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PERM(TTEE NAMEJADDRESS (Include Faciliry NmndLocadon ifDi$erenq
<br />NAME CYPAU~ Y~^PA VALLEf COAL CO'to.
<br />ADDRESSI'LN~:S 1,253 ~nU'!'f!, f:C°`!0.N P5
<br />Q1J~ ?1SC ^CN?EPT. CLP"LF.
<br />ENGLENOOR C7 80155
<br />FACILITY
<br />LOCATION
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (OMR~
<br />(246) (1]- B)
<br />C7072715a RRT q
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM v u u. ~ TO ~~ u
<br />(20.211 (22.231 (14251 (16-2]I (18.291 (30.31)
<br />Fonn Approved.
<br />y q ~ n o OMB No. 2040-0004
<br />Approval expires 05-31-98
<br />(509n '-t `1)
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<br />NAME/TRLE PRINCIPAL IXECUTR/E OFFICER I CERTIFY UNDEfl PENALTY OF
<br />R Wm1 THE INFORM lAW THAT I HAVE PERSONALLY EXAMINED AND
<br />AND BASED ON MY
<br />ATION SUBMTRED HEREIN TELEPHONE DATE
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<br />AM FAMILIA
<br />INQUIRY OF THOSE INDMDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING r
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<br />Richard ~ 11~~5 THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br />I AM AWARE THAT THERE ARE SIGNIFICANT
<br />ACCURATE AND COMPLETE ~,/
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<br />970 870-~7~2
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<br />PENALTIES FOR SUBMITTING FALSE INFORMA
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<br />POSSIBILRV OF FINE AND IMPRISONMENT. SEE 19 U.S.C. 41007 AND 33 U.S.C.
<br />SIGNATURE OF PRINCIPAL ExECUfIVE Il' ~ ]~
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<br />TYPED OR PRINTED 4 1319. (PenalBas under Nose smtutas miry Inclutle lures up ro f10,000 r"tl a
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<br />NUMBER
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Aelerence ell attachments here)
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<br />EPA Form 332o-1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) O O) 5 ~ / n O r !I T ~_ T ~ O ~1 PAGE ,~ OF -
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