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PERMfTTEE NAME/ADDRESS p~c64FSWryNadLa.na.!/DIpG.ev) NAND TYEhTY'.1ILF COAL CD ADDRESS 910(1 EAST iyINERAI, CIRCLE P.O. BQX 3249 ENGLENOOD CO 80155 PAaLrrY TYENTYMILr"". COAL CO LOCATION DAY, CN2F.K CO 80G67 faT Tip: MTAR RF.G i_PV- GER YG Of ~T4nYY~Y .. ~. Fojj~~rlIrn,~~Al1y9pproQv~epd~~p0o0qq POhC E'E^ DfSCdAR:AbpedvlNe~ftre3~05-`358 (SUBfl NV) 1~3~5 P "FINAL nsN~n =s _ u 55 pp cGpp 1 '?0+: ~jA~lllieinlCeilar biTofelCBmpletlnp this form. PARAMETER 13 6rd Onryl Q, ANTTTY OA LOADING i1 Cerd Onryl QUANTRY OR ~ NO- AiEOUENCY SAMPLE 116+531 l5I-6fl 138-,51 M6.53 'd11 EX DF I3I-37I AVERAGE ~' MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /eaeal ANUrsls (y(-6SI TYPE !6&701 OIL AND .;REASF' SAMPLE r~1rS;=:p;j ~ ( 94j w>QOOaaa alr~o#; .:-aralp '~ 13 VISUAL MEASUREMENT _ ~ ~"~ ~ r VlSUA 84Ubb 1 U U . "PERMIT~~.." "~ x«~P+:~~ : " R8>r"Cf:S")'"'?" 'E.Sal ... ,;., . ~'~~': ... ~#9:~1.19'>k. ; :::.,i .,...: 4~"e#A~'# ;: '~~7` ; ". ..' . "~'$E'L R."LS U6. "REQUIREMENT ~g.:.;~.-..:,::: ::: . ...::::.....: ~:. , .. ~ . .." SAMPLE MEASUREMENT ~::R4gs: i~~ "::.".. ~~ . ."~ :: ": ;REQUIREMENT . ' ~ . . ; . : ::: ? 9 SAMPLE MEASUREMENT ... ~ PERMIT .:: ~: ~ "" ~.. ".:: ~::,,.i. .w~4:: ~ .":: " ~: ".:.::s. ::':: ". :REQUIREMENT: ~ "..".:.:: ".•-a:eg.... :.: ,,.. :£~ `~ ~: SAMPLE MEASUREMENT ' ' ... ~ . .. : :REQUIREMENT ~ ~. ~ ~ . ~ ~~:..::~:.!~..::!: . :.;. ~.' ,:. .r ;:.: ;...::., SAMPLE MEASUREMENT ..: PERM4 7:: ":" .~ ~ ~ .. :: ~: ~ .,:. ,.: .. .. ... . .. .. . : :REQUIREMENT :: ~ ~~ ~ ~~ SAMPLE MEASUREMENT :~::: PERMIT:::::.., ; :...:.. :: ~.:...."":.: ..: ,.:." .. .. .: :. .. . "" " " .: ...:.:.: -::. .:: .. :REQUIREMENT" ~." .:. . ".: ... " . " . : ": SAMPLE MEASUREMENT <..::PERMIT ..: ~ ~. ~ :: ~.:., ~:f~~ ::~~~ :.'.~.. .... :;. " :REQ<)IRFMENT.. ...... ~.::>..:.. ":". "' ~ .:.<:;:; : . sL:::•:°~s7"r:..;:<:..:; : "": ~"" NAMERITLE PRINCIPAL EXECI7TNE OFFICER I CERTIFY UNDER PENALTY OF L AW THAT I HAVE PERSO NALLY E%AMIN EO AND TELEPHONE DATE AM FAMILIM WITH TMF INFg0 q1MAilOR SLBMITTED H EREIN; AND EA SED ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIA4ELY RESP ON5IE LE FOR I` / RlCha rd A9i11 s . OBTNNING THE INFORMATION, t EEDEVE THE SUEMITTED INFORMA TRUE ACCUR TE AND OM0.ETE I AWME THAT THE TION IS RE R / ___ ///) , A G . AM SIGNIFICANT PENALTIES FORS}1eMITTINO FALSE INFORMATION IN A E OLUDIND /// /// fr a V I YPII REeRtB ~ ,b1a ITa er , THE POSSIEILITY OF FNE AND IN1PIlISONMENT, SEE 13 LLS.C. ! 1001 AND ]] SIGNATURE OF PRINC PAL EI ECUTNE ] - T 7 / / us.c. f I]fe. /PFnMNrF urov uw•r mnm. mFr IxAd• ~in.• w m sr0,000 I f TYPED OR PRINTED •neo.n++lmun hwr+m+ti+t •Iblw••n emmtlx •ne6 FFral OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY COMMENTS AND EJCPLANATION OF ANY VIOLATIONS lHiJerence el/eftechmenf9 h.ieJ 'f SS 6 TOTxL IRON LI?tITS itILL liE NAIV60F AND SE:TTLEAELF SOLIDS LiHZT REPLIED FCR <=l0YRE24nR PFPCIP FY£RT- SEE BURDEN OF PRUOF RE~~UIRERENTS LINDEN I.A.3, P. +l. OII E GkEASE - SEe I.B.1.E. 3C DAY AVERAGE IS ,~ -tIY O- ( - 1~ Prevlou dditi5r14 e u EP ES EP M 7. 0 411CH MAY NOT BE USED.1 PAGE OF - 0005/961231-091 2 L:_ . _ _ ... .. :.m..-.. ...