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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: MINES 1 &2 AND ECKMAN PARK MINE <br />LOCATION: 29515 RCR #27 <br />OAK CREEK, CO 80467 <br />ATTN: Patrick Sollars, GM <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000027154 <br />I 005 -W <br />PERMIT NUMBER I <br />I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />I <br />I MM /DD/YYYY <br />01/01/2015- <br />UNITS <br />1 03/31 /201 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 <br />MAJOR <br />(SUBR JC) ROUTT <br />ACUTE WET TESTING 005A <br />External Outfall <br />No Discharge = <br />PARAMETER <br />I certify under penafty of law Out this document and all aftachments were prepared uocfly ch"ecuori a, <br />supervision in accordance with a system designed to assure that qualified personnel pro pedygather and <br />valuate the information submitted. Based an my Inquiry of the person or persore who manage the <br />system, or those persons directly responsible for gathering the information, the information submitted is <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br />significant penalties for submitting false information. including the possiblity of fine and impritionment for <br />mwngviolabons. <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 />LC50 Static Renewal 48Hr Acute <br />Daphnia magna <br />TAM3C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />* * ~ * ~~ <br />* * * * ** <br />* * * * ~* <br />;;7( C) <br />~ ~ ~ * ** <br />* ~ * ~ ** <br />PERMIT <br />REQUIREMENT <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />100 <br />MN VALUE <br />" " * * ** <br />* * " * ** <br />% <br />Quarterly <br />GRAB <br />NAME /11TLEPRINCIPAL EXECUTIVE OFFICER <br />I certify under penafty of law Out this document and all aftachments were prepared uocfly ch"ecuori a, <br />supervision in accordance with a system designed to assure that qualified personnel pro pedygather and <br />valuate the information submitted. Based an my Inquiry of the person or persore who manage the <br />system, or those persons directly responsible for gathering the information, the information submitted is <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br />significant penalties for submitting false information. including the possiblity of fine and impritionment for <br />mwngviolabons. <br />TELEPHONE DATE <br />^J <br />_ _ <br />�wledge <br />�i �? �C S 7 <br />J V r <br />S IGNATUREOF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />ARFJ1 Code <br />NUMBER MM/DD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A.4 FOR DETAILS OF TESTPROCEDURE. REPORT LOWEST DILUTION(% EFFLUENT) WHICH IS LETHAL TO 50 %OF TEST ORGANISMS (LC50) AND ATTACH ACUTE TOXICITY TEST <br />REPORT FORM TO DMR. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 08/2612013 Page 1 <br />