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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: FISH CREEK TIPPLE <br />LOCATION: 29515 ROUTT COUNTY ROAD #27 <br />OAK CREEK, CO 80467 <br />ATTN: Patrick Sollars, GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C000366M 001 -A <br />PERMIT NUMBER ISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />01/01/2015 03/31/2015 <br />Form Approved <br />OMB No. 2040 -0004 <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 />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />I 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 />8406610 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />* * * *" <br />' " «" <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />Twice Per <br />Month <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments %wre prepared under my direction or , ��� TELEPHONE DATE <br />supervision to accordance wth a system designed to assure that qualified personnel properly gather and <br />evaluate the in 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 mformaton submitted is, M, q % <br />r ��. to the best of my knovdedge and belief. true, accurate, and complete 1 am aware that there are b Z7J V V Z d/ (� <br />k/a *e;-s&7 significant penalties for submlmngfalse information. including the possibility of fine and impnsonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR /�G 1jGt <br />TYPED OR PRINTED nowng molations. AUTHORIZED AGENT <br />AREA Cod® NUMBER MM /DD/YYYY <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 1.B.2. 30 DAY AVERAGE IS HIGHEST MONTHLY <br />AVG. DURING PERIOD REPORTED - SEE I.C.13. <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 11/07/2013 Page 2 <br />