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PERMfITEE NAME/ADDRESS (Include F'wulry NmnrlLaa
<br />NAME" -'Z`OLbUYO COAL CCRFANY,
<br />ADDRESSCOLOYYD NINE
<br />5731 STAVE NIGtlYAY 13
<br />MEEKER
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<br />non ifDiffnmQ ~\~ ^~TIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />L • P . !.~ VD CHAR GE MONITORING REPORT (DMR;91
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<br />Q~ PERMIT NUMBER DISCHARGE NUMBER
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<br />LOCATION
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<br />MONITORING PERIOD
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<br />(40.11) _' =zjA _(pdY51 (TB-2]) (tB-18) (3031)
<br />Form Approved.
<br />'i L H O R OMB No. 2040-0004
<br />Approval expires OS31-98
<br />(S08R NW)
<br />P - PINIL NOPAT
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<br />NAME/TITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INF
<br />RM LAW THAT I HAVE PERSONALLY E%AMINED AND
<br />ATI
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<br />BMITT
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<br />N MY TELEPHONE DATE
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<br />INQUIRY OF THOSE INOMDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
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<br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />~, * 1(
<br />I1 NTT, y ht 6 rl PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE to U.S.C. § 1001 MID,'33 U.S.C. SIGNATURE OF PRINCIPAL IXECUTIVE /, ~y
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<br /> 4 13tB. IPereties antler these srtutes mey IncWtle linaq up m f/0;000 erM w
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<br />TYPED OR PRINTED OFFICER OR AUTHORIZED
<br />maximum imprisonment of beMSenBmwrtlu entl5yesrs.) NUMBER
<br />~ YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell attachments here) ~
<br />SETTLEABLE SOLIDS LIMIT APPLIES ONLY IP f=l0YH,24RR I~BCIP E7LNT IS CLAIMF..D. IF CL-1N APPROVED BY~iIQCD,
<br />TSS E IHOB LIMITS UIL1 NOT 8E APPLIED TO REPORTED NEASURENE)tE5 - SEE I.A.2, PG. 5 FOH BUHDER OP PROOF
<br />u cnnrnrrrrre nTt c ro r. cr T n ~ r nr .-c nr+~n a ... ratty ,r ~.w ts..r~t.+n e~ o
<br />not be used. ~ ( EPLACES EPA FORM T40 WHICH MAY.NOT.BE USED.) ~ ^^ PAGE OF
<br />,. .. s. ~ _ : = -. , ., 000 05 /99 0 50 4-1057 !
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