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PERMITTEE NAME/ADDRE$$(/nclude Faciliry NmnrJlaalion rfDffermr) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ FDrm AppfOVed.
<br />~rM.rE 'COLOYYO COAL COrPANi
<br />L. P. DISClN1AR GE MONITORING REPORT (DMH;91 aI NOR OMB N0. 2040-0004
<br />,
<br />ADDRESS± 0 LO Y S O N I Y E
<br />CD0045161 ODB R
<br />(SURE Approval expires 05-31-98
<br />NY)
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<br />FACILITY MONITORI G PERIOD
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMIDAR WITH THE INFORM LAW THAT I HAVE PERSO
<br />ATION SUBMrrTED HERE NALLY E7fAMINED AND
<br />IN
<br />AND BASED ON MY TELEPHONE DATE
<br /> INQUIRY OF THOSE INDNIDl1AL ;
<br />S IMMEDIATELY RESP
<br />NSIBLE F
<br />R
<br />BTAI
<br />N
<br />
<br />THE INFORMATION, I BELIEV NI
<br />O
<br />O
<br />O
<br />G
<br />E THE SUBMRTED INFORMATION IS TRUE, . ~~
<br />
<br />
<br />J ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITPN I AM AWARE THAT THERE ARE SIGNIFICANT
<br />G FALSE INFORMATION, INCLUDING THE
<br />q
<br />I~-+ /I ~ (fY~~ POSSIBILRV OF FINE AND IMPR ISONMENT. SEE 1B U.S.C. § 70D1 AND 33 U.S.C. ~/
<br />SIGNAZURE OF PRINCIPAL E%ECIITNE 1 ~(~ l7 ~~ 11OU1~ UU ~ I I v
<br />TYPED OR PRINTED meumum~~srnme ~ Mee Bmont~ enitl5 ~ ems up ro f10,000 entl or
<br />p ymrs.) OFFICER OR AUTHORIZED AGENT
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here)
<br />UONITORIYG BEQUIREHEN25 SEE I.B.1.8, PG. S. BORDEN OP DROOP REQDIREPSENTS - SEE I.A.2, PG. 4.
<br />EPA Form 332O-1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) PAGE . OF
<br />~~ ..90'~~957.. - - 1
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