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PARAMETER <br />Icernfy under penalty ot law that du lu <br />sdocumentandallauacnentswereprep aredundermyd,rechonor <br />aupenasion m accordance with a sysem designed to assure that qualified personnel properly gather and <br />lust <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 />AREA code <br />0 <br />MM/DD/YYYY <br />*** * *• <br />**le**. <br />0 <br />I4 <br />* * * * ** <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />*••••• <br />••• *•* <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />Icernfy under penalty ot law that du lu <br />sdocumentandallauacnentswereprep aredundermyd,rechonor <br />aupenasion m accordance with a sysem designed to assure that qualified personnel properly gather and <br />lust <br />1 <br />A...4 <br />TELEPHONE <br />DATE <br />CkCt .l • G <br />� <br />I <br />ih f t bn tted Based on my mgmry of the person or persons w Ito manage the <br />system, or those persons directly responsible for gathering the mfonnatron, the mfonnahon submuted ts, <br />alhes for submatmg false m mt <br />vi he bas of my sowlcdge and belief, true, accurate, and complete of i am aware that there are s,gmficant <br />foahon,,ndudmg the pnssibth ffinc and tmpnsoknowing tfor knowing <br />N' <br />�5 �' <br />r0 A ?/010/ 9N <br />S I NATURE OF PRIN !PALE ECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED <br />R PRINTED <br />AREA code <br />NUMBER <br />MM/DD/YYYY <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different) <br />NAME: Colowyo Coal Co LP <br />ADDRESS: 5731 St Hwy 13 <br />Meeker, CO 81641 <br />COLOWYO MINE <br />5731 SOUTH HIGHWAY 13 <br />MEEKER, CO 81641 <br />FACILITY: <br />LOCATION: <br />ATTN: Chris McCourt, Mgr <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 />TI NS (Reference all attachments here) <br />C00045161 <br />PERMIT NUMBER <br />001 - A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/01/2012 <br />MM /DD/YYYY <br />09/30/2012 <br />TO <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81641 <br />MINOR <br />(SUBR JC) MOFAT <br />STREETER GULCH TO GOOD SPGS CR <br />External Outfall <br />No Discharger <br />SETTLEABLE SOLIDS LIMIT APPLIES ONLY IF <= 10YR,24HR PRECIP EVENT IS CLAIMED. IF CLAIM APPROVED BY WQCD,TSS & IRON LIMITS WILL NOT BE APPLIED TO REPORTED MEASUREMENTS - SEE I.A.2, PG. 3 FOR <br />BURDEN OF PROOFREQUIREMENTS. OIL & GREASE - I.B.1.B, PG. 5. QRTRLY SAMPLING INSTRUCTIONS - I.C.11, PG. 5. <br />10/16/2012 Page 2 <br />