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<br />NAME CYLr~'L':5 YA!!PA YALLE.Y COAL COHF.
<br />ADDRESS"I::45 1, 2EJ :iCG7h, b f'C KMAh F'!i
<br />N1UU i°.AST "1S2H.~L CI:'.CLC
<br />FACILITY
<br />LOCATION
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESf Form Approved.
<br />DISCRARGE MONITORING REPORT (OMR; ~ OMB NO. 2040-0004
<br />(z~rs) ('~- 9) - A `~ ~) ` Approval expires 0531-98
<br />C000271~U OU3 A (SLrT ':)
<br />PERMIT NUMBER DISCHARGE NUMBER E' - F i ~ :. L }?CL'i i
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<br />PARAMETER (46-53) (54~fi 1) (38-45) (46-53) (54-67) EX OF TYPE
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<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR W ITH THE INFORM LAW THAT 1 HAVE PERSONALLY EXAMINED AND
<br />ATION SUBMITTED HEREIN'
<br />ANO BASED ON MV TELEPHONE DATE
<br />Richard Mills .
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />IS TR
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<br />
<br />Environmental Manager THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION
<br />UE,
<br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />
<br />97O-J17O-2772
<br />
<br />M
<br /> PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
<br />:lam j
<br />~ POSSIBILITY OF FINE AND 1MPRISONMENi. SEE 1B U.S.C. § tp01 AND 39 U.S.C
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<br />o SIGNATURE OF PRINCIPAL EXECUTIVE
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<br />TYPED OR PRINTED e
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<br />4 13te (Penetties under these statutes Trey
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<br />meximum,mpdsonment of between6monlhs ands goers.) OFFICER O AUTHORIZED AGENT
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<br />NUMBER
<br />YEAR
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<br />COTAMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all eReCRments RereJ I -
<br />ALTH::~A:S LI":ITi: rOB 'IS:', LdON t. SE"."TL•.ArL SOi.ICF (L<:'; sCs) Ai%PLI ORLY IF <= ll-Yr :%!-':~ PSrCIP i'/':i+IT
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<br />EPA Form 3320.1 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT 8E USED.) 1, J „) ~ / J ,7 .) 4 C ,~ - i ~ :1 I PAGE ~ OF
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