2012-10-26_HYDROLOGY - C1982056 (5)

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PARAMETER I certify under penausofla,that mss doetiment and all a° aehmeuna ere prepared under mydveett onor supenuton in amorelanae with a system designed to assure that qualified personnel properly gather and dud • th atin submitted eased on my inquiry of the person ar persons who manage the system, or those em persons directly responsible for gathering the information the there submitted is, to the beet of my knowledge and belief, true, accurate d complete I am aware that at, h here re are significant an penalties for tnbm tting false information, including the possibility of fine and impri„nment forinmeing QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. EX FREQUENCY OF ANALYSIS SAMPLE TYPE VALUE VALUE UNITS VALUE VALUE VALUE UNITS Toxicity, ceriodaphnia chronic 61426 P 0 See Comments SAMPLE MEASUREMENT TYPED OR PRINTED * * * * ** * * * * ** PERMIT REQUIREMENT Req. Mon. MO AV MN * * * * *' " **" tox chronic Quarterly GRAB -3 Toxicity, ceriodaphnia chronic 61426 S 0 See Comments SAMPLE MEASUREMENT * * * * ** * * * * ** * * * * ** *„ * * * * ** PERMIT REQUIREMENT * * * * *' " * ** Req. Mon MN VALUE ' *' "* ***' *' sox chronic Quarterly GRAB -3 Toxicity, pimephales chronic 61428 P 0 See Comments SAMPLE MEASUREMENT * * * *a* * * * *** PERMIT REQUIREMENT Req. Mon MO AV MN * * ** tox chronic Quarterly GRAB -3 Toxicity, pimephales chronic 61428 S 0 See Comments SAMPLE MEASUREMENT . *. * *. PERMIT REQUIREMENT * * *' *' Req. Mon MN VALUE *** tox chronic Quarterly GRAB -3 %Effect Static Renewal 7Day Chronic Ceriodaphnia dubia TCP3B 0 See Comments SAMPLE MEASUREMENT * *.a ** * * * * ** * * * * ** . * * > ** PERMIT REQUIREMENT * «`* * * *`" <'" *"* Req Mon. MO AV MN * * * * ** * * * *** Quarterly GRAB -3 %Effect Static Renewal 7Day Chronic Ceriodaphnia dubia TCP3B S 0 See Comments SAMPLE MEASUREMENT *. * * ** * * * * ** * * * * ** * * * * ** ** * * ** PERMIT REQUIREMENT * * ** * *,* * MO 100 MN * * * * ** * * * * ** /° Quarterly GRAB -3 %Effect Statre 7Day Chronic Pimephales See Comments SAMPLE MEASUREMENT * * * * ** *. * * ** * > * * ** . * ** ** * *. *.* PERMIT REQUIREMENT * * * *« Re MO A Mon V MN " ** * " "' Quarterly GRAB -3 NAMEITITLEPRINCIPALEXECUTIVEOFFICER I certify under penausofla,that mss doetiment and all a° aehmeuna ere prepared under mydveett onor supenuton in amorelanae with a system designed to assure that qualified personnel properly gather and dud • th atin submitted eased on my inquiry of the person ar persons who manage the system, or those em persons directly responsible for gathering the information the there submitted is, to the beet of my knowledge and belief, true, accurate d complete I am aware that at, h here re are significant an penalties for tnbm tting false information, including the possibility of fine and impri„nment forinmeing ' - TELEPHONE DATE _ r / 1 F • k , �� 1 � SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA Code NUMBER MMIDD/YYYY TYPED OR PRINTED PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) NAME: Twentymile Coal Co ADDRESS: 29515 Routt CR 27 Oak Creek, CO 80467 FACILITY: LOCATION: FISH CREEK TIPPLE 29515 ROUTT COUNTY ROAD #27 OAK CREEK, CO 80467 ATTN JERRY N NETTLETON, ENV SUPVSR EPA Form 3320-1 (Rev 01/06) Previous editions may be used. NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) FROM C00036684 PERMIT NUMBER 01 Y -X DISCHARGE NUMBER MONITORING PERIOD MM /DD/YYYY 10/0112011 MM /DD /YYYY 127'31/2011 TO DMR Mailing ZIP CODE: 80467 MINOR (SUBR JC) ROUTT CHRONIC WET TESTING FOR 001A External Outfall Form Approved OMB No 2040 -0004 No Discharge) COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) 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 BETWEEN TEST& CONT USING TEST CODE "5" RPT IC25 USING TEST CODE "P" ATTACH CHRON TOX TEST RPT TO DMR. 07/27/2011 Page 1