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PERMITTEE NAME/ADDRESS (Include Facilin~ Nume/Lxanon i~Or[(eren0
<br />NAME rULi)',iYO COAL COP'nAVY, LrP•
<br />ADDRESSCOL17 ;:YO f!INf:
<br />5731 STATE.' HLG4:'AY 1.3
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<br />FACILITY
<br />LOCATION
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) FOrm ApprOVed.
<br />DISCHARGE MONITORING REPORT (OMR; OMB No. 2040-0004
<br />rnD ~ u~ t 6~ ~~ p R t r r .. Approval expires 05-31-98
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<br />PARAMETER 46 5
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<br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />AM FAMILIAR WRH THE INFORMATION SUBMITTED HEREIN
<br />AND BASED ON MY ~ TELEPHONE DATE
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<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~
<br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
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<br />M AWARE THAT THERE ARE SIGNIFICANT
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<br />e r11/, OSSIBILITY OF FINE AND IMPRISONMENT. SEE 16 U.S C. 41081 ANG 33 U.S.G NATURE OF PRINCIPAL E%ECUTIVE
<br />G '171! I / U-l , r ~ + n . 30
<br />TYPED OR PRINTED menmum(~mnnaonme ~ol6enveen 6 mamhc end Suds lines up ro f10,880 entl or
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<br />OFFICER OR AUTHORIZED AGENT
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<br />NUMBER
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<br />EPA Form 3320.1 (08.95) ;Previous editions may not be used. - R (REPLACES;EPA FORM 7~0,
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