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PERMITTEE NAME/ADDRESS (includes Facility Name/Location if Different)
<br />NAME TWENTYMILE COAL COMPANY
<br />ADDRESS MINES 1,2&3 SOUTH, & ECKMAN PK
<br />29515 RCR #27
<br />FACILITY LOCATION OAK CREEK, CO 80467
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) MAJOR
<br />DISCHARGE MONITORING REPORT (DMR) (SUBR JC)
<br />F - FINAL ROUTT
<br />MINE 1, POND T TO FOIDEL CREEK
<br />000027154 002 A 0 Check here if No Discharge
<br />PERMIT NUMBER DISCHARGE NUMBER NOTE: Read Instructions before completing form
<br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor YEAR MO DA MONITORING Y PERIOD YEAR MO DAY
<br />10 01 01 TO 10 01 31
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachments were prepared under
<br /> / TELEPHONE DATE
<br />
<br />Brian A. Watterson, P.G.
<br />l
<br />i
<br />t
<br />my direction or supervision in accordance with a system designed to assure that qualified
<br />personnel properly gather and evaluate the information submitted. Based on my inquiry of 4
<br />4
<br />970 870 - 2750
<br />ft
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<br />Geo the person or persons who manage the system, or those persons directly responsible for
<br />gathering the information, the information submitted is, to the best of my knowledge and belief SIGNATURE OF PRINCIPAL
<br />OFFICER OR AUTHORIZED AGENT /
<br />V
<br /> , AREA CODE NUMBER YEAR MO DAY
<br />
<br />TYPE OR PRINTED
<br />cnneneCn1rc AAnI CYDI An1AT1nn1 !1C AhlV III- n true, accurate, and complete. I am aware that there are significant penalties for submitting
<br />false information, including the possibility of fine and imprisonment for knowing violations.
<br />• ter, nvo Ineieience au duacnmenrs here/
<br />ALTERNATE LIMITS FOR TSS & SETTLEABLE SOLIDS (LOC'O') APPLY ONLY IF <= 10=YR,24-HR PRECIP EVENT CLAIMED.
<br />SEE PART I.A.4., PG. 8 FOR BURDEN OF PROOF REQUIREMENTS. OIL & GREASE - SEE 1.B.1.D, PG. 11.
<br />EPA Form 3320-1 (REV 3/99) Previous editions may be used
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<br />00059/010320-1132
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