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PARAMETER
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<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO
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<br />FREQUENCY
<br />OF ANALYSIS
<br />SAMPLE
<br />TYPE
<br />VALUE
<br />VALUE
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<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />Oil and grease visual
<br />840881 0
<br />Effluent Gross
<br />SAMPLE MEASUREMENT
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<br />VISU4L..'
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />n>pe ,„ e of y.tm,a t ' O o a s mat a i0 d r� " d1tionef
<br />rys P °"P"` ns oMa ly ge and
<br />evaluate die information submitted. Based an my inquiry of the person or peons mange the
<br />system. gat stem, or those persons directly responsible for the information. the information submitted ,
<br />to the beat of my Imowledge and belief. true mmtrate, and complete. I am aware that there are sig Team
<br />bility of fore imprisonment for owm8
<br />penalties for submitting false information, including the posa and tm
<br />lsbons.
<br />TELEPHONE
<br />DATE
<br />■
<br />J. E. Stover, Agent
<br />.�—�
<br />�
<br />970 - 245 -4101
<br />/OA ��� �/
<br />MM/DD/YYYY
<br />—"��
<br />NATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Cods NUMBER
<br />OR PRINTED
<br />PERMITTEE NAME/ADDRESS (Include Faci/ityName✓Locadoni/Oilferent)
<br />NAME: CENTRAL APPALACHIA MINING, LLC
<br />ADDRESS: P.O. BOX 98
<br />LOMA, CO 81524
<br />FACILITY: MCCLANE CANYON MINE
<br />LOCATION: 19 MILE MARKER ON HWY. 139
<br />LOMA, CO 81524
<br />ATTN: WALTER WHITLEDGE, MINE SUPT.
<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 />C00038342
<br />PERMIT NUMBER
<br />002A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM/DD/YYYY
<br />07/01/2011
<br />TO
<br />MM/DD/YYYY
<br />09/30/2011
<br />DMR Mailing ZIP CODE: 81524
<br />MINOR
<br />(SUBR DW) GRFLD
<br />MINE WTR DSCHG TO E SALT CR
<br />External Outfall
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />QUARTERLY MONITORING -SEE I.C.10, P. 8. 30 DAY AVERAGE IS HIGHEST MONTHLY AVG. DURING PERIOD REPORTED.TDS- MLOC =P REPORT CUMULATIVE TONS/YEAR. OIL & GREASE - SEE I.B.1.C.
<br />Form Approved
<br />OMB No. 2040 -0004
<br />No Discharge
<br />Page 2
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