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PERMfTTEE NAME/ADDRESS (/n<lude Fncu~ryNmnellocarion 10ifferem) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPOES)
<br />i~E-COt0YT0 COAL CG!'EAdY L. P. DISCNARGEMONITORINGREPORT(DMR;) ~:I!70H
<br />, (2-18) (Il~ 9
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<br />5731 STA l6 R76Y YAY ZI O Qf S PERMIT NUMBER DISCHARGE NUMBER
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<br />Form Approved.
<br />OMB No. 2040-0004
<br />Approval expires 05-31-98
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<br /> NAME/TITLE PRINCIPAL EXECUTVE OFFICER I CERTI
<br />AM FAM FY UNDER PENALTY OF
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<br />ATION SUBMITTED HERE NALLY ExAMINED AND
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<br />V OF THOSE INONIDUAL IN; AND BAS
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<br /> THE IN FORMATION, I BELIEV E THE SUBMITTED INFORMATION I$'TRUE,
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<br />IES FOR SUBMITTIN I AM AWAgE THAT THERE ARE SIGNIFICANT
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<br /> TYPED OR PRINTED niatlmum lmpnsonmerrt of beMeenBmomrts entl5yaers.) OFFICER OR AUTf(ORIZED AGENT NUMBER YEAR MO DAY
<br />GUMMtN I S,ANU tXPLANA I ION OF ANY VIOLATIONS (Re/BrenCa all atfaChmentS here) °
<br />SETTLE0.HLti SOLIDS LIRIf APPLIES O@Li IF <=lOfR,24NR PRECIP ETk11T IS CLAIdED. IF CLAIl1 APPROTED BI YQCD,
<br />T55 S IBOY LZRIfS YILL YUT eE APPLZED i0 REPORTED tlEASUREl1EYt5 - SEE I.A.2, P6. 3 FOH BURDEN OF PROOF
<br />3320-T (0&95) Previous editions may not be used. - (REPLACES EPA FORM 740 WHICH MAY NOT BE U$ED.j - ~ ~-`- '-! -- `" PAGE 1 OF
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