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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in eeeordenee with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted. Eased on my inquiry of the person or person who manage the <br />' ystem, or those persons directly responsible for gathering the information, the information submitted submitted is <br />o the best of my knowledge and belief, tote, accurate, and complete. I am aware that there are significant <br />penalties for submitting false information, including the possibility of tine and imprisonment for Wtmr'ing <br />al tans <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 />p H <br />0040010 <br />Effluent Gross <br />MEASUREMENT <br />*.. <br />TYPED OR PRINTED <br />6- <br />t1 <br />V <br />/ <br />1 / "7 <br />e <br />ins' t/ <br />PERMIT <br />REQUIREMENT <br />6.5 <br />MINIMUM <br />* " ** <br />9 <br />MAXIMUM <br />SU <br />Weekly <br />INSITU <br />S olids, total suspended <br />0053010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />... *.. <br />23 . 3 <br />1- f 3 <br />1) <br />K.7 <br />P <br />y' <br />*. *,. <br />*.. * *. <br />. *. *.* <br />PERMIT <br />REQUIREMENT <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 />AIA- <br />6 <br />11d7 <br />/U <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 />2 C' i <br />2 j 3 <br />* * * *.. <br />,,,.., <br />td <br />U <br />f` /7 <br />7 <br />t r <br />.. * * *. <br />. * * * ** <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />Mgal /d <br />" " *' <br />*' *•** <br />Weekly <br />INSTAN <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />0 <br />* * * *.. <br />* * * * ** <br />V <br />VSS t( <br />* *. * ** <br />* * * * ** <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />' " "' ** <br />*' *"• <br />Weekly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in eeeordenee with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted. Eased on my inquiry of the person or person who manage the <br />' ystem, or those persons directly responsible for gathering the information, the information submitted submitted is <br />o the best of my knowledge and belief, tote, accurate, and complete. I am aware that there are significant <br />penalties for submitting false information, including the possibility of tine and imprisonment for Wtmr'ing <br />al tans <br />TELEPHONE <br />DATE <br />/^ % ,,./ _,...+- <br />,(�,/ <br />V`JY ice., ` r� <br />Y t y <br />�, 1 <br />. r , <br />t e <br />(� J t J <br />/ <br />( --" <br />q /jj <br />�r U f �- C, , <br />( <br />t <br />! f �r /••� a•", f C <br />C_X / <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />r0 / <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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil & grease - see Part I.D.11, page 6. <br />EPA Form 3320-1 (Rev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHP ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONFI _.JNG REPORT (DMR) <br />FROM <br />COG073534 <br />PERMIT NUMBER <br />001 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />09/01/2011 <br />MM /DD/YYYY <br />09/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />Discharge to Foidel Creek <br />External Outfall <br />Approved <br />..d No. 2040 -0004 <br />No Discharger <br />11/22/2010 Page 1 <br />