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<br />~~- PERMITTEE NAME/ADDRESS pnc(vde Fanliry Name/Locafioa ifDifferenQ NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPDES) Form Appfoved.
<br />NAME " " ~ DISCHARGE MONITORING REPORT (DMR) OMB NO'. 2040-0004 .
<br />PIiiSUURG 5":'IIDSiAY COAL MINING MINOR
<br />ADDRESSEpN A' MIFE TR ~ (SU9R NN)
<br />P. 0. B 71{ 6 51 tl PERMIT NUMBER DISCHARGE NUMBER F- P *_ N A L
<br />FACILITY ENGLEHOOD CO tlU155-6519 MONITORING PERIOD DS~CHG TO BOLL DITCHk3/TROUT CH
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<br />ATTN: AAVID ,L. LONG, MINE SUPT. NOTE: Read Instructions before completing this form.
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