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PARAMETER <br />Icertityunderpenalty ofelawthatthisdocumentandallattachmentswerepreparedundermydircaio nor <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, m those persons directly responsible fur gathering the information, the information submitted is. t <br />to the best of my knowledge tfbelief, Irue, mcenrale mnJ complete. I am aware that : une 'e f an <br />v nr submitting false mfortnat ion, including the possibility of tine and imprisonment for Wto+cine <br />� n <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 />Manganese, potentially dissolvd <br />01319 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />«..<.. <br />,,,... <br />j G� �� <br />C / <br />2 <br />6,--c, 6 <br />PERMIT <br />REQUIREMENT <br />'' " "' <br />" "" <br />" " "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Nickel, potentially dissolvd <br />01322 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.. « «.« <br />. „ «.. <br />.... «. <br />. «,. «, <br />« <br />CG` <br />L- Q 2 <br />l,t r l j <br />PERMIT <br />REQUIREMENT <br />«' " «" <br />" "" <br />"" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Selenium, potentially dissolvd <br />01323 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />... <br />, "..., <br />O .. <br />a. f <br />Q <br />t Z <br />/ <br />G Vit � <br />,..,., <br />PERMIT <br />REQUIREMENT <br />' «'«" <br />" " «' <br />-- <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Mercury, total (as Hg) <br />71900 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,..,.« <br />q ��„ <br />G a • a. <br />f <br />0 <br />zz,, <br />' ✓jC� 'Z <br />/ <br />G.t q,�j <br />.. " «,. <br />PERMIT <br />REQUIREMENT <br />" " «« <br />"' "'" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICE <br />Icertityunderpenalty ofelawthatthisdocumentandallattachmentswerepreparedundermydircaio nor <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, m those persons directly responsible fur gathering the information, the information submitted is. t <br />to the best of my knowledge tfbelief, Irue, mcenrale mnJ complete. I am aware that : une 'e f an <br />v nr submitting false mfortnat ion, including the possibility of tine and imprisonment for Wto+cine <br />� n <br />/7 <br />TELEPHONE <br />DATE <br />� - <br />t vV V'•(� ( J <br />W A cv . 0 � r. f, r '° kt /� d � <br />f <br />�' �{ " c <br />/ - <br />_.. , - <br />(7yrf ¢ -y ` <br />-/ [ �I J (� � V <br />(r <br />v�'L,�' (Z.� t 1 <br />SIGNATUR OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />1/ <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Twentymile Coal Co <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 <br />FISH CREEK TIPPLE <br />29515 ROUTT COUNTY ROAD #27 <br />OAK CREEK, CO 80467 <br />FACILITY: <br />LOCATION: <br />ATTN: JERRY N. NETTLETON, ENV SUPVSR <br />EPA Form 3320-1 (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />000036684 <br />PERMIT NUMBER <br />MON -1 <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY <br />07/01 /2011 <br />MM /DD /YYYY <br />09/30/2011 <br />TO <br />' COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />AFTER 12 MONTHLY SAMPLES HAVE BEENTAKEN, PERMITTEE MAY REQUIEST THATA REASONABLE POTENTIAL ANALYSIS BECONDUCTED. <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />(SUBR JC) ROUTT <br />POND "E" DISCHARGE TO FISH CRK <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharger <br />07/27/2011 Page 2 <br />