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NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />1'di nda mlry o flawt hatthis documentandnilattonhmentowen <br />su pet w u im m t t <br />i uuemdeetgnedmustuethatqudtfied Ip�top ma <br />evateate the in in per son ao re c tly d. Bmed un my inquiry of e i person or penmen who mugs the <br />system, m those penmen directly rrsPimorbit for gathering the information, the mfomnttw submitted i <br />to the best of myImowledgonodbehef, true,. sort.to are �tfie <br />il <br />QUANTITY OR LOADING <br />EXECUTIVE OF2OR <br />AGENT <br />TELEPH <br />' <br />DATE <br />T onga Hammond, Agent <br />t & ��- <br />a <br />(970) 241 -8118 <br />ie � <br />penalties for submitting false information, including dm of fine and imprisonment for knowing <br />vtolanom <br />SI GNATU <br />F PRINCIPAL <br />AUTHORIZED <br />AREA Code NUMBER <br />MM/DD/YYYY <br />TYPED OR PRINTED <br />PARAMETER <br />l <br />il <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />Ex <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />t & ��- <br />a <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 />..„.. <br />„„ * .. <br />""" <br />fa... <br />""" <br />PERMIT, <br />REQUIREMENT <br />r 5 �,� '',p''..R <br />dEM �` <br />y � �� ,,�__ t <br />a��' <br />: ` I 7 't <br />°3 a.. �""r` <br />�r <br />� ' <br />;�� a <br />, " , �� , t�"'�e°�' <br />D <br />�" <br />°. <br />Y�'��.,a+i'r <br />t...� <br />; � <br />' � <br />q z -M y <br />� �, � <br />'� � t <br />` ffi <br />` ,.) r at <br />t , se ; h <br />g A <br />• ... < <br />�rd'� , <br />� <br />a ^ <br />', �W�$ekly ' <br />VI SUAL <br />VI <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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00027146 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />09161 f zoN <br />010 -A <br />DISCHARGE NUMBER <br />TO -08030721710 <br />Oct IA l a it <br />DMR Mailing ZIP CODE: 81526 <br />MINO,. <br />(SUBR DW) MESA <br />POND 2 TO COLORADO RIVER <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />MMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.1.B. FOR ALTERNATE LIMITATIONS WHEN 10YR,24HR PRECIP. EVENT OCCURS, SUBJECT TO BURDEN OF PROOFREQUIREMENTS - SEE I.A.2. <br />Page 2 <br />