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PERMITTEE NAME/ADDRESS pnclude Facdlry NamdCamrion iJDiBerenq
<br />NAME
<br />CYP':US YR9PA YALL_°.Y COAL CORP.
<br />ADDRESSaI k:S 1,2111 SOUTH, i. EC3.°,AN PK
<br />91uC E.45': "Ik}.FAL CIRCLr:
<br />FACILITY t.,.r~c d00 `~ CC dU1Si
<br />LOCATION
<br />ATT!1: `tGt;'IS W. R,'G.LEY, GcNEH.4L ATNY
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ Form Approved.
<br />DISCHARGE MONITORING REPORT (OMR; OMB NO. 2040-0004
<br />r i~ n n/ 7 T S It D fl S ;, Approval expires OS-31-98
<br />(SU9~, fIY)
<br />PERMIT NUMBER DISCHARGE NUMBER F - F I ': A L AC U'i. P
<br />MONITORING PERIOD ;1INE =r FOkU L TO FCIGEL CREEK
<br />YEAR MO DAY YEAR MO DAY
<br />FROM JV VJ U1 TO UU U7 11 ~'~ ~•7 CISC'9Aort ~ ;§o}rr
<br />rzo-vl !zz-z3) (2a-25J tzs~v) rze_ze) (3031) 1 NOTE: Read Instructions before completing this form.
<br /> (3 Cerd Onry) QUANTITY OR LOADING (4 Card OnryJ QUANTITY OR CONCENTRATION NO. FREOOENC SAMPLE
<br />PARAMETER (46-53) (54~61J (3845) (46-53) (54-61) EX OF TYPE
<br />(32-37J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />rsasJ; 'wAL~I"
<br />(64-69)
<br />69.70)
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<br />TOTAL ii .°-CGYE4A~L"r: MEASUREMENT
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<br />EPF'LUZAT GHU55 YALUE REQUIREMENT ,i, .:% St'fi. 3ppA AYG p1TL2 HX %'G/I z" (1flA')'H
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<br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />ATION SUBMITTED HEREIN
<br />AND BASED:ON MV TELEPHONE DATE
<br />
<br />Richard Mills INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMATION, I BELIEV ;
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE,
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<br />97D-87D-27t2
<br />
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<br />onmental h1ana
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<br />i ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTIN I AM AWARE THAT THERE ARE SIGNIFICANT
<br />G FALSE INFORMATION
<br />INCLUDING THE
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<br />nv
<br />r
<br />POSSIBILITY OF FINE AND IMPR
<br />i ,
<br />ISONMENT. SEE 18 U.S.C. § t001 AND 33 U S C
<br />SIGNATURE OF PRINCIPAL EXECUTIVE //yy~~
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<br />TYPED OR PRINTED § t318 (Penen
<br />es antler these slelules may mGude Tines up Ip EIe.00D antl w
<br />marimum rmpnspnnrenr of SeAVeen6months enCS years.) OFFICER OR AUTHORIZED AGENT EA
<br />NUMBER
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<br />I:UMMtN I J ANU rnr;nlrn I Irv ~~ rrvT vlu LHl Ivlvo trrererence en eaacnmenrs here)
<br />P.L1E~tN;;" LIMIi:S FCk TtiS E SET7L%0.6LF. ;OLIDS (i,GC '0') RPPLY ONLY IF <= l~.t-Y R., "'4-h^ P,i•r.ID f:Y~NT jj
<br />CLAI"; : .'. SE'E I.A.l, PG 1X, PCit bUR:'EN OF PflDCf HEC'UI@HM`.'NTS• CI., G~`:A,iS'--~''~. - ... :'" c/• ~~ ~•
<br />EPA Form 33261 (08-95) Previous editions may not be used. (REPLACES EPA~FORM T-40 WHICH MAY NOT BE USED.) D O ~'i 4 /.l n ~l i+ ; 5-1 G, ', I PAGE ~ OF
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