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PERMITTEE NAME /ADDRESS (Include Facility Name /Location If Different)
<br />NAME:
<br />Twentymile Coal Co
<br />ADDRESS:
<br />29515 Routt CR 27
<br />NO
<br />EX
<br />Oak Creek, CO 80467
<br />FACILITY:
<br />FISH CREEK TIPPLE
<br />LOCATION:
<br />29515 ROUTT COUNTY ROAD 427
<br />VALUE
<br />OAK CREEK, CO 80467
<br />ATTN .JERRY N. NETTLETON, ENV SUPVSR
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />000036684 001 -A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/MY I MM /DD/YYYY
<br />FROM 07/01/2011 1 TO 09/3 012 01 1
<br />Form Approved
<br />OMB No. 2040 -0004
<br />DMR Mailing ZIP CODE: 80467
<br />MINOR
<br />(SUBR JC) ROUTT
<br />POND r'E`r DISCHARGE TO FISH CRK
<br />External Outfall
<br />No Discharge
<br />PARAMETER
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<br />vupcn r,. rn a,cnrJnn„wA 1,} ,,'J„Ign,J t"'r thnc yn",l I pr,, p,rl, anc,ri d
<br />,.•eal'W' the mf nnatmn ,ubmu'<d Iin,,.J nn m} rngwn of th, pen n nr person, "hn m»rage 1h,
<br />cy, em or rh ,e p rcm , d,rec111 re,pnn,rblc for ga'hem'e the rnfnnn uum the rnlnrmanon arbmrual r,
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO
<br />EX
<br />FREQUENCY
<br />OF ANALYSIS
<br />SAMPLE
<br />TYPE
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />vii1etnr;nytnr,nbm'tnn
<br />TYPED OR PRINTED
<br />Oil and grease visual
<br />SAMPLE
<br />.....
<br />- --
<br />d �e�.
<br />MEASUREMENT
<br />/
<br />V t 3 I
<br />840661 0
<br />PERMIT
<br />Re Mon
<br />Y =1;N =0
<br />" " "`
<br />" " "'
<br />" " "'
<br />"' "'
<br />Twice Per
<br />Effluent Gross
<br />REQUIREMENT
<br />INST MAX
<br />Month
<br />VISUAL
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
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<br />,.•eal'W' the mf nnatmn ,ubmu'<d Iin,,.J nn m} rngwn of th, pen n nr person, "hn m»rage 1h,
<br />cy, em or rh ,e p rcm , d,rec111 re,pnn,rblc for ga'hem'e the rnfnnn uum the rnlnrmanon arbmrual r,
<br />- 1 I4 y 'a, •
<br />�""`r � ,.-
<br />TELEPHONE
<br />DATE
<br />' I -
<br />`� ,., �_1..,
<br />% C
<br />1u the Fcu of my knowWg -d bchcf Irnc ac,ur rI, and, —pi- I un aware 1h v 1hcr.. are crcnrfi, and
<br />mhelmnnn.rnnn mrin ,r tae p.c I,dn, nten,.rwnnprnonm- 1tr,ri:nn „mg
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA code
<br />NUMBER
<br />MM /DD/YYYY
<br />vii1etnr;nytnr,nbm'tnn
<br />TYPED OR PRINTED
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />TSS LIMIT WILL BE WAIVED FOR 10YR,24HR PRECIP EVENT -SEE BURDEN OF PROOF REQUIREMENTS UNDER I.A.4. PG 5.0IL & GREASE -SEE I B.2 30 DAY AVERAGE IS HIGHEST MONTHLY AVG. DURING PERIOD
<br />REPORTED - SEE I.C.13
<br />EPA Form 3320.1 (Rev.01106) Previous editions may be used. 07127/201/ Page 2
<br />
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