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PERMITTEE NAME/ADDRESS llnclude Farilip• Name/Lncmion if Di$erenq
<br />NAME SENECA COAL CCtlFANY
<br />ADDRESSD k A Y E R G
<br />MAYDEN CO 81639
<br />FACILITY
<br />LOCATIONriAYDEti CU 81630
<br />ATTti! G. 8UD 8ROY21, GENEf;AL NAYAGER
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI
<br />DISCHARGE MONITORING REPORT (OMR;
<br />(2~r61 frl- Bl
<br />ccC,GO( 11 010 H
<br />PERMIT NUMBER ~ ''~' Deis-^ciiARGE NUMBER
<br />MONITORING-PERIOD
<br />YEAR MO DAY a ar E':YEAR MO DAY
<br />FROM Uu U1 vim,. Q' UU v~ .]1
<br />(20.21) .f22~23) (2a-251 (262)) !26 29) (30-31)
<br />Form Approved c' ~*`
<br />M I h G h OMB No. 2040-0004
<br />Approval expires OS-31-98
<br />(SUBA AY)
<br />F - FIFl1 iaGtT
<br />SEC. PC FL L5CP.6 7C GFA551 CSE.
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<br />NOTE: Read Instructions befom completing this form.
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<br />PARAMETER (as-sa) (sa-sT/ (8a-as/ (as~5s) fse-sr/ EX of TYPE
<br />(32-37)
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<br />6auT ANALYSIS
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSONALLY E%AMINED AND
<br />ATION SUBMITTED HEREIN'
<br />AND BASED ON MY ~ TELEPHON ET„ DATE
<br /> ,
<br />.
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE, ~ _ , ,
<br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />PENALTIES FOR SUBMITTING FALSE INFORMAT
<br />O '.,: QLI
<br />
<br />I
<br />N. INCLUDING THE ~ _ ~~
<br />t O~
<br /> POSSIBILITY OF FINE AND IMPRISONMEM. SEE 16 U.S.C. 4 1001 AND 33 U S G SIGNATURE OF PRINCIPAL EXECUTIVE - - '' ` ' '
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) t'
<br />1'55 E IRON 1:;BITS Y111 HE YAIYED AND Sf.TTLEABLE 9CIID5 LIUIT A-fLIEC FCY <=lOYR,;4iliEC7-=~YEYT; T`_S 8
<br />IKON LLMLTS YAIYE;D FCh )lUYR,,24NN PRECIP EVENS SUEJEC7 TC BOADEY GF P6CCF IM I.A.2. CII 6 6-I~'E-SEE
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<br />EPA Form 3320.1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) _ C G S O 8 / 99 C E Z ~ -3 6~ 3 ,PAGE 3 OF
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