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RERMITTEE NAMEIADDRESS (Irs,I. FsWyNew/fcranon L/D:po.:q
<br />""F"~ TYIeNTYnILe caAL co
<br />ADDRESS `1100 EAST MINERAL CIRCLE
<br />P.U. BOX 329Y
<br />ENGLEYOOD CO 90155
<br />FACam TNENTY`IILF COAL :::)
<br />LocAnoN U A f C R E E K
<br />ATTX: l;IKli K£GLkY
<br />CO b0467
<br />,cN?AAL ~TTOBNbY
<br />NATIp/AL POLLUTANT OISCNMOE ELMINARON SYSTEM ,,NPOES)
<br />DISCH~ R6 E MONRORINO REPORT /DM9/
<br />COO S A4
<br />PERMIT NUMBER DIStHAiiDE NUMBER
<br />MONITORING P
<br />YEAR MO DAY YE MO DAY
<br />FROM (, V. TO -1
<br />! x11-231 /71-751 116-?71 128-191 134311
<br />Forrn Approved.
<br />PONC "E" CISCNAAIQMe~No 21i410~04`A,
<br />($ U 8 R N Y) Approval ix~l3q~ [35-31-98
<br />F - PINAL
<br />MINCR
<br />#'%# NC CISCt1ARGE I__I '••
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<br />l31-371 /16531 l5L671 /38-151 !1653 /61-1511 EX OF
<br />ANA<yss TYPE ~~
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<br />NAMt:/E1TLE PRINCIP EXECUTNE OFFICER 1 CERTIFYIMOER PENALTY OF
<br />AM FANtIl1AR WITN THE
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<br />MV INOURY OF THOS[ INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />THE POSSIBILITY OF FINE AND IMPNSONMENT. SEE to U.S.C. 1 1001 AND SJ
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<br />TYPED OR PRINTED .nearm.rNSm sroviaemw.xberw..a snwvnsw sY...l OFFICER OR AUTHORQED AGENT WDE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRefwsncs el/ sttschmsnts hare) " "~
<br />TSS E TUTAL IkC9 LIt!I'P_ 4II,L BE MAIVfiU, ARD SETTLF.AELV SOLIG`i II!IT AFPLISC FCE <=l0YA,24gR PAECIP rYEFT-
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<br />EPA Farm 3320Q 108.951 Previous editions may be used. _ (REPLF~CFS A ~ M TAO W CW MAY NOT BE USFD.1 ~;, ~, ~ U / o (, 1 ~ 31 -U 915 ~ PACE OF
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