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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 Greek,—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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00036684 I 001-A <br />PERMITMDISCHARGE <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/YYYY <br />01/01/2011r 03/31/20TV <br />Form Approved <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 />External Outfall <br />No Discharge El <br />PARAMETER <br />Kandy underdensity dtawthatdusdooum®ntandanattachmentsweropreparedundermyd""uono+ <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 />Oil and grease visual <br />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />""" <br />V <br />""" <br />"""` <br />MMIDDJYYYY <br />TYPED OR PRINTED <br />41q6 <br />V'a Veli <br />PERMIT <br />REQUIREMENT <br />""« <br />Req. Mon. <br />INST MAX <br />Y=1;N=0 <br />'««' <br />'..... <br />... <br />."••"• <br />Twice per <br />Month <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />Kandy underdensity dtawthatdusdooum®ntandanattachmentsweropreparedundermyd""uono+ <br />TELEPHONE <br />DATE <br />supervism to accordance with a system designed is, assures that quaiihed personnel properly gather and <br />Iuate the hlforrmam submMed Based an my inquiry of the person or pasmts who manage the <br />system, or Nose persons directly responsdde for gathering the inform d m, the mformet— submitted rs, <br />to the best of my knowledge and befid, true, aceurate, and complete I am aware that there aro sgn&cant <br />er f <br />A' <br />O>O �T Z� <br />f r <br />0 fJ ?��f <br />OFFICER OR <br />%((I/ V�/(�I✓>tSl^�^ <br />� rorsubmmng ralsemformatron, Iridd-ng the p—bilty.(ri- and topnsonmmt far knowing <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />AUTHORIZED AGENT <br />V <br />AREA Code NUMBER <br />MMIDDJYYYY <br />TYPED OR PRINTED <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 />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. 04/02/2015 Page 1 <br />