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PERMITTEE NAME/ADDRESS (lnc/ude facility Name/Locanon ifDigerenr)
<br />NAME TWEXTYP~LLE COAL COMPANY
<br />ADDRESSF Di DEL CHEER MINE '
<br />29515 P.DUYT COUNTY RDAD t27
<br />FACILITY DAK CREEK C) 80467
<br />LOCATION)AA CkEK CD BDU57
<br />~TTN: GEDRGh' VAJDA. VICE PRESIDENT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />.. PERMIT NUMBER OI'SCHARGENUMBER
<br />FROM
<br />MONYYO ING PERIOD•
<br />Y R . MO DAY YEAR. MO DAY
<br /> ~ 1 D6 3~
<br />Form Approved.
<br />oMB No. zoao-oooa
<br />9IYJR
<br />(SUBP, Nfi)
<br />F - FINAL RuU'T:
<br />DOMESTIC NASTF. TO E:"ERALD SPG5
<br />'' v7 DI:>CtIARGE I_ I #~~
<br />'NOTE: Read Instructions before completing this form.
<br /> QUANTITY OR LOADING QUANTITY OR CONCENTRATION NO. FREODENC SAMPLE
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<br />ER EX oP TYPE
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<br />' AVERAGE MAXIMUM UNI ~N1INIMUM, AVERAGE MAXIMUM UNITS ANALYSIS
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<br />MEASUREMENT FG3?R3 4~R'kh4
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<br />NDCD MEASUREMENT . 7 1 i ~., n.,
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<br />alry of law that
<br />NAME/TITLE'PRINCIPAL E%ECUTIVE OFFICEq ICertiy antler pe thisddcpmerH antl all enachments were TELEPHONE DATE
<br />prepared under my diredlon or supervision in acrortlance with a rystem tlesigned '
<br />kichard Mills toessurelhatqualifiedpersonnalpmpedygatharantlevaluatethein/gimation
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<br />nubmmed. eased on my inquiry 01 the Per"ion a persons who manage the system, I
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<br />onsible for gaNerinp the iolormation
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<br />submRtetl is,to the best of my knovAetlge and befiel, true, accurate, antl complete. SIGNA}URE OF PRINCIPAL E%ECUTIVE ~~
<br />TYPED OR PRINTED I em aware roar Nere are slgnifirant penalties for submitting lalse inbrmation,
<br />inclutlin the ossibili otfne antl im risonment for knowin wolaLOne. OFFICER OA AUTHOR12ED AGENT A NUMBER YEAR MO DAY
<br />GUMMEN I S ANU EXPLANA I IUN Uh ANY VIULA I IUNJ (HererenCe a(6~R2Cnmen[5 nereJ ~ '
<br />!U DAY AYG IS HIGHEST MDNPHLY AYEkLvi':DURING PERIGD 3'r'PORIED• DIL E GHEASP_ GRAB SAMPLE RBQUII~'ED IF
<br />YISIBLe: SHEEN L.S OBSERVED SEE I. 9.~.(D).
<br />EPA Form,3320.7 (REV 3/99) Previous editions may be used. ~ THIS IS A 4-PART FORM PAGE OF
<br />-r:,,:, ,.,..,. 00973/004717-1350 1
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