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<br />PERMITTEE NAME/ADDRESS (Include Faciliry,4ame/Location iJDt$erenq
<br />VAME~ (. •: L.iNY9 COAL CC C'r 11:Y, L.Y.
<br />ADDRESS[ r) L {) y Y 7 :? T'•t t
<br />S/jl STATt MIGHNAY 1~
<br />P'F.?Y.''ri CIS 91b41
<br />FACILITY
<br />LOCATION
<br />ATT':: J. D. CAFnON, GE"~Ea0.L CAN AGF.A
<br />
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESJ
<br />DISCHARGE MONITORING REPORT (DMR;
<br />(2-161 (tA 91
<br />T-nnna ~T rT ntn a
<br />PERMIT NUMBER DISCHARGE NUMBER
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<br />MONITORING PERIOD
<br />YEAH.:~;t`v.10 DAY;m 'y : _ YEAR MO DAY
<br />FROM i1N,"d~?~Y'T T.O ~ UU 11 _i1
<br />(10.21) (222 (Y 2<-?31e~ (262]) (28291 (30.71)
<br />` ~~ r
<br />Form Approved.
<br />~ T ~; `~ r OMB No. 2040-0004
<br />Approval expires 05-31-9R
<br />(SC ~g Nom)
<br />P - FIVAL !IOFAT
<br />E. ^AYLOP. POIiD TO TkYLOR CRPCK
<br />n~~ RO DISCHRR (~ ~~~
<br />NOTE: Read'Instructions 6 fore completing this form.
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY OF LAW THAT
<br />1 HAVE PERSONALLY E%AMINED AND
<br />T TELEPHONE ~:. DATE
<br /> AM FAMIUAq WITH THE INFORMATION SUBMIT
<br />ED HEREIN; AND BASED ON MV ~
<br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~
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<br /> THE INFORMATION, 1 BELIEVE THE SUBMITTED INFO/iMAT10N IS TRUE. ~
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<br /> ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />NALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U.S.C. 41001 AND 33 U S.C.
<br />SIGNATURE OF PRINCIPAL EXECUTIVE p
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<br />NUMBER
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SF.TTLEAHLt SOLIDS LIMIT AF'PLIFS ONLY 7F C=1OYR~:24NF PR?CiP 64EaT IS CLAI!7FD. IF CLAYEI IllPROVEC BY w~CD,
<br />TSS E IRO!i LIl1ITS fiILL NOT BE APPLIED TO R.°.POR'[ED CFASUREI!F.RTS - SEti I. A. 2, P:,. 5 QURDBK OF PAOC~F
<br />EPAFoaFrm 3320-1'(08-95) Prew'ous eddlons may not 6e used ~ ~ ^'(REPLACES EPA FORM T=40 WHICH MAY NOT.~BE~.U~SEDy) ~.y,~ ~'y~` /~/~~ (~ ~ ~ ~ ~ • ' ~ ~ ~ PAGE~a OF
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