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r'ERMITTEE NAME/ADDRESS (Include Facihn Name/Lpca:ion JDiJjerenp
<br />YAME
<br />COL04Y0 COAL CO!!PAYY, L.e'.
<br />ADDRESSCD LO'~J Y D A I d$
<br />S'/31 S7AT£ 6IGH4AY 13
<br />NATIONAL POLLUTANT DISCHARGE EUMINATION.SVSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT.(OMR;
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<br />m ~ . 'PERMIT NUMBER ~~ DISCHARGE NUMBER
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<br />F:OPAT
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<br />ACIUTY .`'. !;IA F:., _
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<br />TORING PERIOD
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<br />OCATION YEAR_ yIJIO:. DA Y r YEAR MO DAY '+~~.`. " _
<br />FROM 09~~ p ~~Td OD 11 31 >~#4 YO D 'j1~R9GF. ~'~~+
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<br />0UANTITY OR LOADING (4 Card Onty) QUANTITY OR CONCENTRATION" 'NO: F)7EOUENC SAMPLE
<br />PARAMETER ~
<br />3
<br />( ) (54-61) (38-45) (46-53) (54-6/) EX OF TYPE
<br />(32-37J AVERAGE MAXIMUM; UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />f6z~Gt) ANALYSES
<br />(64.68)
<br />69-70)
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<br />t;'LIUS, TUTAL SAMPLE r:r • •GO>a ( lo)
<br />'USP£YD 90 MEASUREMENT
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />' AM FAM FY UNDER PENALTY OF
<br />ILIAR WHH THE INFORM LAW THAT I HAVE PERSONALLY E%AMINED AND
<br />ATION SUBMITTED HEREIN
<br />AND BASED ON MY
<br />' TELEPHONE - DATE
<br />' INQUIRY OF THOSE INDNIDUAL ;
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br /> THE ,INFORMATION, I BELIEV E THE SUBMTfiED INFORMATION IS TRUE, ^ r. _
<br />- .^~ '.
<br />
<br />' ACCURATE AND COMPLETE.
<br />PENALTIES
<br />FOR SUBMITTIN I AM AWARE THAT THERE ARE SIGNIFICAM
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<br />THE Iy /J
<br />I) + uN1U VI SIBILITY OF FINE AND IMPR
<br />O ISONMENT. SEE 10 U.S.C. § 1pe1 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE ' 111 4l~ ~ II.fl'D O ~ O ~ I (G
<br />- 4 ,318 IPerenies under These smmres may inclutle lures up Ip 510,000 entl pr p R
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<br />TYPED OR PRINTED
<br />maximum rmpdsonmenl,pl SeAV¢¢nSmpnMe entl SYeers.J ~ FICER OR AUTHORIZED AGENT
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<br />ONE
<br />NUMBER?j ~
<br />YEAR
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<br />DAY
<br />OOMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) ~ ' ~ '~ ~'t.,~,~~
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<br />SYTTLEAHLF SOLIDS LI'IT APPLI.°5 ONLY IP C=lUTP., 2UHk pRF:CIP £YENT IS CLAI!'1F.D. IF C~yJ~ys~~AGYFD gT W~;CD,
<br />C55 _-IHON_LINITS HILL NOT HE APPLI2D TD R£PORTFC !1F.ASU9EM£NTS - SEE I. A. 2r,PG. $"~.,,{~,ijRDF6 OP PPGOF
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<br />Form Approved.
<br />OMB No. 2040-0004
<br />Approval expires OS-31-98
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