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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) MAJOR <br />PERMITTEE NAMEIADDRESS (includes Facility Name /Location if Diffen DISCHARGE MONITORING REPORT (DMR) (SUBR JC) <br />F - FINAL ROUTT <br />NAME TWENTYMILE COAL COMPANY POND DISCHARGE TO FISH CRK <br />ADDRESS FISH CREEK TIPPLE C00042161 MON 1 XX Check here if No Discharge <br />29515 ROUTT COUNTY ROAD # 27 PERMIT NUMBER DISCHARGE NUMBER NOTE: Read Instructions before completing this form <br />FACILITY LOCATION OAK CREEK, CO 80467 <br />FISH CREEK TIPPLE MONITORING PERIOD <br />ATTN: OAK CREEK CO 80467 YEAR MO DAY I YEAR MO DAY <br />ATTN: JERRY N. NETTLETON, ENV SUPVSI 14 1 07 1 01 TO P 14 09 30 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />INFLUENT SAMPLES MUST BE COLLECTED & ANALYZED MONTHLY AND REPORTED QUARTERLY REGARDLESS OF WHETHER AN EFFLUENT DISCHARGE OCCURS. HYDRAULIC CAPACITY = 0 015 MGD; <br />ORGANIC CAPACITY = 31.2 LBS BOD- 5IDAY. <br />EPA Form 3320 -1 (REV 3199) Previous editions may be used PAGE 1 OF 2 <br />00397/010709 -1126 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />NO. <br />OF <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />EX <br />ANALYSIS <br />ARSENIC, TOTAL <br />SAMPLE " " "' "" <br />" " " "' <br />"' "'• <br />(28) <br />(AS AS) <br />MEASUREMENT <br />01002 1 0 0 <br />PERMIT <br />""" <br />""" <br />" "" <br />»«"� <br />REPORT <br />REPORT <br />ONCE! <br />EFFLUENT GROSS VALUE <br />REOUIREMEM <br />300A AVG <br />DAILY MX <br />UG/L <br />PER MONTH <br />GRAB <br />ZINC, POTENTIALLY <br />SAMPLE " " "" <br />" " "' "" <br />" " "" <br />(28) <br />DISSOLVED <br />MEASUREMENT <br />01303 1 0 0 <br />" "" <br />PERMIT <br />"" """" <br />""" <br />'""""' <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQ111 <br />30DA AVG <br />DULY MX <br />UGIL <br />PER MONTH <br />GRAB <br />SILVER, POTENTIALLY <br />SAMPLE I ' " " " "" <br />" "" <br />" "" <br />(28) <br />DISSOLVED <br />MEASUREMENT <br />01304 1 0 0 <br />• «•« <br />PERMIT <br />"'" "" <br />" " " " "" <br />,• »•• <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQUIRE <br />30DA AVG <br />DULY MX <br />UG/L <br />PER MONTH <br />GRAB <br />COPPER, POTENTIALLY <br />SAMPLE ' « "' <br />' " "" <br />« "" <br />(28) <br />DISSOLVED <br />MEASUREMENT <br />01306 1 0 0 <br />PERMIT <br />"«" <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQUI <br />300A AVG <br />DAILY MX <br />UG/L <br />PER MONTH <br />GRAB <br />CADMIUM <br />SAMPLE I " " " " " " "" <br />" " " " " " " "" <br />" « " " " " "• <br />-28 <br />POTENTIALLY DISSOLVD <br />MEASUREMENT <br />01313 1 0 0 <br />. " " " "" <br />PERMIT <br />" " " " " "" <br />""""' <br />""""" <br />REPORT <br />REPORT <br />ONCER! <br />EFFLUENT GROSS VALUE <br />REQUIREME <br />d <br />30 DA AVG <br />DAILY MX <br />UG/L <br />PER MONTH <br />GRAB <br />CHROMIUM TRIVALENT, <br />SAMPLE <br />" "" <br />' " " " "" <br />(28) <br />POTENTIALLY DISSOLVD <br />MEASUREMENT <br />01314 1 0 0 <br />" "" <br />PERMIT <br />""' "' <br />" " " " "" <br />"`" " "" <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQUIRE <br />300A AVG <br />DAILY MX <br />UG/L <br />MONTH <br />GRAB <br />LEAD, <br />SAMPLE •••••• <br />«•••• <br />••• «• <br />(28) <br />POTENTIALLY DISSOLVD <br />EASUREMENT <br />01318 1 0 0 <br />" "" <br />PERMIT <br />""'"'" <br />" """" <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQUIREM <br />300A AVG <br />DAILY MX <br />UG/L <br />MONTH <br />GRAB <br />NAMEfrITLE 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 />� <br />TELEPHONE <br />DATE <br />Brian A. Watterson, P.G. <br />Geologist <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 />970 870-2750 <br />I <br />J <br />j <br />SIGNATURE OF PRINCIPAL <br />AREA CODE NUMBER <br />Y <br />MO <br />DAY <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 />OFFICER OR AUTHORIZED AGENTj <br />TYPE OR PRINTED <br />false information, Including the possibility of fine and Imprisonment for knowing violations <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />INFLUENT SAMPLES MUST BE COLLECTED & ANALYZED MONTHLY AND REPORTED QUARTERLY REGARDLESS OF WHETHER AN EFFLUENT DISCHARGE OCCURS. HYDRAULIC CAPACITY = 0 015 MGD; <br />ORGANIC CAPACITY = 31.2 LBS BOD- 5IDAY. <br />EPA Form 3320 -1 (REV 3199) Previous editions may be used PAGE 1 OF 2 <br />00397/010709 -1126 <br />