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PERMITTEE NAME/ADDRESS (lnclyde Facility NamdLocatmn ifDifferem) NA'
<br />NAME COLOOfO COAL COl1PANf, L. P.
<br />ADDRESSCOLOSifO WINE r
<br />5131 STATE HIGRNAT 13 C
<br />nEEAER CO B16u1
<br />FAaurv
<br />LOCATION FROM
<br />ATTN: J. D. dARNON, GENSRAL,~iAGEA
<br />LUTPNT DISCHARGE ELIMINATION SYSTEM pJPDES) Forth Approved. ,
<br />:HARGE MONITORING REPORT (OMR~ OMB N0. 2040-0004
<br />Is-rsl m- el n I N U R Approval expires 0537-98
<br />5161 001 a (SU9H NV)
<br />IyT~NUMBER DISCHARGE NUMBER t - FInAL MOP'AT
<br />~ MONIT.ORINGPERIOD STREETER GULCH TO GOOD SPGS CR
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<br />NAME/TRLE PRINCIPAL IXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND f TELEPHONE DATE
<br /> AM FAMILIAR WRH THE INFORMATION SUBMITTED HEREIN: AND &SED ON MY ,
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<br /> INQUIRY OF THOSE INDNIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~~
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<br /> THE INFORMATION. I BELIEVE THE SUBMnTED INFORMATION IS TRUE, r
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<br />J - U . fTCI / .M o /1 ACCURATE AND COMPLE-rE. I AM AWARE THAT THERE ARE SIGNIFlCANr
<br />PENALTIES FOR SUBMITTING FALSE INFORMATION, INCWDING THE
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE IB U.S.C. 5 7001 AND 33 U.S.C.
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<br />1 IGNATURE OF PRINCIPAL E%ECUTIVE -I (~ / •~~ - (~ "~
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence all attachments here)
<br />SETTLEABLE SOLIDS LInIT APPLIES ONLi IF G=10Y8,24~-+~RECIP E9ENT IS CLAIt1ED. IF CLAIy APP80YED df dQCD,
<br />TSS E IROn LiRITS PILL NOT BE APPLIED TO REPORTED MPASURP.lfENTS - SEE I.A.2, PG. 5 fOR BURDEtl OF PROOF
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<br />EPA Form 3321}7 (OBAS) Previous editions may not be used. (REPLACES EPA FORM 740 WHICH MAY NOT BE USED.) A O ~~7 PAGE 1 OF
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