PERMITTEE NAME/ADDRESS pnrlude Fnrilirv Namc/Location i~DifferenU
<br />NAME rYPNUi YAMPA VALLEY COAL CCi?F.
<br />ADDRESS1I RES 1,163 SOUTH, '•~ FCK"I!Fi 'fir.
<br />y1UG E4~T "Itat.nAL CII!CL::
<br />EN,;Lr;WU'vD
<br />FACILITY
<br />LOCATION
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<br />nT"•~: '!Ji: rfl3 ~• Kd :LEY, Gt 9FRAL A'fmY
<br />' NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESf
<br />DISCHARGE MONITORING REPORT (DMR;9j
<br />COOU27154 U02 i
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ti ~.I v ~~ .: t TO D'J +~ n ~ I.
<br />(2P21) f2?2J1 (2a.251 (28.2)1 (26-29) (9031)
<br />Form Approved.
<br />'f A J O R OMB No. zoao-oooa
<br />Approval expires OS-31.98
<br />.- - FItiAL HCG"il
<br />`I'J-~', 1, PO :'D T. TC FO:CBL CRiEK
<br />NOTE: Read Instructions before completing this form.
<br /> (3 Card Ony) QUANTITY OR LOADING ~ (t Cerd Onry) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (48-53) (54-61) (38-45) (46-53) (54-67) EX OF TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(62431 ANAlYS15
<br />64-68J
<br />89-7D
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<br /> MEASUREMENT
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<br />NAME?ITLE PRINCIPAL DIECUTIVE OFFICER I CERTIFY UNDER PENALTY OF IAW THAT I HAVE PERSONALLY ExAMINED AND
<br />AND BASED ON MY
<br />N SUBMITTED HEREIN
<br />T TELEPHONE DATE
<br />
<br />Richard Mllls :
<br />IO
<br />AM FAMILIAR WRH THE INFORMA
<br />INOUIRV OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />I BELIEVE THE SUBMITTED INFORMATION IS TRUE.
<br />THE INFORMATON /~
<br />~~'
<br />
<br />tal Mana Elr
<br />,
<br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT '
<br />LC/[~/-
<br />97087D-2712
<br />Envihonmen
<br />9 PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE ~ , (,
<br /> POSSIBILT' OF FINE AND IMPRISONMENT. SEE 1B U.S.C. § 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL E%ECUTIVE
<br />
<br />TYPED OR PRINTED § 13t9 (Penellie5 untler these srerures mey include lines up to 510,000 end or
<br />maximum impnsonmenl or Gelween6marMS ends yeers.l OFFICER OR AUTHORIZED AGENT
<br />C p
<br />NUMBER
<br />YEAR
<br />MO
<br />DAV
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/emote all attachments here)
<br />ALTEftNAT^ LI:1IT5 FCn TS S, IRON !: _k:T'1'L1:aBL~ ;OLIDS (LOC 'Or) AftFLY JNLY IF <= iC-Yr, J.U-~+: p'..,CL6' EVENT
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<br />EPA Form 33261 (GRAS) Previous editions may not be used. (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.) n D t: 17 /') ~ , ; Gr) 5 - I _ ~ L PAGE I OF
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