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PERMITTEE NAMElADDREBEi pwdr6irdlyNa/lnc,uen I/D~...nq NAl
<br />NAME COLDYYO COAL COMI'Al1Y L. P.
<br />"ADDRESSCULDNYO TUNEF.f
<br />5731 STATE flIGHYAY'13 L
<br />TIEBKER CO R1641
<br />7(_p~ACILITY
<br />LOCATION FROM
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<br />MINATON SYSTEM (NPDESI
<br />VO REPORT /OMRI
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<br />' DIBCX OE NUMBER
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<br />. Form Approved.
<br />MB No ~~40-000^4
<br />STOKER COAL LOAOO4pP~ov'a~sk ties 05=341-98 f
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<br />48 . D4 O1 TO~=AR 06 i(1 #hr qA DTSCH>IRFE I 1 ##a
<br />!14211 ~l22-231 !24151 ~ . S'126-271 128-291 !36311 NOTE: Raad (mtruetlaro before'eempktinp thle form.
<br />PARAMETER /3 Grd Onlyl QUANTITY OR LOADING''. , , !I Ciid OnNI "QUANTITY OR CONCENTRATION NG FREQUENCY SAMPLE
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<br />/32-37I 14653) !5481 ; ~ . 138-e51 !4653 1548// EX D
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<br />„ MINIMUM AVERAGE MAXIMUM UN17S
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<br />95
<br />!54581 188-701
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIM WITH THE INF01 L'AW TNAT I NAVE PERSONALLY EXAMI
<br />1MATION SUBMITTED HEREIN
<br />AND BA NED AND
<br />SED ON ' r
<br />' TELEPHONE DATE
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<br />,
<br />MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY REBPONBIBLE FOP
<br /> OBTNNING THE INFOIN/ATION, I BELIEVE THE SUBMITTED INFORMATOM IS
<br /> TRUE, ACCURATE AND COMPLETE. I AM AWARE THAT THERE ME
<br />SIGNIFCANT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING
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<br />LI ,," ~ THE POSSIBILITY Of. FNE AND IMPRISONMENT. SEE 18 U.B.C. f 1001 ANO 3a ~
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<br />OFiICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Re/erence e!1 ettechmenfs here! '• r•~ '
<br />SLTTLEAHLr'. SOLIDS LIMIT APPLIES ONLY Ir <= 10-TR, 24-ktR PR>rC.TY,-r~YENT IS CLpZMTD. TF CLAItl APPROVED RY
<br />YQCD, TSS G IflON LIfiTTS sIILL N07 PlE pPPLIEO TO $@PORT$D ML IS1TRZtltRTS--SEE Z.Ti.la, PG 4 ptJD I.9.1D, PG 6.
<br />Fz ,erq corm-;rozu+T-luu-yD1 rravloue eamone'meY De OeeQ ' ~' /REPLACES FPA FORM T40 WHICH MAY NOT BE USED 1 ~ ~ ~ PAGE OF
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