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PERMITTEE NAME/ADDRESS (Include Facility Nafne/Locatfon If <br />Ni:" Twentymile Coal Company <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 <br />FACILITY. FOIDEL CREEK MINE <br />LOCATION: 29515 ROUTT COUNTY ROAD 27 <br />OAK CREEK, CO 80467 <br />ATTN: Patrick Sollars, GM <br />NA11UNAL FULLU IAN 1 DZILHAKUt tL1M1NA11UN bYb1tM tNrt)n) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00042161 001-W <br />MI <br />P RT R I DISCHARGENUMBER <br />MONITORING PERIOD <br />MM/DD/YYYYMM/DD/YYYY <br />10/01/2016 12/31/2016 <br />t•orm Approveu <br />OMB No. 2040- 0004 <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />(SUBR JC) ROUTT <br />ACUTE 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 />LC50 Static Renewal 48Hr Acute <br />Daphnia magna <br />TAM3C 1 3 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />****** <br />****** <br />****** <br />88.0001 <br />MN VALUE <br />****** <br />****** <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments sere prepared under on W TELEPHONE DATE <br />direction l property <br />glon,ash in and c, aluce with a system designed to aware that m) lified <br />Inquiry <br />personnel property Father and as aluate the Information submitted. Based on rnY IngWry of the <br />person �or per•nms who manage the system• or thow pr—rin directly responsible for gathering <br />j ,{ �`.. � � n the inforrnaunn• the Information submitted is, to the best of my knmvlcdge and belle(, true. <br />. ,vV i accurate, and complete. I am aware that them are significant penald" for submitting false SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR 970 cF7f1 L 7SZ ©/ <br />TYPED OR PRINTED m <br />nforation, including the possibility of fine and imprisonment for kn,"%"g slolations. AUTHORIZED AGENT <br />AMCode NIRtlBFR D/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A.4, PP 6- 8 FOR DETAILSOF TEST PROCEDURE. REPORT LC50 - STAT. POINT ESTIMATE WHICH IS LETHALTO 50% OF TEST ORGANISMS AND ATTACH ACUTE TOXICITY REPORT <br />FORM TO DMR. <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. 10/12/2016 Page 1 <br />