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PERMITTEE NAME/ADDRESS (/nclw/e Farilin• Nome/l.oranon (D~errnr/
<br />NAME Cv L'ieYO COAL CCI"PA :•'Y+ L.r'.
<br />ADDRESS~r)Lu:YO *II1,E
<br />'.' 1.11 ~TATF N7G1iMAY l l
<br />LOCATION
<br />.."Tti: J. i+. 9AR"`.il!i CEN~i+n 1. ..°,fF.AG-t.i.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMRI
<br />(1 167 r17~ 9)
<br />C l10 fTll~l r.~ OlIG a
<br />TPERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM U U C 7 1) I 1'O C: '.1 i _' I°'
<br />(20.217 (2Z-23) f2e 251 (Y6~YJI f28-I9J /30311
<br />Form Approved.
<br />OMB No. 2040-0004
<br />T N r7 ~ Approval expires OS-3T-98
<br />(jit 1:?. Ik)
<br />F - I::AL 1'GFA'~
<br />V"~^. PTT :;F'D TtOt.L' ?^. TPYLC?•. LF
<br />NOTE: Read Instructions before completing this form.
<br /> (3 Card On N) QUANTITY OR LOADING Card On N) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (4653) (5a s7) ~ !ae-a5) (46-53) (5467) EX OF TYPE
<br />(32-37) AVERAGE MAXIMUM ' UNI" r MINIMUM AVERAGE MAXIMUM UNITS
<br />r6s 6s1 ANALYSIS
<br />(6<-68)
<br />(69-70)
<br />F'' SAMPLE ''.°>: ;::: <::%' . nK; :k;t r,. '~ da bst,:n ( L;)
<br /> MEASUREMENT
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<br /> MEASUREMENT
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<br />:!'Uhr T(:^AL SAMPLE G'r:r... 'I~IAtrn::" .~:kXr4>Drr? ~ 19)
<br />(A, 1'p) MEASUREMENT
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<br /> MEASUREMENT
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<br />FL(71rr I1• COYUUIT i%F. SAMPLE ( r~) ,;:`>'rS='';:,• ::7Xr+`•tY.+ Ci=tr+7:i:
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<br />NAMERITLE 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 M1' r TELEPHONE
<br />J DATE
<br /> , t
<br />"
<br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING '
<br />
<br />THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE, !
<br />
<br />~
<br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT ~'",.~f
<br />j f.+~, ~~,n,~'j .-~_
<br />
<br />'( rl 1 .~ „ ~, ~ PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
<br />POBSIBILITY OF FINE AND IMPRISONMENT. SEE 16 U.S.C 4 1001 AND 33 U.S G
<br />SIGNATURE OF PRINCIPAL EXECUTIVE r. ,~ (~r ~4'II,f.J
<br />OU
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<br />
<br />TYPED OR PRINTED 4 rate. (Penalties under these stetu(as may include lines up ro E70.000 end or
<br />merimum+mprisonment of patween6monlhs antl5yearsJ OFFICER OR AUTHORIZED AGENT
<br />~' ODE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) .
<br />:;1.TTEhnLt: SJLT_GS LI"7T 4r'FLIE' u1~l.Y IS C=10Y?.+~aH?! CRt'CT_P EY?'HT T9 CLAIfiF:C• IF CL/Sp APFROV,^. f' AY Y~C::,',
<br />:~5 G IhPM1 LI?fITS ~TLL :;O" bL RPE'LI"G TO FFPCA?E.' 1'£ASRRb'1?~NTS - 5£E I. A. 2, P3. 5 PO$'";PUFDeN OF iF.L~OF
<br />4 FORM'T=4U WHICH MAY NOT BE USED.) y ~ ' ~ " ~~ ~ ~ ~ ~~ ' ~ ~ PAGE OF
<br />'~'~''R` '" 00071/Q ,7 1
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