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PERMITTEE NAME/ADDRESS (Include Facility NamelLocation 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 />IVHIIUNALI ULLUTANI UlzUMAKlACCLIMINAIIUNJYJItM(NI'UtJ) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00036684 001-A <br />PERMIT NUMBER DISCHARGE <br />NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />10/01/201(r 12/31/2010 <br />r-orm npproveo <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 />Extemai Outfall <br />No Discharge <br />PARAMETER <br />I`xNfyurderpenalyoflwthelthis document and apettachmantsx prepared under mydhedionof <br />supervubn In accordance weh a syslem designed to aasura that qualified personnel property gather and <br />evaluate the Informeton submitted Sawa on my tnqurY of ft person or persons who manage the <br />system, or those persons dkedy reepaWok for gathering the nformahorn Me Informatbn subMled ls <br />my, krlsdge and baAW. 4ue. a."a. and mmplala I am awue that there are sgnrfiurd <br />to fel bast M ww <br />penalges for eubrtdtkng false mformabon, moiling the possibility of Am and imprisonment for krwvong <br />"1010a"a <br />QUANTITY OR LOADING QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oiland grease visual <br />8406610 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />Ye'•"• <br />'•••" <br />ft✓ <br />••"" <br />..•••. <br />...••. <br />0K7 <br />! <br />j <br />PERMIT <br />REQUIREMENT <br />•••••" <br />Req. Mon. <br />INST MAX <br />Y=1;N=0 ,'••" <br />'•,•'• <br />„'•" <br />"'•'• <br />Twice per <br />I Month <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I`xNfyurderpenalyoflwthelthis document and apettachmantsx prepared under mydhedionof <br />supervubn In accordance weh a syslem designed to aasura that qualified personnel property gather and <br />evaluate the Informeton submitted Sawa on my tnqurY of ft person or persons who manage the <br />system, or those persons dkedy reepaWok for gathering the nformahorn Me Informatbn subMled ls <br />my, krlsdge and baAW. 4ue. a."a. and mmplala I am awue that there are sgnrfiurd <br />to fel bast M ww <br />penalges for eubrtdtkng false mformabon, moiling the possibility of Am and imprisonment for krwvong <br />"1010a"a <br />l� <br />TELEPHONE DATE <br />970 t4'70 Z7SU �/ ( <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />erten toes NUMBER MM/DDIYYYY <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 5.011- & GREASE - SEE I.B.2. 30 DAY AVERAGE IS HIGHEST MONTHLY <br />AVG. DURING PERIOD REPORTED - SEE I.C.13. <br />