORENCE CO8���� <br />P I nm. r! '— ~ ' <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES <br />DISCHARGE MONITORING REPORT (DAIR) YEAR MO DAY PERMIT NUM13ER DISCHARGE NUMBER <br />MONITORING PERIOD FROM To YEAR MO DAY <br />Form <br />OMB No. uo400004 <br />MINOR <br />(SU8R TV� <br />F — FINAL FRMNT <br />D5CHg TO TRI8 OF NEWLIN CREEK <br />*« N10 � ��R' | <br />� <br />NOTE: Read Instructions before completing this form. <br />PARAMETER <br />>< <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 />PH <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />EFFLUENT GROS' <br />REQUIREMENT <br />MEASUREMENT <br />PERMIT <br />00545 .1 0 Q <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />5) S 2 <br />VAL., <br />REQUIREMENT <br />OR <br />SAMPLE <br />HRU TREATMENI PLAN- <br />MEASUREMENT <br />PERMIT <br />t0050 0 o <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REPORI <br />Z-; 1 <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachnients 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 />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 />,.c,od,ng the po ssibility of fine and imprisonment for knowing violations. <br />TELEPHONE <br />DATE <br />Ll K/'--' <br />ysubmitted <br />71 <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />TYPED OR PRINTED <br />ARE <br />COA <br />I NUMBER <br />YEAR <br />MO <br />DAY <br />L;uMMhm/u^muhA,Lwmw/mmu, ANY ,/ou+/IUmmv,eremmceaoaoacnmenmnere/ <br />;.!IT WAIVED FOR 1QYR,�. ECIp EVENT SUBJECT TO BURDEN OF pRrOF R�QUIREMENTS IN PAR <br />, <br />13 A- ANN' ADDITION�L DATA SHALL B� SUPP\ T�D TC THE DT oISION WITH7N 48 HOURS <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. Q 0 6 U k),,' 0 J6 p 4 -palll, �JUMI. PAGE OF <br />