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PERMIT'fEE NAMEIAODRESS lIrYIr FsWyHws'Lorulm UDlDw.v)
<br />NAME CDLOYYD CO~.L CO!",PAhY L. P.
<br />AODRESSCOLOYfD MINE
<br />5731 STATE, RIGRpAf „13
<br />MEEKER . _,f;,(y,,,8I641
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<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF lAW THAT I HAVE PERSO
<br />AM FAMILIM WITH THE INFORMATION 9UBMITTEO H NALLY E%AMIN
<br />EREIN; MD BA ED MD'
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<br />/ TELEPHONE DATE
<br /> MY INOUIIfV OF THOSE INDINDUALS IMMEDIATELY RESPOH918LE FOR ` :
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<br /> OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS \
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<br />SIGNIFICMT PENN.TIE9 FOR SUBMITTING FALSE INFORMATION, INCLUDING _
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<br />O Y THE POSSIBILITY OF RNE MD IMPRISONMENT. 9EE to U.S.C. 1 1001 MD 33 / g
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<br />TYPED OR PRINTED U.9.C. 1 t31 e. IhrW„ udr IMw wanm, mq 4cpd, 6ir, up ro'r 10,000
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<br />'/ SIGNATURE OF PRINCIPAL E%ECUTNE
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<br />SETTLEABLE SOLIDS LZ~IT APPLIES ONLY IF C= 10-YR, 24-NR AR,P~iCIP EVENT IS CLAIMP.D. IP CLAIl7.APPROYED EY
<br />YQCD, TSS E IRON LIMITS WILL NOT 8E APPLIED TO REPORTED RCASDR°I"ENTS--SEE I.P.lA, PG V AND I.B.1D, PC 6.
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<br />EPA Form 3320.1 108.961 Previous sdiNoro mey be used.
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