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PERMITTEE NAME/ADDRESS Qnolude Faeiliry NameJlocanon ifDi$erenq
<br />NAME
<br />COL~~iYO CnAL CO~iFAtit", L.F.
<br />ADDRESSL O L O k Y 0 :: I N E' ,
<br />5131 STATE. t:IGHUAY 13
<br />FACILITY w~EKE: r', ('0 81641
<br />LOCATION
<br />Af'?~t:: 3. D. t!Aii!411!:. CFN°'r:A1. ':A1:ALf'k
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />DISCHARGE MONITORING REPORT (OMR; OMB NO. 2040-0004
<br />(z~t51 m~91 ~I ~O' Approval expires OS-31-98
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<br />PERMIT NUMBER ~ ~SCMARGE NUMBER P - PI N A L ~ M'4P ~?`~
<br />MONITORING PERIOD '3~01(ER COAL LOA DOUT/TAYLOR CR
<br />~~~~ ,YEAR MO DAY;,'~'~[VEAR MO DAY. •~- ~;
<br />)M DO .:IIY. Oi~yof OD 06 30 p0 D25CRAR,F. ~#'~
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<br />& ANALYSIS
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E7(AMINED AND / TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON MY
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING f
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<br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ~~.._ ,
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<br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT ~ r}
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<br />v~- ,~ t~~ ~-~ ~ PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE
<br />POSSIBILITY OF FlNE AND IMPRISONMENT. SEE tB U.S.C. 4 t00t AND 33 U.S.C. ,
<br />SIGNATURE OF PRINCIPAL EXECUTIVE
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<br />TYPED OR PRINTED meximuml~mpdsonment of between months entl5u)~rs es upro EI0,000 end or /OFFICER OR AUTHORIZED AGENT A NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reverence all attachments here)
<br />5£TTtEAbLF. 5oLI05 LIFIT r,PPLi.°.5 CIr:LY IF <=1UYR,211NF. :k~CIP EVEST I5 CLAIn~D. tP CL~Ir APPAOYED BT Y(;'CD,
<br />T55 G ZRON LIMITS YI11 NOT EE APPLIED TO REPORT^D !'FAS:);1F.?1E9T:3 - SEE I.A. 3, PG. 5 POR HUR.DSN Off.?$COF ~~
<br />.. F..~~~-' .., _.. . _-~... .. _..._. -.._ -.___••~..~v r.r - aa...v ~. n.. v1r~ PAGE OF
<br />. EPA. _ orm533241.(08-95) ~ Previous etlitions may viol be used ~ ~ ~ ' ~ ` (REPLACES SPA FORM T=40 WHICH,MAY'NOT BE~USEU.)° r'a•.r :,
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