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PARAMETER <br />I certify under penalty of law that document and all attachments were prepared under my direction or <br />a a l t t in accordance , d assure that qualified person properly gather and <br />al to o the information submitted, Based on my ed on my inn of of the person n or persons s who o manage the <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />pH SAMPLE <br />0040010 <br />Effluent Gross <br />MEASUREMENT <br />.....« <br />...... <br />7 7S <br />«.,... <br />U S' <br />0 <br />t? <br />f <br />►RS. f T V <br />...... <br />PERMIT <br />REQUIREMENT <br />6.5 <br />MINIMUM <br />9 <br />MAXIMUM <br />SU <br />Weekly <br />INSITU <br />Solids, total suspended <br />0053010 <br />Effluent Gross <br />MEASUREMENT <br />� � <br />1.3 'S <br />! 6 <br />/� <br />V <br />16 <br />9 10,6 <br />*� * *« <br />PERMIT <br />REQUIREMENT <br />..' "' <br />.. "" <br />30 <br />30DA AVG <br />45 <br />MX 7D AV <br />mg/L <br />Weekly <br />GRAB <br />Oil and grease <br />0358210 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />.... <br />...... <br />/J t + <br />AM' <br />ivilf <br />il 4 <br />...... <br />PERMIT <br />REQUIREMENT <br />- ---« <br />« « « «. <br />10 <br />INST MAX <br />mg/L <br />Contingent <br />GRAB <br />Flow, in conduit or thru treatment plant <br />50050 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />3 • 7 <br />� c o <br />.. .... <br />...... <br />0 <br />t -, <br />[K5 ^' <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />Mgal/d <br />" "" <br />«"'" <br />«""' <br />Weekly <br />INSTAN <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />0 <br />...... <br />...... <br />0 <br />0 <br />/ ( <br />(7 <br />✓(S Vet r <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />'«' "' <br />Weekly <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that document and all attachments were prepared under my direction or <br />a a l t t in accordance , d assure that qualified person properly gather and <br />al to o the information submitted, Based on my ed on my inn of of the person n or persons s who o manage the <br />/// <br />/J / /� <br />�r /'r <br />TELEPHONE <br />DATE <br />q70 0 (y 70 27g1 <br />p �7 / <br />!{ 2G^ <br />0 7 / 2 7 , <br />/� -/ / • L <br />/q ' (^ a ttp,re-,.q� CS I 4 /S f ' <br />J G <br />q/ �� Jl! v ( / <br />system, or those persons directly responsible for the information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant <br />pe' a submitting false informat ion, including the possibihtyoffine and imprisonment for knowing <br />a <br />SIGNATUR OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code I NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED • <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Twentymile Coal LLC <br />ADDRESS: 29515 CR 27 <br />Oak Creek, CO 80467 <br />FOIDEL CREEK MINE <br />29515 CR 27 <br />OAK CREEK, CO 80467 <br />FACILITY: <br />LOCATION: <br />ATTN: Jason Davis, Mine Mgr <br />FROM <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil & grease - see Part I.D.11, page 6. <br />EPA Form 3320 - (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG073534 <br />PERMIT NUMBER <br />001 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />06/01/2011 <br />MM /DD/YYYY <br />06/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />Discharge to Foidel Creek <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />11/22/2010 Page 1 <br />