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PARAMETER <br />I 1e' mryunderpenaltyoflawthatt hrsdocument andall attachmen tswerepreparedundermyduernonor <br />super, ision m acwrdamc with a system designed to usure that yuahnied personnel properly gather and <br />lu t • th nro t b tt d B s d y 1 ry or the person or persons who manage the <br />system, or those persons d e and besponsr for enn the information, I am w e a that submuted u, <br />4e nal best of oh knowledge and better, <br />mati rive, accurate, and complete I am aware [hat there nt r kn nl <br />penalt e, ror snnm ttmg raise mro mat on, meI dmg thepos b lr Diane and mpnsonment ror kn, w ns <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 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />* * * * *a <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * *,* <br />PERMIT <br />REQUIREMENT <br />* * * •** <br />* * * * ** <br />M N VALUE <br />* * * * ** <br />* * * *** <br />% <br />Qt) <br />er <br />Quarterly <br />uar <br />GRAB -3 <br />NAMEITITLEPRINCIPALEXECUTIVEOFFICE <br />I 1e' mryunderpenaltyoflawthatt hrsdocument andall attachmen tswerepreparedundermyduernonor <br />super, ision m acwrdamc with a system designed to usure that yuahnied personnel properly gather and <br />lu t • th nro t b tt d B s d y 1 ry or the person or persons who manage the <br />system, or those persons d e and besponsr for enn the information, I am w e a that submuted u, <br />4e nal best of oh knowledge and better, <br />mati rive, accurate, and complete I am aware [hat there nt r kn nl <br />penalt e, ror snnm ttmg raise mro mat on, meI dmg thepos b lr Diane and mpnsonment ror kn, w ns <br />/ `__._, <br />/�� /�! <br />,4 V 1/ /r <br />���VVV <br />TELEPHONE <br />DATE <br />1 <br />t ^ r {• ( �• �.. <br />G ry I , <br />�,�r� v /. ey' �t - <br />�-. _ ` 7 t <br />/ 7•, 7'. <br />! A (� <br />n `3 /� /��� <br />C <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />r / /�`/ <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 />ae a <br />01 Y -X <br />DISCHARGE NUMBER <br />TO <br />MM/DD/YYYY <br />413V2012 <br />0430 /zv r 4 --- <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 Discharger] <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.4 FOR DETAILS OF TEST PROCEDURE. IF THERE IS A STAT DIFF RPTRESULTS ON THIS OUTFALL. IF NOT,RPT "NO DISCHARGE" & COMPLETE OUTFALL 001X. RPT LOWEST % AT WHICH STATISTICALLY SIGNIF DIFF <br />BETWEEN TEST& CONT USING TEST CODE "S ". RPT IC25 USING TEST CODE "P ". ATTACH CHRON TOX TEST RPT TO DMR <br />07/27/2011 Page 2 <br />