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PERMITTEE NAME/ADDRESS (Inc)ude Facilin•Name/Laca,ion JOi$erenU
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<br />CYPRUS YAMPA VALLeY COAL CURD.
<br />ADDRESStI!!FS I,Z&J ~CUTY., L EC:{9AN '."i
<br />`/lUU PAST :9INk:RAL CIRCLE
<br />FACILITY Fb GE. :i:OUD CO F•U1S',
<br />LOCATION
<br />A'"1'"': ",O?;I3 A. KEGLLY, ":::tik:HAL ATNY
<br />NATIONAL POLLUTANT DISCHARGE EDMINATION SYSTEM (NPDES)
<br />DISCNARGE MONITORING REPORT (OMR;
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<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 00 US U.L TO 0U US 31
<br />(262p (22-2J1 (24-251 (26-2]) (28291 (30311
<br />Form Approved.
<br />OMB No. 2040-0004
<br />:•'A J ~ is Approval expires OS-31.98
<br />(SURi? Nw)
<br />F - ..°INAL POUT?
<br />'P)E I, POND :1 TC TTIULE CRFF,'K
<br />NOTE: Read Instructions before completing this form.
<br /> (3 CeN OnNI QUANTITY OR LOADING (4 Cerd Only) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (46-53) (54-6/J (38-45) (45-53) (54-61J EX OF TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ANALYSIS
<br /> rs2-s31 (64-s8) 69-70
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<br />NAME/TITLE PRINCIPAL E%ECUTNE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT 1 HAVE PERSONALLY EIfAMINED AND
<br />ATION SUBMITTED HEREIN; AND BASED ON MY TELEPHONE DATE
<br />
<br />Richard Mills - INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMATION, I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE,
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<br />t ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITPN I AM AWARE THAT THERE ARE SIGNIFICANT
<br />G FALSE INFORMATION
<br />INCLUDING THE
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<br />97O-A7O-2712
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<br /> OSSIBILITY OF FINE AND IM . S
<br />18 U.
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<br />. 4 1001
<br />33 U.S.C.
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<br />u SIGNATURE OF PRINCIPAL E%ECUTIVE K/ ~
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<br />TYPED OR PRINTED 4 13t 9. (Perettias antler these sretutas Trey ,ntlu
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<br />res up ro Ef0.000 entl or
<br />marimum,mprlsavnent of beMSen6months entl 5yeem.l OFFICER OR AUTHORIZED AGENT
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<br />NUMBER
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />5iTTLEAbLE SOLIDS LIMIT IS '~AI'1tU (LOC 'P'J nNLY IF >19-Y f?, 24-Hd Ph.ECI? :iYFIT I~ ^_L'•.1'f_G, AFL I.A.2~
<br />;~. 1,1, F)R UUR^EN OF PROOF REGDIh£"~NTS. OIL 5 GF•.P°~-SFF FOG:.'J:"° •/~ `°:' ~, Li -.. _Li•;, ,
<br />EPA Form 3320-1 (08.95) Previous`ediiions may not~be used. ~' (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.) PAGE 1 OF
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