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PE~iMITTEEI'NAME/ADDRESS (include Fuciliry Name/Cacarion fDi[fenne
<br />NAME CYV.?",/~;, YAtlFA Y.4LLE:Y COAL CGHP.
<br />ADDRESSgI ;J :: 1r 28~i SOd"F!r ': ?CYAN PX
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<br />LOCATION
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />DISCHARGE MONITORING REPORT (DMR; OMB No. 2040-0004
<br />(4461 (s]~9) pj 4,J (J T{
<br />T' fl G U J 71 S U IT p F p T Approval expires OS-31-98
<br />(SJ~9f NJ)
<br />PERMIT NUMBER DISCHARGE NUMBER F - F'S t: ~ L '~ 0. !.'~
<br />NI9c 1. FCND ^ T.C FCIDEL CF. `r :K
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAY
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<br /> (3 CeN On y) QUANTITY OR LOADING (4 Cerd On/y) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (4B-ss) (s4~s1) (sees) (4s-53) (54-s t) EX of TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(92m) ANALYSIS
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<br />(69-70
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<br />NAMERITLE PRINCIPAL EXECUTR/E OFFICER I CERTIFY UNDER PENALtt OF LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MY
<br />
<br />Richard Mills INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION IS TRUE.
<br />
<br />Environmental Manager ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICAM
<br />PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING 7HE
<br />970-A7O-2712
<br /> ,
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 19 U.S.C. 4 1001 AND 33 U.S C.
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<br />COMMENTS AND EXHLANAI wrv uH ANY vluu I lurvs (Reverence an arracnments here)
<br />dLTZrfvP.'i~. LIttITS FGH TSS E SE1'TLF.A3LF ~GLI[~S (LOC 'Or) APFLY ONLY IF c= 10-Y-"„ 24-i" F`rtCIP EVF.fIT IS
<br />C?.aLHED• SuF. I.A.2r FG lYr FOH ~!1H(Tf.N OF F'AOCF HE';;iJIA'cii6'NTS. OIL b '.;EE.4G~--3i~:~ ~ i?;~';;;• F/r PC ;.
<br />EPA Form 3320-T (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) U O , J c b / ,J 0 I, U , ~- i , C i PAGE . OF ~r.
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