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PERMITTEE NAME/ADDRESSRtli4 FsWryNwWfaalm dDlptrrwp <br />NAME E4r'B.:Y PUELS hINI:EG COMPANY <br />ADDRESS ~JUIi1 FI P.LD "IVF COAL L'JADOUT <br />350 LYDIA'!~ iTF:EET, iUITE 900 <br />LUL'vL~'1 CJ 904)1 <br />FACILITY <br />LocgnoNFL0ae4_E ~~~ d12<'6 <br />ATTL; ;:r:Jn;e: V. PA:TF.h:iJ,i, 3El.. .7 ;; R. <br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM /NPDESI <br />DISCHARGE MONITORING REPORT (OMRI <br />11-761 l7-191 <br />CD;A50006 1101 A <br />PERMIT NUMBER DISCHMGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAV YEAR MO DAY <br />FROM y `F 111 J 1 TO `J y J.1 ~ <br />116171 711-131 !14151 /1617/ 718-191 (30-37! <br />Form Approvedf'1'_ ' <br />P')KC ~ DSCNRC TO OMB Noa 20.40 RU04 <br />(S li Fl H 5 F.) 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PERMIT.:::.. ... <br />.... ; . .: <br />.. .. <br /> REQUIREM,_ENTJ:; ~'~::....'....:_,- _ -:-.~ _ _ ... ~. .-~. -~- ~ - <br />~ _. <br />NAME/TVTLE PRINCIPAL EXECUTIVE OFFICER 1 CERTIFY UNDER PENALTY OF <br />AM FAMILIM N'ITN THE INFO LAW THAT I NAVE PERSONALLY EXAMINED MD <br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE ~ DATE <br /> <br />` / "+ ~ ~ A~{ u~ J~~ <br />T' <br />I ' MY INOUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR <br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS <br />I ~,~ <br />' <br />1 TRUE, ACCUMTE MD COMPLETE. I I1M AWME TNAT TNERE ME <br />S1pNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~ QG <br />~~ __~~/ y~,l .,~~ <br />7f~ y'- <br />~ <br />:`~ <br />r~' ~ I~ <br />' <br />7 <br />~ <br />f , <br />THE POSSIBILITY OF F <br />PWSONMENT <br />SEE 1 <br />1 <br />AND J7 <br />E <br />D <br />S _ -T' <br />~ Y ~ ~~ y <br />~ r~ <br />U <br />jl <br />r L~ r r~ <br />~:./LT IN <br />AN <br />IM <br />. <br />8 U. <br />.C. 1 <br />001 <br />t <br />1 <br />1 <br />SIGNATURE OF P111NCIPAL EXECUTNE / / ~ -y ~ - <br /> V.S.C. <br />1l <br />e. Ihlrltla t.IN. rMw mnma rrMy l+eA.l~ ~ . Ro ro <br />70,000 AREA <br />TYPED OR PRINTED .IK er+.vd+run:mF+im+wnr of Nn...+t e+rpTdu W 5 yrral OFFICER OR AUTHORRED AGENT CODE NUMBER fyYE'gR MO DAY <br />CDMMtNIS ANU CAYLAIYAIIVN Vr AMT VIULA 1IUrvD lrterereDCe a//eRGCn/rlenrJ natal <br />SSTTLCA~LL S]LIDS LItlIT 'dAIVF.D FDH LD-YE, 24-.`iR PRFCIP RYEbi ~~cJ:-l,i :(~ :fUui f.~ :E' ~R7:I~ F.. 'IIP. CNTS It <br />PART I. s. 1. D, P;,. 6. ~TORHYATEH '",A:lA:,G'1ENT PLA:1 DUF 1-7-30. <br />Epp Fwm 3320-1 108.95) Previous aditione may be used. (REPLACES EPA FORM T-40 WHICH MAY~NOT BE USED.) 0 ~ ~ ~ / 9 ~ ,~ 51 `I - 1 ~ ,-'1 PAGE OF <br />L <br />l <br />