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PARAMETER <br />I certify under penalty of law that the document and all attachments were prepared under my dtrecnon or <br />super lion in a«ordance with a system designed to assure that qualified personnel properly gather and <br />aluatc the i ifo t ub rte i B sed on my mgwry of the person or persons who manage the <br />system, or those persons &reedy responsible for gathering the infmmanon, the formauon submitted is <br />m <br />w the best ufmy knowledge and belief, we, accurate, and complete 1 am aware thin there are signlCcam <br />penalties for submntmg false information, including the posstbdity of and impnsonment for know mg <br />of t s <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 />%Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />�' <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />MN VALUE <br />ok <br />Quarterly <br />GRAB - 3 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that the document and all attachments were prepared under my dtrecnon or <br />super lion in a«ordance with a system designed to assure that qualified personnel properly gather and <br />aluatc the i ifo t ub rte i B sed on my mgwry of the person or persons who manage the <br />system, or those persons &reedy responsible for gathering the infmmanon, the formauon submitted is <br />m <br />w the best ufmy knowledge and belief, we, accurate, and complete 1 am aware thin there are signlCcam <br />penalties for submntmg false information, including the posstbdity of and impnsonment for know mg <br />of t s <br />TELEPHONE <br />DATE <br />o { <br />/ =� / �. s / / '� <br />\/ ` / (� <br />. _/ <br />6 " � V /- r �`1- ` 1' <br />I <br />7(l Z 7 <br />/' <br />/ <br />C �/ 7 / �� <br />l <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />tt <br />M /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.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) kc A_ <br />DISCHARGE MONITORING REPORT (DMR) <br />, � y " \ <br />e-g (S <br />FROM <br />C00036684 <br />PERMIT NUMBER <br />001 -X <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />01/01/2012 <br />MM/DD/YYYY <br />03/31/2012 <br />TO <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />(SUBR JC) ROUTT <br />CHRONIC WET TESTING FOR 001A <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 />SEE PART I.A 4 OF PERMIT FOR DETAILS OF TEST PROCEDURE. RPT LOWEST %AT WHICH STATISTICALLY SIGNIF DIFFBTWN TEST & CONT USING TEST CODE "5 ". RPT IC25 USING TEST CODE "P ".ATTACH CHRONIC TOX <br />TEST RPT TO DMR. <br />07/27/2011 Page 2 <br />