HYDRO21002

• Permit No: C1981020
• IBM Index Class Name: Hydrology
• Doc Date: 10/28/1997
• Doc Name: STORM EXEMPTION REQUEST CO-0040827
• From: GRAND VALLEY COAL CO
• To: CDOH
• Permit Index Doc Type: NPDES
• Media Type: D
• Archive: No

PERMITfEE NAME/ADDRESS IGrLi FaWry Ne,s'G«mlm+fOjdirwr)
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NAME/flttE PRINCIPAL EXECUTR/E OFFICER I CERTIFY UNDER PENN.TY OF
AM FAMIIIM WITH THE INFO LAW THAT I HAVE PERSONALLY E%AMI
RMATION SUBMITTED HEREIN: MD B NED MOB'
ASED ON ' TELEPHONE DATE
MY INQUIgY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE F,OR /
JOHN M. WALTERS OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTEp INFORMATION 19
TRVE, ALLUMTE MO COMPLETE. I AM AWME THAT THERE
MANAGER OF MINE SERVICES SIGNIFICANT PENN.TIES FOR SUBMITTING FALSE INFORMATION. INCLUDING _
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THE PDSSIBILITY OF RNE MD IMPRISONMENT. SEE 18 U.S.C. f t00t MD 99/ BIONATURE OF PIIINCMAL EXECUTIVE
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TYPED OR PRINTED .nenn,rrimm Ynpiaornwrr olbwwnSmentAa rM6Frra! / OFFlCER OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY
COMMENTS AND EXPLANATION OF ANY VIOLATIONS IReterencs el/ attachments here/
SEE I. A. _', PP 4-7, F'D.' 11i:TAILS Of' TEST 'FOCS;UUR?. RE~Q3T Lr'SO - ~TA"TSI'LCAL Pl'IN? =:STI*0.T" NF'IC}i I~
LF'T1AL TJ SU, r1f ?F,SY JR%A5I5`!'3, A4i) ATTACH ACUTE ?^XICI?T ?E:ST R?PORT FCRB TO 0"1 r:. r'~IPT°S O£ ALL
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