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PARAMETER <br />I cenify under penalty of law that this dovumcnt and all attachments were prepared under my dire�tmn or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />nalu�t the information submitted Based on my Inquiry of the person or person who manage the <br />system, or those persons dveetly responsible for gathering the Information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate and complete I am aware that there are significant <br />pe ial for submitting false information, including the possibility of fine and imprisonment for 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 />Arsenic, total (as As) <br />01002 1 0 <br />Effluent Gross <br />MEASUREMENT <br />! v 6 <br />/ , t <br />Q <br />3 //q ( <br />641:( b <br />PERMIT <br />REQUIREMENT <br />" "" <br />" "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Zinc, potentially dissolved <br />01303 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />*le***. <br />,.. .., <br />tD i <br />Gt <br />L> <br />\3 C(( <br />G� rc,1, <br />PERMIT <br />REQUIREMENT <br />"`` "" <br />" " "' <br />""" <br />Req Mon. <br />30DA AVG <br />Req Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Silver, potentially dissolved <br />01304 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.. <br />•‘L 0 '5 <br />=(1 - s <br />:37 (if <br />r� <br />` r c. !9 <br />...., <br />.,, <br />...... <br />PERMIT <br />REQUIREMENT <br />" "" <br />' "' "" <br />" "" <br />Req Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Copper, potentially dissolved <br />01306 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />. <br />..... <br />l • 0 <br />I., <br />U <br />3 �I <br />G~!/ t <br />PERMIT <br />REQUIREMENT <br />"` "" <br />" "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Cadmium, potentially dissolvd <br />P Y <br />01313 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />-- <br />...... <br />...... <br />4 0 • <br />..0 ' z <br />6 <br />t ' R/ <br />G. f i Gt/� <br />PERMIT <br />REQUIREMENT <br />" "" <br />" "" <br />" "` "` <br />Req. Mon. <br />30DA AVG <br />Req. Mon <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Chromium, trivalent, potentially <br />dissolvd <br />01314 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />-- <br />...... <br />... <br />- Ct . 5 <br />.(c. c <br />is <br />- <br />c e , . (j <br />...... <br />PERMIT <br />REQUIREMENT <br />" "" <br />" "" <br />" "" <br />Req. Mon. <br />30DA AVG <br />Req. Mon <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Lead, potentially dissolvd <br />01318 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMEN <br />.... <br />... <br />' �- <br />G 0 <br />v <br />° S <br />�L W�� <br />PERMIT <br />REQUIREMENT <br />""" <br />Req Mon <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I cenify under penalty of law that this dovumcnt and all attachments were prepared under my dire�tmn or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />nalu�t the information submitted Based on my Inquiry of the person or person who manage the <br />system, or those persons dveetly responsible for gathering the Information, the information submitted is, <br />to the best of my knowledge and belief, true, accurate and complete I am aware that there are significant <br />pe ial for submitting false information, including the possibility of fine and imprisonment for knowing <br />�- ------ �` °,- <br />(Z-. l _ <br />I, <br />,;�ly� �R t—,"' t—,"' <br />TELEPHONE <br />DATE <br />("/ �, <br />V <br />2-7S �; <br />7 �7 //� 7 <br />/ - ( <br />�� ' / <br />I f(' C� t� y` <br />'i j` <br />> I ` . ^ ' 'Yry l t ��� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MM /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.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 />MONITORING PERIOD <br />MON -1 <br />DISCHARGE NUMBER <br />MM /DD/YYYY <br />012012 <br />c613vr2Gt'a_ <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />AFTER 12 MONTHLY SAMPLES HAVE BEENTAKEN, PERMITTEE MAY REQUIEST THATA REASONABLE POTENTIAL ANALYSIS BECONDUCTED <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />(SUBR JC) ROUTT <br />POND "E" DISCHARGE TO FISH CRK <br />External Outfall <br />Form Approved <br />OMB No 2040 -0004 <br />No Discharger <br />07/27/2011 Page 1 <br />