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PARAMETER <br />I cert,t, under penalty of law that this do, tent and all attachments were prepared under ms dtrechon or <br />u s upervns, unm a« ordanee, nthasystemdes, gnedtoas sure thatquaheedpersonnelpropeds gather and <br />'y luat tl f I n h It I B -d n n, inquiry of the person or persons who manage the <br />. stem or those persons directly rolble for gathering Ihe,nformation the information submitted lb <br />to the hest of ms know ledge and belief, true ace note and complete I am aware that there a c s g IL 1 <br />pela ,eestursubmnnngtalse,ntumahun uewa,uglhepusahatn nteneandimpnannmemh,rk knowing <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 />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />« « «. «« <br />* * « « «« <br />TYPED OR PRINTED <br />« « « «« <br />PERMIT <br />REQUIREMENT <br />Req Mon <br />INST MAX <br />Y =1 N =0 <br />•* * <br />Quarterly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I cert,t, under penalty of law that this do, tent and all attachments were prepared under ms dtrechon or <br />u s upervns, unm a« ordanee, nthasystemdes, gnedtoas sure thatquaheedpersonnelpropeds gather and <br />'y luat tl f I n h It I B -d n n, inquiry of the person or persons who manage the <br />. stem or those persons directly rolble for gathering Ihe,nformation the information submitted lb <br />to the hest of ms know ledge and belief, true ace note and complete I am aware that there a c s g IL 1 <br />pela ,eestursubmnnngtalse,ntumahun uewa,uglhepusahatn nteneandimpnannmemh,rk knowing <br />j <br />/ r <br />i ' $ <br />( 1 ( L �L !` <br />TELEPHONE <br />DATE <br />// <br />4) <br />4 r <br />+/ j , ,�,(�, <br />Val '-\ t l `P1 "5Gi�1 <br />` _7 <br />1 <br />/ /( <br />/ / ( (, <br />/ z <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />/ MM /DO/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different) <br />NAME: Twentymile Coal Company <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 <br />FACILITY: <br />LOCATION: <br />MINES 1 &2 AND ECKMAN PARK MINE <br />29515 RCR #27 <br />OAK CREEK, CO 80467 <br />ATTN JERRY NETTLETON, ENV SUPERVISR <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <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 />007 -Q <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) <br />Quarterly Monitoring for 007A <br />External Outfall <br />Form Approved <br />OMB No 2040 -0004 <br />No Discharge <br />03/31/2011 Page 2 <br />