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PERMITTEE NAME/ADDRESSQ "_FSWryNaw/I<ranen VDlp..e.[J
<br />NAME r,k AN:1 9A LL°:Y COAL COiSPA'+T
<br />ADDRESS FSU V;; `.u CANYON i'T'+'
<br />N.rl. rinx 7n
<br />L0:7n CO 51514-0070
<br />FACILITY !; Y.At:U V~LL`:Y COAL, G~9TANY
<br />LOCATION
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<br />NATIONAL POLLUTMT DISCHMGE ELMINATION SYSTEM IIVPOfS)
<br />DISCHARGE MONRORINO REPORT /OMRI
<br />?-Tel 17-I9!
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<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM '/ V TO J 09 ,. V
<br />(?611/ /??-13I I?t?51 /?8-171 !?8-?9/ 136311
<br />SED PUSID D;r;tlr.,
<br />(SU°H YC)
<br />P - FLNAL
<br />NI~igY
<br />Form Approved.
<br />ApprovelLexp~r~s505- 1-98
<br />NOTE: Rud Inetruc[ion Wfon wmPNrnp thb loan.
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<br />NAMERIYLE PRINCIPAL EXECUTNE OFFlCER I cl[RnFr uNDDI PENALTr or
<br />AM FAMILIM YATN THE INFO uW THAT I NAVE PERwNALLr EI[AMINED AND
<br />RMATION SUBMITTED HEREIN; MD BASED ON TELEPHONE DATE
<br /> MY INDUIRY OF THOSE INDINOUALS IMMEDIATELY RESPONSIBLE FOq
<br /> OBTNNING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION la
<br />JOHN M WALTERg TRUE, ACCURATE MD COMRETE. I AM AWME THAT THERE ME
<br /> SIGNIRCMT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING
<br />MANAGER OF MINE SERVICES ,
<br />THE PpSSIBIUTY OF RNE AND IMPNSONMENT. SEE [B U.S.L. F 1001 MD G3
<br />SIGNATURE OF P111NCIPAL EIrECIlI1VE Gln RriA _ '3R!)A 4 ~ t ~A
<br />TYPED OR PRWTm u.s.c. s [ ~[e. IA.INrFYr urF.r dN~ mnm. nnr AxAlF nN. w ro a roaoa
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<br />E NUMBER YEAR MO DAV
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<br />COMMENTS AND tXPLANA110N OF ANV VIOLATIONS lNerw~nce en sttecBmenLS Dere/ -
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