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PARAMETER <br />I certify under penalty of law that tins document and allntachments were prepared under my direction or <br />supervisio n in accordance with a system designed to assure that qualified perso n I properly gather and <br />ev I t th ' f at o b 'ltd Bas don y' q 'ry of the person or persons who manage the <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 />pH <br />0040010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />... «.• <br />...... <br />PERMIT <br />REQUIREMENT <br />6.5 <br />MINIMUM <br />9 <br />MAXIMUM <br />SU <br />Monthly <br />INSITU <br />Oil and grease <br />03582 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,....« <br />.. « « «« <br />,..... <br />PERMIT <br />REQUIREMENT <br />•""'* <br />Req. Mon. <br />AVERAGE <br />10 <br />INST MAX <br />mg /L <br />Contingent <br />GRAB <br />Flow, in conduit or thru treatment plant <br />50050 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.....« <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />Mgal /d <br />Monthly <br />INSTAN <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.. « «.« <br />PERMIT <br />REQUIREMENT <br />Req. MAX <br />Y= 1;N =0 <br />- <br />..«... <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that tins document and allntachments were prepared under my direction or <br />supervisio n in accordance with a system designed to assure that qualified perso n I properly gather and <br />ev I t th ' f at o b 'ltd Bas don y' q 'ry of the person or persons who manage the <br />T <br />_ ,, <br />_ <br />TELEPHONE <br />DATE <br />(970) <br />AREA Code <br />241 -8118 <br />o 9 /0 G // <br />Ton Hammond, A ent <br />Y 9 <br />system, or those persons directly responsible for gathering the information, the information submitted is <br />to the best of my knowledge and behef, true, accurate, and complete. Iam aware t ttherearesignifica <br />penalties for submitting false information, including the possibility of fine and imprisonment for knowing <br />violations. <br />SIGNATUR 7. O' PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <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 />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />000027146 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />08/0112 str <br />MM /DD/YYYY <br />08/3 /2iTTO <br />2411 <br />002 -A <br />DISCHARGE NUMBER <br />TO <br />2 i <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />THIS OUTFALL IS NOT ELIGIBLE FOR EXEMPTIONS FROM TOTAL SUSPENDED SOLIDS (TSS), TOTAL IRON AND /ORSETTLEABLE SOLIDS LIMITATIONS - SEE I.A.2. <br />DMR Mailing ZIP CODE: 81526 <br />MINOR <br />(SUBR DW) MESA <br />ROADSIDE N12 34 TO COLO RIVER <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />Page 1 <br />