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PARAMETER <br />1 ccrtdj under penalty of law that this document and all attachments were prepared under my ducitmn or <br />supervtsmnin accordmae with a system designed to assort that qualified personnel properly gather and <br />I I II fo t o • b t nod Based on ink inquiry of the person or pc .on who manage the <br />system or those person directly resp nvblc for gathenng the mf rmanon the mformanon submiucd Is <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are s■gnifcant <br />pe t nuns l Includingthepossihth Alum ty otrink sodtmprrsonmenttorArg <br />a <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 />Oil and grease visual <br />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,., <br />/ <br />G ` <br />,,,,,, <br />7 <br />V t. - t ( <br /><.. >.. <br />,,,, <br />PERMIT <br />REQ UIREMENT <br />Req Mon <br />INST MAX <br />Y =1.N =0 <br />.. - * <br />Twice Per <br />Month <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />1 ccrtdj under penalty of law that this document and all attachments were prepared under my ducitmn or <br />supervtsmnin accordmae with a system designed to assort that qualified personnel properly gather and <br />I I II fo t o • b t nod Based on ink inquiry of the person or pc .on who manage the <br />system or those person directly resp nvblc for gathenng the mf rmanon the mformanon submiucd Is <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are s■gnifcant <br />pe t nuns l Includingthepossihth Alum ty otrink sodtmprrsonmenttorArg <br />a <br />t _-, -> <br />/ / . 0 .- <br />..J = `I �` C....- / <br />TELEPHONE <br />DATE <br />c� 7t 0 L 7 3( <br />t /Z /z t a <br />/31,-((,,,,' V A t e# j(i---7 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />MMIDDIYYYY <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 />001 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />M M/D D/YYYY <br />10/01/2011 <br />MM /DD/YYYY <br />12/31/2011 <br />TO <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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS LIMIT WILL BE WAIVED FOR 10YR,24HR PRECIP EVENT - SEE BURDEN OF PROOF REQUIREMENTS UNDER I.A.4, PG 5 OIL & GREASE - SEE I.B 2. 30 DAY AVERAGE IS HIGHEST MONTHLY AVG. DURING PERIOD <br />REPORTED - SEE I.C.13. <br />07/27/2011 Page 2 <br />