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PERMITTEE NAME/ADDRESS (/nclude Facilin•Namellorannn jDifferenU
<br />NAME COLU~YO COAL CCI"?6VY~ L.V.
<br />ADDRESS`, LO+i Y O .NINE ,
<br />5731 ST4ZE,.,1lLG8YAT 13
<br />FJEf±RER CO Hlbyl
<br />FACIUrY
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDES) form Approved.
<br />DISCHARGE MONITORING REPORT-'(DMR( OMB No. 2040-OOQ4
<br />' (a-16) .- (1T' BI MINOR Approval expires O5-3t-98 .
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY, E%AMI I.JED AND~Ri ~'~"~ ~ TELEPHONE
<br />~ DATE
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN: AND BASED~ON[M.V,
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<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY 9E$PONSIBLE FOR OBTAINING /
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<br />THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS`TRUE,
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<br />J ~ ~ 'ACCURATE AND COMPLETE. LAM AWARE THAT THERE ARE SIGNIFICANT
<br />PENALTIES FOR SUBMITTING FALSE INFORMATION. INCLUDING THE ,,. ~~/) n1V II.Od
<br />/~ /T1t1~ N POSSIBILItt OF FINE AND IMPRISONMENT.,SEE to U.S.C. 4 1001 AND 33 U.S.C SIGNATURE OF PRINCIPAL EXECUTIVE G
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<br />NUMBER
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<br />MO
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SETTLEABLE SOLIDS LI"IT APPLIES UNLT TF <=107R,24HR P'/ECIP EVE4T IS CL!IMHD. IP CLAYl1 APPk01IED Pi YQCD,
<br />TSS B IIlOM UNITS PILL NO'f 5J: AFPLIEU TO H'•POR'."F.D ,~F.ASURS`;F:NTS - SEE I. A,2~; PG.,-.5_!OR BOADE.N.OF PROOF'
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