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PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Twentymile Coal LLC <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 <br />FACILITY: MINES 1 &2 AND ECKMAN PARK MINE <br />LOCATION: 29515 RCR #27 <br />OAK CREEK, CO 80467 <br />ATTN Patrick Sollars, GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00027154 005 -W <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY MM /DD/YYYY <br />07/01/2013 09/30/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 <br />MAJOR <br />(SUBR JC) ROUTT <br />ACUTE WET TESTING 005A <br />External Outfall <br />No Discharge El <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information the information submRted is <br />to the best of my knowledge and belief, true accurate and complete i am aware that there are <br />significant penalties for submRfi ng false information including the possibility of fine and imprisonment far <br />knowing violations <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />EX <br />OF ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />LC50 Static Renewal 48Hr Acute <br />SAMPLE <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />Daphnia magna <br />MEASUREMENT <br />TAM3C 1 0 <br />PERMIT <br />*• " *' <br />* * * * ** <br />*' *' *" <br />100 <br />* " * " *' <br />• " "* <br />Quarterly <br />GRAB <br />,Effluent Gross <br />REQUIREMENT <br />MN VALUE <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gathering the information the information submRted is <br />to the best of my knowledge and belief, true accurate and complete i am aware that there are <br />significant penalties for submRfi ng false information including the possibility of fine and imprisonment far <br />knowing violations <br />r f <br />- <br />TELEPHONE <br />DATE <br />' _ <br />1 /�l `I we `_ �, 1 <br />i 1, <br />TYPED OR PRINTED <br />j _ <br />1 C �)� �': t f_�, t/ <br />, <br />f " ✓ (, °;a <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDD /YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A.4 FOR DETAILS OF TESTPROCEDURE. REPORT LOWEST DILUTION(% EFFLUENT) WHICH IS LETHAL TO 50 %OF TEST ORGANISMS (LC50) AND ATTACH ACUTE TOXICITY TEST <br />REPORT FORM TO DMR. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />08/26/2013 <br />Page 1 <br />