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PERMITTEE NAME /ADDRESS (Include Facility Name /Location rf Different) <br />NAME: Twentymile Coal LLC <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 <br />FACILITY: FISH CREEK TIPPLE <br />LOCATION: 29515 ROUTT COUNTY ROAD #27 <br />OAK CREEK, CO 80467 <br />ATTN Patrick Sollars, GM <br />GISC:HARGE MONITORING REPORT (DMR) <br />000036684 001 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />01/01/2014 03/31/2014 <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />(SUBR JC) ROUTT <br />POND "E" DISCHARGE TO FISH CRK <br />External Outfall <br />No Discharge <br />PARAMETER <br />I certify under penalty of lawthat this document and all attachments sere prepared under my direction or <br />supernsron in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted Baszd on my inquiry of the parson or parsons Nno manage the <br />system or those persons directly responsible for gathering the information the information submitted is <br />to the best of my In owledge and belief true accurate and complete I am aware that there are <br />signrfroant penalties for submitting false rmorma ion including the pcssmrlrty of fine and imprisonment fcr <br />hn..ng vrolahon5 <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 />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />" "` <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />' "" <br />'" <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of lawthat this document and all attachments sere prepared under my direction or <br />supernsron in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted Baszd on my inquiry of the parson or parsons Nno manage the <br />system or those persons directly responsible for gathering the information the information submitted is <br />to the best of my In owledge and belief true accurate and complete I am aware that there are <br />signrfroant penalties for submitting false rmorma ion including the pcssmrlrty of fine and imprisonment fcr <br />hn..ng vrolahon5 <br />-- <br />TELEPHONE <br />DATE <br />!; <br />V"i 4l 1-4 6' 5o t-y <br />�k r� <br />f <br />°f Zf Z 3 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />M /DD <br />I 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 OIL & GREASE - SEE I.B.2. 30 DAY AVERAGE IS HIGHEST MONTHLY <br />AVG. DURING PERIOD REPORTED - SEE LC.13 <br />EPA, orny13 LC- i r =;ev C. i /06) PreViOLIS editions may be used. <br />