PERMITTEE NAME/ADDRESS (include Facilip•Name/Cnmrion ifDifferem)
<br />NAME COLCaYO COAL CG!§E'A!+Y, L. a.
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) Form Approved.
<br />DISCHARGE MONITORING REPORT (DMR; OMB No. 2040-0004
<br />fz.+sl ~ -: ~ (n~ sl ° I !1 O g Approval expires 05-31-98
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO
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<br /> INQUIRY OF THOSE INDIVIDUAL ;
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<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING ~~'/
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<br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, ~ J
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<br />ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTIN
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SETTLEAtiLt: SOLIDS L1Y;IY APFLIrS LiFLY IF C=lUYR,7.4HR P?3CIP EYENT IS CLAIMED. IF CLAIM APPROYED'6T kQCD,
<br />T55 6 IgOk LIlfITS PILL NOT 9£ 1F^LI'r:C To RF?CRT ED NEASUY.EMERTS - SEE i•A.2, FG. S FOR HO&DEA_0~',.PROOF
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