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PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different)
<br />NAME:
<br />Twentymile Coal Co
<br />ADDRESS:
<br />29515 Routt CR 27
<br />NO
<br />EX
<br />Oak Creek, CO 80467
<br />FACILITY:
<br />FISH CREEK TIPPLE
<br />LOCATION:
<br />29515 ROUTT COUNTY ROAD #27
<br />VALUE
<br />OAK CREEK, CO 80467
<br />ATTN JERRY N. NETTLETON, ENV SUPVSR
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />000036684 001 -A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY I MM/DD/YYYY
<br />FROM 07/01/2011 1 TO 1 09/30/2011
<br />Form Approved
<br />OMB No. 2040 -0004
<br />DMR Mailing ZIP CODE: 80467
<br />MINOR
<br />(SUBR JC) ROUTT
<br />POND "E" DISCHARGE TO FISH CRK
<br />External Outfall
<br />No Discharge D
<br />PARAMETER
<br />I c-13 um1,r penahy at law Thai thi, dowmm�i and all attadnnent, sere prep.ned under du.uum nr
<br />my
<br />. ripen �,mn m see „m.mee wan a,y,am d�,�gnm rn a»nre dtar ynahe�a per,nnnd pr�pedy gamer and
<br />eeaivalc the mfonnatwn .ubmwul Hosed on m� inyutry of the person or per on, who .—,g ,h,
<br />v,am, nr th— p rvnn. duecd} ......... blc for gathering the mformanon the mfnnnannn submitted i.
<br />iu the 1-1 nfmy Annwledee and behef, true aumate and complete 1— —r, mat mere arc ..gift ant
<br />t”' hnmm�g ni,e dnnnanmt, mewamg he p,,,, hthn t,r r n, aria mpns, nment h r m,tmg
<br />(,. t"'.' '
<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 />SAMPLE
<br />MEASUREMENT
<br />840661 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />* * * * **
<br />Req Mon.
<br />INST MAX
<br />Y =1,N =0
<br />* * * * **
<br />**
<br />* * **
<br />* * * * **
<br />Twice Per
<br />Month
<br />VISUAL
<br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
<br />I c-13 um1,r penahy at law Thai thi, dowmm�i and all attadnnent, sere prep.ned under du.uum nr
<br />my
<br />. ripen �,mn m see „m.mee wan a,y,am d�,�gnm rn a»nre dtar ynahe�a per,nnnd pr�pedy gamer and
<br />eeaivalc the mfonnatwn .ubmwul Hosed on m� inyutry of the person or per on, who .—,g ,h,
<br />v,am, nr th— p rvnn. duecd} ......... blc for gathering the mformanon the mfnnnannn submitted i.
<br />iu the 1-1 nfmy Annwledee and behef, true aumate and complete 1— —r, mat mere arc ..gift ant
<br />t”' hnmm�g ni,e dnnnanmt, mewamg he p,,,, hthn t,r r n, aria mpns, nment h r m,tmg
<br />(,. t"'.' '
<br />n
<br />I'� I,
<br />�'( / Y
<br />TELEPHONE
<br />DATE
<br />r
<br />t� irs
<br />�j 70 7-7 5 r I
<br />(/ 7Gt
<br />c ? (.1e Cr /
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code
<br />NUMBER
<br />MM /DD/YYYY
<br />TYPED OR PRINTED
<br />t,UMMtN I S AN tAVLANAI IUN UI• ANY VIOLA IIUNS (Keterence all attachments here)
<br />TSS LIMIT WILL BE WAIVED FOR 10YR,24HR PRECIP EVENT - SEE BURDEN OF PROOF REQUIREMENTS UNDER I.A.4, PG 5.011- & GREASE - SEE I.B.2. 30 DAY AVERAGE IS HIGHEST MONTHLY AVG. DURING PERIOD
<br />REPORTED - SEE I C.13.
<br />EPA Form 3320.1 (Rev.01 106) Previous editions may be used. 07/27/2011 Page 2
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