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NAME NEW ELK COAL COMPANY,LLC
<br />ADDRESS NEW ELK MINE
<br />.122WEST FIRST STREET
<br />TRINIDAD C)• cu CO 81082
<br />FACILIT
<br />LOCATION, WESTON CO 81091
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<br />01 01, i 09 03 31
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<br />NOTE: Read Instructions before completing this form.
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<br />MEMITLE PRINCIPAL EXECUTIVE OFFICLR I Fury under penalty of low that this document and all attachments were TELEPHON E DATE
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<br />prepared under my direction or supervision to accordance with o system designed
<br />JOHN MC C UL L O C H to assure that qualified personnel property gather and evaluate the information r
<br />subtaitle& Based on my Inqulry,of the person or persons who manage the system,
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<br />SIGNATURE fiECEC UTtVE
<br />PRINCIPRINCIPAL L .
<br />I am aware that them am significant penalties for submitting We Information,
<br />TYPED OR PRINTED iacludlog the possibility of fine and imprisonment for knowing violations. NT
<br />AUTHORIZED
<br />OFFICER OR 1aEA NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a a ac ,,,,i ! fh r{I ?^ c r t Y
<br />TSS, IRON MANGAN'ESE'' LIMIT,' a ;= I L I... LIE ? =; i'v??..!. _. l.. a. ,.? :•r I,..I. I fT APPLIED FOR ? -101'R, r? Nh? I r -t~I P
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<br />EPA Form 3320.1 (Rev, 3199) Previous editions may be used. 10015-7 / aPli3 ,14 9. # +Mbrm. PAGE JOF
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