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PERMITTEE NAME/ADDRESS (Include Facility Name /LocationifDifferent) <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 />C00036684 I I 01 Y -X <br />PERMIT NUMBER 1 1 DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />01/01/2015 1 1 03/31/2015 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />(SUBR JC) ROUTT <br />CHRONIC WET TESTING FOR 001A <br />External Outfall <br />No Discharge <br />PARAMETER <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 />%Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />* " * <br />PERMIT <br />REQUIREMENT <br />* " * * ** <br />* * * * ** <br />* * *"`* <br />100 <br />MN VALUE <br />* *" *« <br />" * " * «* <br />% <br />Quarterly <br />GRAB -3 <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I certily under penalty of law that this document and all attachments were prepared under my direction or TELEPHONE DATE <br />supervis— in accordance w+th a system designed to assure that qualrfied personnel property gather and Gi�f <br />enraluate the information submitted. Based on my inquiry of the person or persons who manage the 1 <br />system, or those persons directly responsible for gathering the mfortnabom the Information submitted is <br />_ to the best of my knowledge and belief. true. accurate an complete. mplete. I am aware that there are qq�� <br />1�' 4n W�7 " s'�o�► sgnficant penalties for submitting false information. including the possiMlityoffine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR �%D O /r/ 275 Z4 IS <br />owing — labors. AUTHORIZED AGENT <br />TYPED OR PRINTED AREA Code NUMBER MM/DD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.4 FOR DETAILS OF TEST PROCEDURE. IF THERE IS A STAT DIFF RPTRESULTS ON THIS OUTFALL. IF NOT,RPT "NO DISCHARGE" & COMPLETE OUTFALL 001X. RPT LOWEST % AT <br />WHICH STATISTICALLY SIGNIF DIFF BETWEEN TEST& CONT USING TEST CODE "S ". RPT IC25 USING TEST CODE "P ". ATTACH CHRON TOX TEST RPT TO DMR. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may be used. 11/07/2013 Page 2 <br />