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PERMITTEE NAME/ADDRESS (lndude Fanhrr Nnme/Gurarion /DiBerenq
<br />NAME COLO'JYO COAL CC1~1i-P.::Y, L.1'.
<br />ADDRESSCO LONYO t~INF,
<br />S/11 STA7F AZ6MMAY l.i
<br />r,e}:x~e co tl16u1
<br />FACILITY ~ .. .
<br />LOCATION .,
<br />~TTN: J. D. HARMUN, GFN'F.AI.MMANAt:EB -
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (OMRI
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<br />•PE_ BMITiNUMBER DISGHARGE.NUMBER
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<br />[SUER Nd)
<br />P. ~ FINAL Form Approved.
<br />OMB No. 2040-0004
<br />Approval expires O5-37-9t3
<br />
<br />IIOPR~'i
<br />~~MONIT.ORING~{PERIQD:.: CULCR A .i FGI Pf_~t: f,/GC(T g, $PGS CF.
<br />YEAR ?IRCAO DAYt °~ YVEAR MO DAY _
<br />FROM 00 lU .;~~ TO `' 00 1~ 31 y'nr,- }i0 ;IISCHA':G% ~' ~ n:k>r
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<br />PARAMETER (3 Card Onry) °OUiCNTIdY OR LOADING ~ °
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<br /> (4653) (5467) (38-45) (46-53) (54-61) EX OF TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM ~ ' .~ AVERAGE MAXIMUM UNITS
<br />(sza31 aNALYSrs
<br />(64-661
<br />69-70
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTFY UNDER PENALTY OF
<br />AM FAMILIAR WN
<br />T LAW THAT I HAVE PERSONALLY EIfAMINED AND TELEPHON E •~ DATE
<br /> H
<br />HE INFORM
<br />INQUIRY OF THOSE INDIVIDUAL ATION SUBMITTED HEREIN; AND BASED ON MV
<br />S IMMEDIATELY RESPONSIBIF FOR OBTAINING
<br />~
<br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE,
<br />
<br />
<br />•
<br />ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTING
<br />I AM AWARE THAT THERE ARE SIGNIFICANT
<br />FALSE INFORMATION
<br />INCLUDING THE ~
<br />'
<br />
<br />J t) ~` (\ y (\ \ ~ ,1 ,
<br />POSSIBILITY OF FINE AND IMPRIBONMENT. SEE 16 U.S.C. § 1001 AND 33 U.S.C.
<br />SIGNATURE OF PRINCIPAL EXECUTIVE /~
<br />lall~
<br />~ 7U-tl
<br />(w1
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<br />- § 1319. (PoreRres under these statutes may include IIneS up tp E10,ooo entl or r.
<br />TYPED OR PRINTED maximum impdspnmem pr betweenBmmrns uMSymrsrs.) 'OFFICER OR AUTHORIZED AGENT DE NUMBER :~~" YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SETTLEP.HLH SCLIGS LIrIT APPLIE"~ ONLY SF C=107 A, 2y NR P~P PYENT I3 CLAIl1l0. IP CLAIM AP$¢YED HY G;rCL,
<br />CSS 6 IkON LIMITS YS•LL ROT ksE APPLIP.D TO REPOATE,U hEAS EMEIiTS.-.SEE I.A. 2, PC. 5 FOR AUApEN OP PROOF
<br />_ _
<br />pA FOrm 3320-1 (OB-95) Previous edltlons may nol be used~~~~ `~(REPIJTCES~PA FORM T=40 WHICH~MAY NOT BE~USED')~"'~°' "`~"r "" .P.AGE Off. '_~,
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