Laserfiche WebLink
PARAMETER <br />] ,erhh under penult) of law that thin datum. and all attachments were prepared under ml. direction or <br />ry supe ninae,ordmmr, thasystaudesignedtoassuretha tquahtiedpersonalproperb gather and <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 />LC50 Statre 48Hr Acute D Magna <br />TAM3C 1 0 <br />Effluent Gross <br />MEASUREMENT <br />MMIDD/YYYY <br />7( (, L <br />*e *acct <br />* * * * #* <br />/� <br />V <br />pi 2 <br />(r,t <br />PERMIT <br />REQUIREMENT <br />100 <br />MN VALUE <br />n,, <br />Quarterly <br />GRAB <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICE <br />] ,erhh under penult) of law that thin datum. and all attachments were prepared under ml. direction or <br />ry supe ninae,ordmmr, thasystaudesignedtoassuretha tquahtiedpersonalproperb gather and <br />f __. <br />L <br />/ t I } -/ lY�� / <br />, /C :.( <br />TELEPHONE <br />DATE <br />j� ` <br />/ S �'� 4 r <br />'U <br />�r "aG n Y �; <br />0,/ r` ,.�` <br />1 <br />I I A information submitted Based our mV inquiry of the person or persons who manage the <br />s, stein or those persons directly responsible for gathering the information the information submitted u <br />m the bent tit nn knwmle and beat, , tn�c. accurate and complero I am aware that there are srgmti cant <br />pena�a tor submitting false mfom na <br />.nron ��ndmg mi pns,mdin of ti and na impn n, <br /><onnm mm, for knowing <br />i t <br />f" <br />r7c <br />.� <br />7G � '� SCE <br />( i / /G �• ( <br />!!! <br />`_^ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different) <br />NAME: <br />ADDRESS: <br />FACILITY: <br />LOCATION: <br />Twentymile Coal Company <br />29515 Routt CR 27 <br />Oak Creek, CO 80467 <br />MINES 1&2 AND ECKMAN PARK MINE <br />29515 RCR #27 <br />OAK CREEK, CO 80467 <br />ATTN: JERRY NETTLETON, ENV SUPERVISR <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 />C00027154 <br />PERMIT NUMBER <br />005 -W <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 />DMR Mailing ZIP CODE: 80467 <br />MAJOR <br />(SUBR JC) ROUTT <br />ACUTE WET TESTING 005A <br />External Outfall <br />03/31/2011 <br />Form Approved <br />OMB No 2040 -0004 <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A.4 FOR DETAILS OF TESTPROCEDURE REPORT LOWEST DILUTION(% EFFLUENT) WHICH IS LETHAL TO 50%0F TEST ORGANISMS (LC50) AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />Page 1 <br />