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PERMITTEE NAME/ADDgESB d.d~6 f:WyNaW/oc.riar UD:p..ap
<br />NAME ENERGY P'D6L3 ~IrINa CpbPI~Y
<br />'ADDRESSSOUTRFL6LD N'IME COAL LO-DpUT
<br />3S0 INDIANA STREEF, SUITE BOJ
<br />GOLDEN CO. 804 U1
<br />FACILITY
<br />LocArlorlpLOkENC& CO R1226
<br />A1'TN: GEORGE Y. P-TTER5ON. ^uEN• !1 ,; R.
<br />~MATIONAL POLLUTMT013CHAYtOE ELIMINATION SYSTEM (NPDESI
<br />DISCNARGE MONITORING REPORT (OMRI.
<br />' ~ l1!i8l ' ' 117-191
<br />COa85COD6 UO
<br />PERMIT NUMBER DISCHMGE MUMBDI
<br />MONITORING. PERIOD
<br />' YEAR MO DAY YEAR MO DAY'
<br />FROM y V1 TO ~yt3 i11 !
<br />176111 l17-231 111-151 /I8-I7I 118-I9/ !3431/
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<br />~' ~ ~ Form Approved. r ,
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<br />(3U6R SED''5 CY N6 YO pPp ~~s~Lj4e~05=39-98~
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<br />aaa NO DISCHARGE ~~ aa~
<br />NOTE: Rsad Instructloro bsfon wmPlstinp this form.
<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING l~ Grd Ontyl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE
<br /> !46531 15451 l38d51 !4653 /568/1
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<br />137-371 E MALrSlS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS leas~l 15I-581 159-701
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENAITr OF
<br />AM FAMIUM WITH THE INFO LAW TNAT 1 HAVE PERSONALLY EXAMINED MD
<br />RMATION SUBMITTED HEREIN; MD BARED ON TELEPHONE 'DATE
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<br />Rr MY INOUIRr OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOq
<br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFOMIATION IS C /
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<br />TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THERE ME
<br />SIGNIRCMT PENALTIES FOR SUBMITTING FALSE INFORMATION
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<br />T1'LEAHLE SOLIDS LIMIT IIAIYED FON 10-YR, 2u-dk PkECIP EYF.hT ;JcJEL:f TO HU2CFN OF PROOF RE';tUfAF.RF,NF3 IN
<br />~dT I.H.1.D, PG. 6. STOR"lYATER 1lNAGE7ENi PLAN DUc". 1-1-3J.
<br />EPA Form 3320-1 108-951 Previous edttlans mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE UBED.1 PAGE OF
<br />OJJ3/970819-1254 1
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