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PERMTTTEE NAMEIADDRESS pdi6 FaWyNar/laatrsr Uol?.rup
<br />NAME COL04Y0 COAL COMPANY L. P.
<br />ADDRESSCDL04Y0 RINE °;E~~1
<br />-" 5731 SKATE HIGHNAY 13
<br />MEEKER CO 816 R1
<br />FACam
<br />LOCATION
<br />ATTN: iT-.~. - .~,
<br />Forrn Approved.
<br />GOLCH A SP,DT PONDOMB3No32o~40-0004C.R
<br />(BURR N4) APProv ier~x~i~s~05-31-98
<br />F - FIkAL
<br />MINOR
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<br />FROM ~~U .e.A-~ TO Ytl ,1L Jl 'Z~`-% NO DISCHAA.Go ~~~'4`%
<br />176I,~21T131,fi1Y1-751 118-171~~1I8-29) !36311 . NOTE: Read ImVUCtlom bslwe comptetinR thM form.
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<br />- G II Grd OnlYl QUANTITY OR CONCENTRATION Np, mEQUENCr SAMPLE
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<br />NAMElI1TLE PRINCIPAL EXECUTIVE OFFICER I cERn
<br />AM FA Fr uFIDm vENUTr DF
<br />MILIAR WITH THE INFO uW THAr I NAVE PEflso
<br />RMATION SUBMITTED H NALLV EXAMINED AND/ '~ ~
<br />EREIN
<br />AND BASEO ON
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<br />~*'' TELEPHONE DATE
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<br />MY INQUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOfl
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<br />OBTNNING THE INF011MATION, I BELIEVE THE SUBMITTED INFORMATON IS
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<br />l1 LT1 TRUE. ACCUMTE AND COMPLETE. 1 AM AWME THAT THERE ARE
<br />SIONINCANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING
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<br /> THE POSSIBILITY OF RNE ANO IMPNSONMENT. SEE 18 U.S.C. E 1001 AND 33 1;-~
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<br />U.S.C. f 1]ta. lAaWLL, r.r0,r awar mwn, ..r hcA.d, Nr, w ro i 10,000,-; BIONATURE OF PIIINCD
<br />.narnra:rn,n AMrlsaarwrcWbnrwn6manAl, rWarr'A! ri~pOFFICER OR AUTHORIZED ADENi CODE NUMBER YEAR MO DAV
<br />GUMM[NIS ANU tXYLANATIUN OF ANY VIOLATIONS /Reference e8 etraChmenFa here/
<br />SETTLEABLE SOLIDS LIMIT APPLIES DNLY IP <= 10-TR, 2u-R'&
<br />YaCD, T55 °, I90N LIl7ITS HILL NOT DE APPLIED TO REPOBlED
<br />STCERRYATFR Rl_NICFN FAT DT 1A /1TIR 7-1 -07. ,
<br />EPA Form 3320.1 108-951. Previous editions meyba used. (REP.LACEbd
<br />~EYENT IS CLAIMED. IF CLSTN RPPROYED BY
<br />CrIENTS--s EE I.B.lA, Pr 4 ,~~lID I.B.1D, PG b.
<br />~.,: :. PAGE^': 1~OF
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