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PARAMETER <br />I certdy under penalty of law that this dounent and all attaehmentn were prepared under my dirwdimn m <br />auperv,,,onin ewrdmee with a system designed to assure than qualified personnel properly gather and <br />valuate the Information submmed Based on m} Inquiry of the pernon or pe son who manage the <br />evaluate <br />rso s hrcctl} rc, sP on stble for gathenng the tnfnmtaoon, the information submitted is, <br />system, or those n t <br />t o the best of m knowledge and Mild tme, accurate, and com Iete 1 am aware that there are st gntfeant <br />i o l uhun a mr: unmtnngtals emmmattnn .tncwmnsmepn.thdtyutrnea mhrtsm,menttmu,uwIng <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 />( (ry ((/ <br />/ 6 /C <br />U <br />'7 2 <br />G . r.. io <br />._, <br />PERMIT <br />REQUIREMENT <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 />013221 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />, . <br />Jt <br />G <br />7 /C 2 <br />` <br />Jt , 6 <br />PERMIT <br />REQUIREMENT <br />Req Mon <br />30DA AVG <br />Req Mon <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Selenium, potentially dissolvd <br />013231 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />, <br />G . 7 <br />C . <br />c <br />/ <br />�r a <br />G -r t 6 <br />...... <br />PERMIT <br />REQUIREMENT <br />Req Mon. <br />30DA AVG <br />Req Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />M ercury, total (as Hg) <br />71900 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />'a <br />- • <br />`� (.' `= <br />L"' <br />'4 <br />G r.,.6 <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Req Mon <br />30DA AVG <br />Req Mon <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certdy under penalty of law that this dounent and all attaehmentn were prepared under my dirwdimn m <br />auperv,,,onin ewrdmee with a system designed to assure than qualified personnel properly gather and <br />valuate the Information submmed Based on m} Inquiry of the pernon or pe son who manage the <br />evaluate <br />rso s hrcctl} rc, sP on stble for gathenng the tnfnmtaoon, the information submitted is, <br />system, or those n t <br />t o the best of m knowledge and Mild tme, accurate, and com Iete 1 am aware that there are st gntfeant <br />i o l uhun a mr: unmtnngtals emmmattnn .tncwmnsmepn.thdtyutrnea mhrtsm,menttmu,uwIng <br />/` <br />TELEPHONE <br />DATE <br />( <br />�f 5 Jv'7 <br />V ( <br />131 / ' u n f v -A l ` <br />// <br />XJ, 4 `6 = � <br />✓✓ <br />C I '�, L am; <br />� <br />/2 2C' l <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <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 />FACILITY: <br />LOCATION: <br />FISH CREEK TIPPLE <br />29515 ROUTT COUNTY ROAD #27 <br />OAK CREEK, CO 80467 <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 />C00036684 <br />PERMIT NUMBER <br />MON -1 <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />10/01/2011 <br />MM /DD/YYYY <br />12/31/2011 <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 Discharge <br />07/27/2011 Page 2 <br />