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<br />PERMITTEE NAME/ADDRESS (Include Faclltq~Namn/Lxanan ifDi$erenr) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />NAME
<br />PITiSdUR'G E MIDiiAY COAL !MINING DISCHARGE MONITORING REPORT (DMA) ~
<br />MINOR OMB NO. 2040-0004
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<br />ADDRESSUrp NA XINE n a nn (SDBR NY)
<br />P. O. RO% h51tl PERMIT NUMBER DISCHARGENIIMBER F _ FINAL ROU'rT
<br />FACILITY 6N~LEY~:OD CO tlO1S5-6518 MONITORING PERIOD SURFACE RUNOFF. TO TROUT CREF. 1{
<br />LOCATION ~. ~ ~ YEAR MO DAY YEAR MO DAY
<br /> FROM 0 TO 0 B 31 a#a NO UrSCHARG6 ~j ~##
<br />A r T N : DAVID L . LONG, MINE S U Pi . NOTE: Read Instructions before completing this form.
<br /> ' ' ~ GUANTITY OR LOADING GUANTITY OR CONCENTRATION NO. FREOUENC ~ SAMPLE
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<br />OFFICER OR AUTHORIZED AGENT
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here) •~
<br />3~S AND, TOTAL IROA LIt1ITS YILL BE YAIYED, AND SETTLEABLE SOLIDS LIMIP APPLIED ee"OR ~= lOYR, 2t1HF. PRECIP.
<br />6YENT - SEE I.-.2, k. YL FOA DETAILS.- QkTRLI SAM4LING INSTRUCTIOYS - SF.E I.C.9, P. XIII.
<br />Epp Form 3320.1 (REV 3/99) Fr¢vi0p$,edifiprjs may 4e usQtl. ~ ~ "; ~ ' . ~ ~ - RT FORM PAG
<br />THIS IS A 4 PA E OF
<br />.....~W ,_,. '~-.,_ r _.~ y ~. 00159/000717-1233 1
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