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PERMITTEE NAME/ADDRES$ (Include Faoiriry Nmne/Loca(ion iJDigeren6
<br />NAME COLU~YO COAL CnnE~A~+1 L. P.
<br />ADDRESSCOLONTO HIY£
<br />571i STATE RIGRYAY 13
<br />HEQKER CO 81641
<br />FACILRY
<br />LOCATION
<br />c.
<br />ATTN: J. D. RARITON. CENEAl4 -.tERA
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />OISCHARGE MONITORING REPORT (DMfl;
<br />(2-161 PI~ B)
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<br />Y ~-"PERMIT NUMBER DISCHMGE NUMBER
<br />FROM
<br />MONITORING PERIOD
<br />YEAR M0. DAY `:~ YEAR MO DAY
<br />99 Ol " O1" gTo : .9q 03 31
<br />latnt (zz.ss)a~.Ra261'.~~: (2o-srl izazsJ (:r(};r1f
<br />Form Approved. ~
<br />OMBNO.2040-0004 7
<br />k T Y n R Approval expires OS31-9fi~
<br />(5U5R PW) 3 .~
<br />P - FI KAL E1dF'AT
<br />STOrrP.R C7 AL LORDOLTT/TA[LOR CR
<br />NOTE: Read Instructions before Lolnpleting this form.
<br /> (3 Card Ony) QUANTITY OR LOADING (Gerd Ony) QUANTITY OR CONCENTRATION
<br />~ NO. FREOUENC SAMPLE
<br />PARAMETER (46-53) (5461) ;". (38<5) (46-53) (5461) DC OF TYPE
<br />(32Jn AVERAGE MAXIMUM UNITS~ ~MINIMUM ,.' AVERAGE MAXIMUM UNITS ~~) 6&70
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<br />NAME/TITLE PRINCIPAL IXECUTIVE OFFICER I CERnFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO
<br />ATION SUBMITTED HERE NALLY ExAA11NED AND
<br />IN
<br />AND BASED ON MY
<br />1/ TELEPHONE DATE
<br /> INQUIRY OF THOSE INDNIDUAL .
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<br />B IMMEDIATELY RESPONSIBLE FOR OBTNNING ~
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<br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE, ~
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<br /> ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTIN I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />POSSIBILITY OF FINE AND IMPR
<br />ALSE INFORMATION, iINCWDING
<br />H
<br />ISONMENT. SEE 18 U.S:C~§;,1001 AND 33 U.S G
<br />
<br />$ TUBE OF PRINCIPAL E%ECUTIVE
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<br />TYPED OR PRINTED § 1318. (PeneNes untler Ilrese s
<br />maximum impnsonnrent of beMee mlules mey Inclutle ~.Ilnas.up m,S10,660'e/M w
<br />n6months entl5yoers.J,%.;' ~ FICER OR AUTNORIZED AGENT
<br />;
<br />NUMBER
<br />YEAR MO
<br />DAY
<br />COMMENTS AND IXPLANATION OF ANY VIOLATIONS (Reference ell attachments here) "•~i~ ~ ."
<br />SETTLEABLE SOLIDS LIHIr APPLIES ONLT IP C= 10-YR, 24-HR PAoCIP F.YENT IS CLAIt'F.D':;.xPf"CLAIR APPROVED B[
<br />YQQD, TSS B IRON LII7IT5 RILL NOT BE APPLIED TO REPORTED HEASDE!LrMLMTS--SEE I.D.L~y PC 4 AsD I. B. 1D, PG 6.
<br />tPA corm 332x1 (09-95) Previous eolBOns may not be useo - - (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) YAOt ur
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