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PERMITTEE NAMEIADDRESS (includes Facility Name /Location if Different) <br />NAME TWENTYMILE COAL COMPANY <br />ADDRESS MINES 1 & 2 SOUTH, & ECKMAN PK <br />29515 RCR 427 <br />FACILITY LOCATION OAK CREEK, CO 80467 <br />ATTN: Mc Jerry Nettleton, Env Manager <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />MINOR <br />DISCHARGE MONITORING REPORT (DMR) <br />(SUBR JC) <br />NO. <br />EX <br />F - FINAL ROUTT <br />SAMPLE <br />TYPE <br />ACUTE WET TESTING FOR 001A <br />C00042161 <br />UNITS <br />001 W <br />AVERAGE <br />X Check here if No Discharge <br />PERMIT NUMBER <br />.LC50 STATRE 48HR ACU <br />D. MAGNA <br />TAM3C 1 0 0 <br />EFFLUENT GROSS VALUE <br />DISCHARGE NUMBER <br />" "" <br />NOTE: Read Instructions before completing this form <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />14 10 01 TO L 14 12 31 <br />PARAMETER <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF <br />ANALYSIS <br />SAMPLE <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />.LC50 STATRE 48HR ACU <br />D. MAGNA <br />TAM3C 1 0 0 <br />EFFLUENT GROSS VALUE <br />SAMPLE <br />MEASUREMENT <br />" "" <br />..... <br />"' " <br />",... <br />(23) <br />PERCENT <br />PERMIT <br />REQUIREMENT <br />" "" <br />" "" <br />100 0001 <br />MN VALUE <br />... <br />" "" <br />QTRLY grab <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I Certify under penalty of law that this document and all attachments were prepared under <br />my direction or supervision in accordance with a system designed to assure that qualified <br />personnel properly gather and evaluate the information submitted. Based on my inquiry of <br />the person or persons who manage the system, or those persons directly responsible for <br />gathering the information, the information submitted is, to the best of my knowledge and belief, <br />true, accurate, and complete. I am aware that there are significant penalties for submitting <br />false information, including the possibility of fine and imprisonment for knowing violations. <br />fJ� <br />✓ <br />TELEPHONE <br />DATE <br />Brian A. W atterSon, P.G. <br />Geologist <br />970 870 -2750 <br />�EA <br />tr <br />SIGNATURE OF PRINCIPAL <br />OFFICER OR AUTHORIZED AGENT <br />AREA CODE NUMBER <br />MO <br />DAY <br />TYPE OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A.3, PP 5 -7 FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50% OF TEST ORGANISMS (LC50) AND ATTACH ACUTE TOXICITY TEST REPORTFORM TO DMR. <br />TOXICITY TEST REORT FORM TO DMR. COPIES OF ALL INFORMATION MUST BE SENT TO EPA. <br />EPA Form 3320 -1 (REV 3199) Previous editions may be used PAGE 1 OF 1 <br />00005/010129 -1126 <br />