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<br />PERMITTEE NAME(ADDRESS (!nclude Fxi(ity NnmelLocmion jDijlerenr)
<br />NAME CYVBUS YAt"PA YALL£Y COAL CUHI:.
<br />ADDRESSyIYgS 1.2E3 SOUTNr ti f'C/,re,y P6
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<br />FACILITY
<br />LOCATION
<br />A".T°: ".U.^.i,I3 U. {.tGLF,Y~ GcNE!(AI. ATbY
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />DISCRARGE MONITORING REPORT (OMR; OMB NO. 2040.0004
<br />rz-rep nr- s) h h J ~ r'. Approval expires 05-31-98
<br />CU1)0' 71511 T)Ois 1 (SJOk I:',~)
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<br />YEAR MO DAY YEAR MO DAV
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<br />PARAMETER /4E53/ (54-81) (38-45) (46-53) (57-81J EX OF TYPE
<br />(32x7/ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />NAMERITLE PRINCIPAL IXECUTNE OFFICER I CEATI%UNDER PENALTY OF
<br />AM FAMIUAq WITH THE INFORM LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />ATION SUBMITTED HEREIN
<br />AND BASED ON MV TELEPHOJ,~, ~y,;..', ~
<br />' DATE
<br /> ;
<br />INOUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE I
<br />ON
<br />I BELIEVE THE SUBMITTED INFORMATION IS TRUE
<br />FORMAT
<br />J
<br />~ ~ r `? 4
<br />Richard Mills ,
<br />.
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<br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFlCANT
<br />NG THE ///~/
<br />~l~ ,
<br />A
<br />Environmental Manager PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDI
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE tB U. S.C.§1081 AND 33 U.S.C.
<br />nd
<br />r
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<br />000
<br />SIGNATURE OF PRINCIPAL E%ECUTIVE 970- 87O-2712
<br />'
<br />TYPED OR PRINTED a
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<br />4 1319. (Panenlss antler Mese statures may mcmtla
<br />nes up tp Sf0.
<br />maximum impnaarlment ar beNmenSnrontM and 5years.) OFFICER;OR AUTHORIZED AGENT C E NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) r'
<br />ALT:. ;, •. .A lc LI~"ITS FOi T55, IROti b G(;TTL~ASLt ~uLli'~'l (LQC ~r') A'~PL:~CnLY T~ <_ '..~I-Y c. Lj.-.ic PhECIP EYFNT
<br />I[. CL4Tr1"il• SEE IrA.1~ PG 1M, f'OH F3C5UFN ')F ("'C1 F` :I!~lU7NL' =:f'^`. OLL ~. ~c°.a,'?- rr .-:i~•'::I:. F/a PG 2.
<br />ns SUr- Nv•~no+•ru Tcr r-m rn• w.r .x
<br />EPA Form 3329-1 (OS-95) Previous editions may not be used. ~ (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) 0 0 0 ~ S / u 0 0 4 C $ -1 ~ 0 : PAGE 1 OF
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