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PARAMETER <br />I certify under penally of law that this document and all attachments were prepared under my duechon or <br />super-stonm accordance t thasystemaestgnedtoassu that quahfredpersonnel properly gatherana <br />e must II of I n r submitted Based on my Inquiry of the person or persons w ho manage the <br />r those pa directly responsible for gathering the mformahon, the information subimtted Is, <br />to penalhca the best for submnhng false mfonruhon, mclu of m know a and bet t, true, awu dmg atq the anpossrb�P d com 1 ry teof f 1 am aand rware mthat there are for Vaiowmg si�ttftcant <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <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 />....a. <br />NUMBER <br />MM /DD /YYYY <br />* * **** <br />* * ** • <br />PERMIT <br />REQUIREMENT <br />* * * * * <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />* * * * ** <br />* * * * ** <br />Monthly <br />VISUAL <br />NAMEfTITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penally of law that this document and all attachments were prepared under my duechon or <br />super-stonm accordance t thasystemaestgnedtoassu that quahfredpersonnel properly gatherana <br />e must II of I n r submitted Based on my Inquiry of the person or persons w ho manage the <br />r those pa directly responsible for gathering the mformahon, the information subimtted Is, <br />to penalhca the best for submnhng false mfonruhon, mclu of m know a and bet t, true, awu dmg atq the anpossrb�P d com 1 ry teof f 1 am aand rware mthat there are for Vaiowmg si�ttftcant <br />A <br />• S <br />TELEPHONE <br />DATE <br />� system, <br />1 <br />C�n \ �Ct A+ n� f j , <br />/ A ► N I / I � <br />C�Q r <br />R 7 O <br />/ • <br />�/ / 6 ( <br />r ,) • Z <br />(� <br />` / 1,)01? <br />f O ' <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED <br />PRINTED <br />AREA Code <br />NUMBER <br />MM /DD /YYYY <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: <br />ADDRESS: <br />FACILITY: <br />LOCATION: <br />Colowyo Coal Co LP <br />5731 St Hwy 13 <br />Meeker, CO 81641 <br />ATTN: Chris McCourt, Mgr <br />COLOWYO MINE <br />5731 SOUTH HIGHWAY 13 <br />MEEKER, CO 81641 <br />MMENTS 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 />C00045161 <br />PERMIT NUMBER <br />003 - 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 />DMR Mailing ZIP CODE: 81641 <br />MINOR <br />(SUBR JC) MOFAT <br />GOSSARD POND TO WILSON CR <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <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 INSTRUCTION - I.C.11. PG. 5. <br />10/16/2012 Page 2 <br />