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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: Snowcap Coal Company Inc <br />ADDRESS: PO Box 1430 <br />Palisade, CO 81526 <br />FACILITY: ROADSIDE NORTH & SOUTH MINES <br />LOCATION: 1-70, EXIT 46 (CAMEO EXIT) <br />PALISADE, CO 81526 <br />ATTN: NELSON L. KIDDER, V.P. <br />000027146 005-A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MMIDDIYYYY <br />FROM esfet&ete' TO AaA+&-W' <br />12101 1%0160 11-t%% 12.6 lb <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81526 <br />MINOR <br />(SUBR DW) MESA <br />POND 9 TO COLORADO RIVER <br />External Outfall <br />No DischargeF <br /> QUANTITY OR LOADING QUALITY OR CONCENTRATION EX <br />NO. <br />? FREQUENCY <br />OF ANALYSIS SAMPLE <br />TYPE <br />PARAMETER <br /> <br /> VALUE VALUE UNITS VALUE VALUE VALUE UNITS <br />Oil and grease visual SAMPLE ...,.. ...... .,»,. ..,««, ...««, <br /> MEASUREMENT <br />8406610 PERMIT •••••• ,Req. Mon: <br />1NST <br />MAX Y=1;N=0" Weekly VISUAL <br />Effluent Gross REQUIREMENT , <br /> <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER 1 oerd under petalry of law tint thu document and all attachmena were prepued under my direction or <br />supe ioa in axotd. [has designedtoassuretha[qualified personnel petty g•her and <br />-tuah the information submi Bmed on my inquiry of dre person or Pmwu who T-mW the <br />' TELEPHONE <br /> <br />2 41 <br />8118 DATE <br /> system, or Ch persom diratly rcaPtmaible forgathering the informwo0. the rnfamatlon submitted <br />owk <br />and complete. lam awsro that there•re dgm fi <br />ecwuste <br />true <br />e std belief <br />owled <br />h <br />b <br />t <br />f (g70) <br />- <br />Tonya Hammond, Agent , <br />, <br />, <br />g <br />n <br />w t <br />e <br />ea <br />o <br />my <br />penal es forsubmirongfalsetnformsuon,inetudingdwpoabilityoffine andinrpdsonmentforknowing RINCIPALEXECUTNEOFFICEROR <br /> violations. SIGNATU O P <br />GENT AREA COd? <br />NUMBER <br />MM/D/YYYY <br />TYPED OR PRINTED AUTHORIZED A <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.1.6. FOR ALTERNATE LIMITATIONS WHEN 10YR,24HR PRECIP. EVENT OCCURS, SUBJECT TO BURDEN OF PROOFREQUIREMENTS - SEE I.A.2. <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used.