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PERMITTEE NAME/ADDRESS (Include Fariliry NemrA.ncarinn i/D$erentl
<br />NAME Ct'PnCS YA!?PA VALLEY COAL COF.P.
<br />ADDRESSr7N:';i lr.'.£~3 ;i0J4dr °, %:C:iM!~.h FR
<br />Y17U EdS7 ~;I9EHA1 CinCLE
<br />FACILITY }. I ~ L i 4 0 D D C 1 8 0 1 5 5
<br />LOCATION
<br />ATT!:: '10Y3Li k. "(F'GLEYr G£kztiAl. P."'NY
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT (DMR;
<br />(2x61 fn- 9)
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<br /> rn(i (1~7T SLL (lfln n
<br /> PERMIT NUMBER DISCHARGE NUMBER
<br /> MONITORING PERIOD
<br /> YEAR MO DAY YEAR MO DAY
<br />FROM U U ~! ll TO U U C 4 ~ U
<br />(10-Ill (22-23) (1425) f26~2]I (2629) f30-311
<br />Farm Approved.
<br />OM8 No. 2040-0004
<br />+' ~ ~~ .T Approval expires 05-31-98
<br />(ti,,.,a ..,)
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<br />'T;.S 1. PC'.C ? fC ?JiJ~,L CREFH
<br />NOTE: Read Instructions before completing this form.
<br /> (3 Card Ony) QUANTITY OR LOADING (4 Cerd Ony! QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (46-53) (54-61) (38-45) (46-53) (SI-61/ EX OF TYPE
<br />(32-37/ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />rsz-691 ANALYSIS
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<br /> REQl71R_ ENIENT x z ~i
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<br />kNAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WRH THE INFORM LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />ATION SUBMITTED HEREIN
<br />AND BARED ON MY TELEPHONE DATE
<br /> INQUIRY OF THOSE INDNIDUAL ,
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />cha rd MI I I s THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE.
<br />
<br />l Al
<br />t ACCURATE AND COMPLETE.
<br />PENALTIES FOR
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<br />TT I AM AWARE THAT THERE ARE SIGNIFICANT
<br />FALSE INFORMATION
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<br />enMies untler these smfures may
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<br />maximum impnsonmem of behvsen6months entlsyeers.l
<br />OFFICER OR AUTHORIZED AGENT
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<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here)
<br />AL'TEF\!:'.: LIMITS FOR iSSr IFON & SETTLiAELE SOLIDS (LCC rOr) APPLY CNLY T_F' <= 10-YGr 1T1-,j;t pRgCIP ?YEN;
<br />I. CLAI•r:U. SEE I.A.2, pG 1R, FCR 'URDSN GF PROOF RE+,)I1IRE!,ENTS. CIL E CREASE-:~i'~ ci„';`•cTE F/, Yi; 2.
<br />IPL~r V Vnr'e Yr C oL nI~OTfyr- rVCa 6rrrm rnV e-CnnTVrl +ly ~/
<br />EPA Form 3320-1(08.95) Previous editions may not be used (fiEPIACEB EPA FORM T-40 WHICH MAY NOT BE USED.) 00 06 6 / 0 0 0 4 C 5- T °• 0 1 PAGE 2 OF
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