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PARAMETER <br />Icernfy under penalty of law that thts document and all attachmen tswere prepared under mydtreenonor <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />abate the information submitted Based on my Inquiry of the person or persons who manage the <br />system or those persons directly responsible for gmthenng the Information, the Information submnted Is <br />to the best of my knowledge and b true, accurate, and complete 1 am aware that the g firm t <br />lir lee atorsubminmgtal. umtormahmi, mcludmgthepossibdity ottinesodunpnsonmentforknowing <br />o <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 />6 <br />...... <br />G <br />Y-7 <br />V(Sv<t ( <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />I NST MAX <br />Y =1,N =0 <br />Twice Per <br />Month <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Icernfy under penalty of law that thts document and all attachmen tswere prepared under mydtreenonor <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />abate the information submitted Based on my Inquiry of the person or persons who manage the <br />system or those persons directly responsible for gmthenng the Information, the Information submnted Is <br />to the best of my knowledge and b true, accurate, and complete 1 am aware that the g firm t <br />lir lee atorsubminmgtal. umtormahmi, mcludmgthepossibdity ottinesodunpnsonmentforknowing <br />o <br />/ <br />TELEPHONE <br />DATE <br />/ C • '\ / ^ I <br />` i^ V V F' F <br />- 'V v l�- <br />g7G 8 r 7SZ' <br />�i ti /Z• 7,r Z <br />MMIDDIYYYY <br />SIGNATUR OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />I <br />AREA Code NUMBER <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 />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 />POND "E" DISCHARGE TO FISH CRK <br />External Outfall <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 1.8.2. 30 DAY AVERAGE IS HIGHEST MONTHLY AVG. DURING PERIOD <br />REPORTED - SEE I.C.13. <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />07/27/2011 Page 2 <br />