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PERMITTEE NAME/ADDRESS (include Facillrt• Name/Location i(Dif(erent/
<br />NAME SENECA COAL CCCFARY
<br />ADDRESSp R A a E 8 0
<br />:IAYDEN CO 01639
<br />FACILITY
<br />LOCATION~AIDBM ~ '~;c+8L630 FROM
<br />ATTN: G. 5UD 6ROIiN, CENEhAL ~At:AGtR
<br />IAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved! ~ • ~'
<br />DISCHAR GE MONITORING REPORT (DMRti'sl „ I N `n OMB No. 2040-0004
<br />IUOCf"21 0 4 A (SUBS -M) A?provalexpires05-3T-9R
<br />PERMIT NUMBER ~; ~^J DISCHARGE NUMBER F_ p I! J 1 RC U T q
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<br />MONITOR'ING PERIOD DI SC9~;6 F T.C ` J C E Ce/ '
<br />EAR' MO DAY " YEAR MO DAY ~^'""'
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<br /> (3 Cerd Onry/ QUANTITY OR LOADING ~ :; (4 Cerd Only) QUANTITY OR CONCENTRATION ~ NO. FREOUENC SAMPLE
<br />PARAMETER (4653) (54-61) (3B~45) (46-53) (54-61) EX OF TYPE
<br />(32-37) AVERAGE MAXIMUM ~ UNITS MINIMUM AVERAGE MAXIMUM '' UNITS ANALYSIS
<br />64
<br />68
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND
<br />AM FAMILIAR WR
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<br />MITTED HEREIN; AND BASED ON MY
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<br />INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~
<br /> THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br /> ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE SIGNIFICANT 'Y
<br />1
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<br /> PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
<br />POSSIBIDTV OF FINE AND IMPRISONMENT SEE 18 U S.C. § 1001 AND 33 U.S C _~
<br />SIGNATURE OF PRINCIPAL EXECUTIVE / 1
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<br /> 4 t3t8 (Perettias antler these statures mey inclutle lures up to 510.000 entl w OFFICER OR ALIT ORIZED AGENT AREA
<br />TYPED OR PRINTED marimum imprismnrem of belween6molxhs entl5yeers.) CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RelerenCe ell attachments here)
<br />TSS G IRON L1NIT5 NIII HE MAIYED 6 SETTLEABLE SOL]1:5 LII!IT AFF11E0 FGR <=l0YH,24FF PPFCII Etl~T~ T55 E
<br />IAUA LIIfITS YIIYED FC6 ~lUTP.,I4BK PRECIP EVENT ~UE~ECT TO BUHDEN Of FSGCP IN I.i1.2. CI1 8 16blAS! - SEE
<br />Form 3320-1 (OB 95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.)
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