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PARAMETER <br />I may undm penalty of law that this document and all attaclunonis wine prepmed under ml direction or <br />supervision m accordance with a system des,gned to assure that gnal,red personnel properly gather and <br />v Mat t d * m t n hm tt d B ed ny ,ry f th ih <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 />NUMBER <br />MM /DD/YYYY <br />i <br />TYPED 0 <br />,,,,.. <br />, * * * ** <br />* *, *„ <br />* * * *,* <br />« « « «.. <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />* ** * ** <br />`• * *" <br />Monthly <br />VISUAL <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICE <br />I may undm penalty of law that this document and all attaclunonis wine prepmed under ml direction or <br />supervision m accordance with a system des,gned to assure that gnal,red personnel properly gather and <br />v Mat t d * m t n hm tt d B ed ny ,ry f th ih <br />Y <br />TELEPHONE <br />DATE <br />9 7c) <br />F04-D31 <br />n I /R IA3 <br /><, <br />1 <br />/ � /A <br />e l q4 (♦ <br />l i,. ( /.y■, LS <br />M <br />I A 1 MQ <br />r <br />q p pe <br />h <br />system, or those persons e chreetly responsible for gmherwg the a the into n submitted an <br />to the best se knowledge e rsn and beget', true, fccruate, and h complete fete ete I a am aware that t there are v f tit <br />pep aloes for subm,ttmg false ,ntormahon, Including the poss,b, ty of fine and unpusonment for owing <br />lotions <br />.SC <br />ATURE OF RING AL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code <br />NUMBER <br />MM /DD/YYYY <br />i <br />TYPED 0 <br />PRINTED <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 />FACILITY: <br />LOCATION: <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 />004 - 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 />n <br />Form Approved <br />OMB No 2040 -0004 <br />DMR Mailing ZIP CODE: 81641 <br />MINOR <br />(SUBR JC) MOFAT <br />GULCH A SEDI POND /GOOD SPGS CR <br />External Outfall <br />No Discharg <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 />10/16/2012 Page 2 <br />