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PARAMETER <br />1 certify under penalty of law that tins document and all attachments were piepmed undo ml direction or <br />supervision in accordance with a y tem designed to assure that qualified personnel properly gather and <br />evaluate the of r nati n submitted Based on my Inquiry of the person or persons who manage the <br />system, or those persons dnectly responsible for gathering the information, the information submitted ,s, <br />to he Mst of ml Mowledge and belief, ire, nccte. o a complete 1 om aware chat he e i e snficant <br />ari lteforsumuttmgfalsemfomation ,mcludmg heposvbnhtyof[ eandrmprrso owing <br />violations <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 />...,.. <br />.<,<_. <br />1 / 7 <br />VEC <br />....., <br />....., <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />..• * "* <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />1 certify under penalty of law that tins document and all attachments were piepmed undo ml direction or <br />supervision in accordance with a y tem designed to assure that qualified personnel properly gather and <br />evaluate the of r nati n submitted Based on my Inquiry of the person or persons who manage the <br />system, or those persons dnectly responsible for gathering the information, the information submitted ,s, <br />to he Mst of ml Mowledge and belief, ire, nccte. o a complete 1 om aware chat he e i e snficant <br />ari lteforsumuttmgfalsemfomation ,mcludmg heposvbnhtyof[ eandrmprrso owing <br />violations <br />J <br />4' <br />,. _ , i <br />i <br />_ <br />TELEPHONE <br />DATE <br />�A /ol.r � A_(� ♦ J� / <br />ark McC - Mt n,,. / I(QQQQQ <br />70 N41-11l <br />i <br />0l /18/4o1 <br />S NATURE OF PRI ' CIPAL r ECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM /DD/YYYY <br />TYP OR PRINTED Q <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 />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 />011 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY <br />10/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <br />TO <br />DMR Mailing ZIP CODE: 81641 <br />MINOR <br />(SUBR JC) MOFAT <br />DISCHARGE TO TAYLOR CREEK <br />External Outfall <br />10/16/2012 <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <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 />Page 2 <br />