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PERMITTEE NAME/ADDRESS pncltde Farilirv NamdGxation i/D~erenU
<br />NAME
<br />CYPRUS YA?TPA VALLEY COAL CGRP.
<br />ADDRESS.,IN^:S 1e 263 ~(. 1!Ti1, ~ °Cd*A.b ~h.
<br />yIUO rAST ~1ZNE.RAL CZRCLE
<br />FACILITY~~,GL MUUD CG 9~15`T
<br />LOCATION
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOVBd.
<br />DISCHARGE MONITORING REPORT (DMR; OM8 NO. 2040-0004
<br />r2~ts) pr- sl ' A J G .°. Approval expires OS-31-98
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<br />FROM Q~ OS O1 TO OU 05 31 ~ "` ~iC CSSCRA7G~. `7/y' ~t§"f'
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<br />PARAMETER (46-53) (54-61) (3H-45) (46-53) (54.61) EX OF TYPE
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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 PERSO
<br />ATION SUBMITTED HER NALLY E%AMINED AND
<br />AND BASED ON MY
<br />EIN TELEPHONE DATE
<br />
<br />Richard Mills INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMATION, I BELIEV ,
<br />S IMMEDIATELY RESPONSIBLE FOR DBTPINING
<br />E THE SUBMITTED INFORMATION IS TRUE, ^
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<br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1a U.S.C. § }001
<br />03 U.S.C.
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<br />M -SIGNATURE OF PRINCIPAL EXECUTIVE ~ ~(/
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<br />~~ COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell attachments here)
<br />OIL & i;kF:aSE - SEti kCCTVOTF F/, P. 1. 'iRTNGC DETfCTIGN LI"ITS - `; Et F:]C:`:0'E L/. 7~TzS1I4LLF L'7SCO;.Yc.U
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<br />EPA Form 332o-1 (08.95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH~MAY NOT BE USED.) U 011 ©/ ~ `I 0 G 0 ~, - ~ ' ~) ] PAGE OF
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