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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance wttha system desngneato assure that quahrea personnel prnperh 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 />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />..,,.. <br />«•.••• <br />••••'• <br />r(7 <br />vtS Ve. <br />•• •• <br />PERMIT <br />REQUIREMENT <br />•••••• <br />Req. Mon. <br />INST MAX <br />Y N =0 <br />•••••• <br />Quarterly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance wttha system desngneato assure that quahrea personnel prnperh gather and <br />��� n V _� <br />�- ' <br />� !� <br />TELEPHONE <br />DATE <br />eh z, h �Ce �' f S C N <br />lu l lh • r rot lr bm tl d Bas do y q ry f in per p • s t ho manage the <br />Sr stem or those persons dneetly respo nsrble for galhermg the mfomsahon the inform anon submrlted a <br />to the best of m Knowled c and belief, true accurate and cum lete I am aware that there arc sr mhant <br />mettles for snmm�trng false Information, including the p g <br />pmssrmlrh of rmprsanmanl tor {muttons <br />�7v ? 7 a 'Z CI <br />C 4 ( 2 - 7l( 2- <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />1 t <br />AREA Code I NUMBER <br />MMIDD/YYYY <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 />MENTS 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 />000027154 <br />PERMIT NUMBER <br />007 -Q <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />01/01/201 - <br />MM/DD/YYYY <br />03/31/201'4- <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 />