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PERMITTEE NAME/ADDRESS pncludeF.aciliry Name/Cocafion iJDBemnq <br />NAME <br />TWENTYMILE COAL COMPANY <br />ADDRES~'~I DEL CREEK MIME <br />290IS ROUTT COUNTY RE?A~,It~7:' <br />FACILLrvOAK GRFEK GQ 90467 <br />LocATIOL~AK CREEK ~ CO 80467. <br />ATTr N: GEOf~6E VAJDA~ VIC~~IDENT - <br />PARAMETER <br />. 5-DAY <br />cao DEG. c) <br />10 G O O <br />SEW/INFLUENT. <br />W, IN CONDUIT OR <br />U TREATMENT PLAN <br />so G: a o <br />SEW/INFLU~_ <br /> <br />SAMPLE <br />MEASUREMENT /p ~ <br />7 O r <br />~ <br /> ~ <br />SAMPLE <br />MEASUREMENT <br />1 / <br />o l ~ l' <br />O <br /> r <br />SAMPLE <br />MEASUREMENT <br /> P.i. F,k_ <br />kY., <br /> • <br /> <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />SAMPLE <br />MEASUREMENT <br />~~.. , <br />NATIONAL POLLUTANT DISC HARGE ELIMINATION SYSTEM (NPDESJ Form Approved. <br />DISCHARGE MONLTORING REPORT (DMA) OMB N0. 2040-0004 ' <br /> <br />' MINDR <br />-„ ` <br />.' <br />` GUAR NW ) <br />PERMIT NUMB ' ISCHARGE NUMBER <br />',~~' F ~ FINAL ROUTT <br />MO ERIOD IIIJf'LUEUF3 MEASUREMENTS <br />YEAR MO D YEAR MO DAY ~'I ~°~ <br />~ <br />FROM 99 O 99 ~DISCHARCEE' <br />b I ~k+'I~ <br />I <br />fo <br />m <br />i <br />thi <br />Z`3 <br /> ef <br />Read Instrudions s <br />ore <br />mplet <br />ng r <br />. <br />TY OR LOADING QUANTITY OR CONC TION ~ NO. PREOUENC .SAMPLE <br />- ~F>( oP TYPE <br />MAXIMUIv(j., ', r}~jYITS MINIMUM . AVERAGE MAXIMUM .Uh1LTS ~''V"!'~is <br />3a~; b~ ly'~ ' ao g aa~ H,iq~ ~ ~ ~ <br />_ <br /> <br />i ' ~; <br />',w . <br /> <br />vr:~~~, < 03) ,rltitu ~+I-#+I•~ ->N ax~at~*~ 'Z~ .IdStq i <br /> <br /> <br />'a . <br />ii. <br /> NAME/TITLEPRINCIPAL EXECDTIVE OFFICER Icemry under penalty otlaw mat@Il s dpcument and ellenachmenls were :.~ TELEPHONE ~ DATE <br /> ' prepared under my tlireclion or super415ion In accortlance wim a system designatl <br />~ <br />// <br /> <br />;Ctlar(~-. MI(IIS evalPate the lMarmatlon <br />'to assure that qualifietl personmTp,operlygathdTand <br />e the s <br />n <br />i <br />un o <br />bn <br />whG mena <br />stem <br />b <br />itt <br />d <br />B <br />d <br />i <br />tYh <br />r , - <br />/ <br />/ <br />' g7D 870 27'I2' <br />. DO 03 07 <br /> <br />l AA <br />E <br />i <br />t ry p <br />rpers <br />g <br />y <br />, <br />su <br />m <br />e <br />. <br />ase <br />o <br />my <br />nqu <br />epe <br />s <br />s <br />the inlormetion <br />thadn <br />the mbrmalion <br />th <br />ersons directl <br />iple for g <br />n ~ <br />.r•~ -G <br />4 <br />/ . <br /> nv <br />anager <br />ronmen <br />a g <br />, <br />or <br />ose p <br />y mspo <br />a <br />a <br /> subminrid is , to the best of myknowledge and belie[ true, accurate, end complete. RE OF PRINCIPAL EXECUTIVE <br />SIGN <br /> <br />TYPED OR PRINTED I am aware that Ihere are si pdram penalties for submitting lalse inlonnation, <br />inctudiri the assib'" or'rrearld irn isonnrent brkrrowi vaklbns. ~ <br />OF ICER OR AUTHORIZED AGENT A <br />N~JMBER ~ <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RelerenCe al(~ chmenLS hare) ~ . ~ ~• -~. <br />IN#'LUENT SAMPLES MUST BE COLLECTED &::ANALY2ED MONTHLY AND ~EPORTED QUARTERLY REBARDL;~B$ OF WHETHER AN <br />EFFLUENT DISCHARGE OCCUR6 . HYDRAULIC CAPACITY = 0.015 MGD: ORGANIC CAPACTIY 31.2 '9 SOD-5/pAY: <br />,... <br />EPw orDt332p•t(REIl 3fr9g}~,~PYeVious editions may be :usyd. ~ THI ~ ~ ART FORM PAGE OF <br />1 <br />,. .. ), . 040~1/00022Z,. <br />