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PERMITTEE NAME/ADDRESS llnelude FaciGrv Nam/Cornnnn i/DAercno
<br />NAME rliLCkYO COAL CJ"~FA'iY, L.F.
<br />ADDRESS` U Lr a y ,J "T 7+ T?
<br />5l.fl STA.Tr r:•IGy(=AY 1.1
<br />FACILITY M` }. r. L T' CC Ij L b U 1
<br />LOCATION
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />DISCHARGE MONITORING REPORT (DMR; OMB NO. 2040-0004
<br />846'1 (D- 91 '? I ~ I,
<br />Approval expires 05-31-98
<br />PERMIT NUMBER DISCHARGE NumeER ~ _ r 14 A L NO ~A "
<br />MONI70RING~PERIOD 'TL";A;'P CC.AL LOAPCgT'/TAYLO t' C!/
<br />YEAR MO DAl'~ YEAR MO DAY
<br />FROM oU OT I)~ o ("' 09 3n .,°~~'° r~^ DI~CNAHCE ~'n~
<br />lzo~zrl ~(zz-z~l R~~zs1 (2avl !zs zs) lso-an NOTE: Read Instructions befor~leting this form.
<br /> (3 Cerd Ony) QUANTITY OR LOADING" ~ (a Cartl Only) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (46-53) (5461) ~~~. (3845) (4fr531 (~-6fl EX OF TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS
<br />r• MINIMUM AVERAGE MAXIMUM UNITS
<br />(62631 ANALYSIS
<br />(64-6a1
<br />(69-70)
<br />1'~ SAMPLE ""+'n OVr;p 91C tYC r: :e ~ Oh O,}:y':r ( 12)
<br /> MEASUREMENT
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<br />(A~ }'~;) MEASUREMENT
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<br /> MEASUREMENT
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<br />PERMIT
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<br />'T !i ti': T'~ E 1 T~ c F T P L A N T MEASUREMENT
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<br />S;ILI^~, TCTAL SAMPLE +'•^r.r:::r: ,:;wr;'c•..r r, •,r:YO!? ( I'1)
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN
<br />AND BASED ON MY y-'
<br />~ I TELEPHONE DATE
<br /> ;
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ('
<br /> THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />PENALT
<br />TTING F
<br />ES FOR S Jf
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<br />UBMI
<br />ALSE INFORMATION, INCLUDING THE
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U.S.C. 4 1001 AND 33 U S C
<br />SIGNATURE OF PRINCIPAL EXECUTIVE
<br />' 1 ~,)
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<br />TYPED OR PRINTED 4 1319. (Penalties untler 0ece statutes may InCWCa lines up to St0,000 antl or
<br />maximum imphsonmenr of between6monNS entl S years.) OFFICER OR AUTHORIZED AGENT AREA
<br />ODE NUMBER YEAR MO DAY
<br />GOMMhNTS AND tXPlANA710N OF ANY VIOLATIONS (Re/erence all attachments here)
<br />`E. "[TL.E4iii!. SOLIDS L1~~I* A?NLi::i ti"•L°. TF <==nYx,2l+7.' [';.:!'fIF' F'VEh°' 1°. CLPI"'~0.TP CLAD AGFyOV5D AY W';CD,
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<br />EPA Form 33`PO-1 (09-85) Previous editions may not be used ~ (REPLACES EPA FORM~T-40 WHICH MAY NOT BE USED.)` `T' - ~• ` ~ ` ~ ^ ~ ~ ~ ~ - ~ PAGE OF
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