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r PERMITTEE NAME/ADDRESS, 0wrL6dmWry NaWlaaum VDlDirwr/ ,
<br />-.NAME ENERGY POELb. 1IYLMG~CO MPAIrT ~.
<br />~~.ADORESS SOUTd FL $LD MIRE CJAL LOAD~OUT.
<br />' 350 INDIANA 4TREET, SUITE BOD
<br />' GOLDEN CO BOY]L
<br />.? .FACILITY - ''
<br />-~iocnnoNPLORE6fCE CO Blt2i~6
<br />+~;A2TM: GEORGE 7. PATr4RSON, GEE. MCA.
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<br />NATIONAI~POLLVTANT DISCNMGE ELIMINATION:SySTEM~'(NPDESI
<br />DISCHARGE MONITORING.REPORT (OMRI :
<br />' /7.76/ - 17-191'
<br />C,OG850006 002 " '
<br />PERMIT NUMBER OISCNARGE NUMBEq
<br />MONITORING PERIOD."~
<br />. YEAR MO ~ DAY YEAR MO"~ DAY
<br />FROM '~ ! UL TO 'y9 UY 3
<br />1161/1 l77-731 !1475/ -176-77I 118-79/ 13P31/
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<br />POND 2~.'DSCYIRG t0 °~~t"°'zoao-0DOa.~fil
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<br />/64581 169-701
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER -I cegnFr ugDEn PENUTr oF'
<br />AM; FAMILIAR NATH THE INFO LAw TNAT I NAVE PERSd
<br />RMATION SVBMITTED H NALLr ExAMINED.AND
<br />EREIN; AND BASED ON ~ ~ ~ TELEPHONE .DATE
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<br />~ WOVIRY QF TMOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOP '~
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<br />OBTAINING THEFINFORMATION, (BELIEVE THE SUBMITTED IN~ORMATIOM la '
<br /> TRUE, ACCUM7E AND COM0.ETE. I AM AWME. TNAT TNERE ME ~Q
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<br /> SIGNIRCANT PENALTIES FOR SUBMITTING .FALSE TNFORMATION
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<br />THE POSSIBILITY OF RNE AND IMPNSONMENT. SEE 18 U.S.C. E 1001'ANp 3J
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<br />TYPED OR PRINTED .nd arrmainun l+prdortnlrtr orbrwrnemmNaaM6yrrA! OFFlCER OR AUTHOR¢EO AOENT CODE NUMBER YEAR ' MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RSl6(encs s// sttachmsnrs hers!
<br />SEIPLEABLZ''SOLIDS LShLi YAIYED FOR 10-1'R, 20.-HR PHECIP E/EY2 5Uu.1EL'T TO UUHDF.Y OF PROP RE~UIREhENTS IY
<br />PART i. B.LeO, PG. 6. STORIIYAlEH ffAM-;.ElIENT PLAT D.UE I-L-99•
<br />IS-951 =Previous editions, meVbe used. ~ /REPLACES, EPA FORM',T~O'yVNICH"MAY~NOT BE USE
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<br />6029/970619-1254
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