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PERMITTEE NAME/ADDRESS (include FaclbtyName/Locahbn ifDf//erent) <br />NAME: Twentymile Coal LLC <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 <br />FACILITY: MINES 18,2 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 />C00027154 005-W <br />PERMIT NUMBER DISCHARGE R <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />10/01 /201 12/31/201f; <br />Form Approved <br />OMB No. 20404=4 <br />DMR Mailing ZIP CODE: 80467 <br />MAJOR <br />(SUBR JC) ROUTT <br />ACUTE WET TESTING 005A <br />External Outfall <br />No Discharge 0 <br />PARAMETER <br />I cnbNatM, p—ft of law mat this document and.tl attachments wen prepared under my *ecbon ar <br />supernenminaccoode, o win a system designed to ee o met queNled personnel properly ttathor and <br />rmabon submeed. Bed at my repay of me penton a penwm who manage tin <br />e has <br />viduale mm <br />system. a mole penan Meetly respaatble rot pamermg me mformabon, tin Informaaarr submitted a <br />me best d my bnowiedpe and babel true aecvate erM complete. l am aware mmore ore ore <br />e po%W* of e and rmpraenmant fw <br />momatmVldse information, cludmg mM <br />slpndnm penaWn fa n <br />+— <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 10 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />•`•'•• <br />••"" <br />•"••• <br />"?� <br />0 U <br />'••'•• <br />"•`•` <br />PERMIT <br />REQUIREMENT <br />•••'•' <br />"'••• <br />••'•'« <br />100 <br />MN VALUE <br />""" <br />""`• <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cnbNatM, p—ft of law mat this document and.tl attachments wen prepared under my *ecbon ar <br />supernenminaccoode, o win a system designed to ee o met queNled personnel properly ttathor and <br />rmabon submeed. Bed at my repay of me penton a penwm who manage tin <br />e has <br />viduale mm <br />system. a mole penan Meetly respaatble rot pamermg me mformabon, tin Informaaarr submitted a <br />me best d my bnowiedpe and babel true aecvate erM complete. l am aware mmore ore ore <br />e po%W* of e and rmpraenmant fw <br />momatmVldse information, cludmg mM <br />slpndnm penaWn fa n <br />+— <br />/ _ a <br />(j ` . <br />�, (I— ///de <br />TELEPHONE DATE <br />t <br />R L <br />l TIS j (� 1 DC7 I I C7 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />ArtFa t:oda I NUMBER MNUDDlYYYY <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.01106) Previous editions may be used. 08/26/2013 Page 1 <br />