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NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />`l stem, or those persons directly res io m n d: z � dOO a '1Cn` m rs B ° � e ip a <br />the peemi on et m , the information manage the <br />evalmt the info,m ion mbmitted Bald myd�m�t�gqmu,iryy le intbr <br />sy�iblefmgathering thmlrmation submitted is <br />mtlebestnfmykwwlea md6elef, tma.e�ta .mde�mpleb.Iamawuehatan earcsi <br />pe ensf ormbmr' ttingfalseinfarmatiaRimludingtheponibi 'tyaffimandimprimnmrntfor <br />�n <br />w j'- <br />� < :� <br />TELEPHONE <br />DATE <br />(97 241-8118 <br />b <br />7 z ( <br />Tonya Hammond, Agent <br />AT RE • i) - NCIPAL EXECUTIVE OFFICER OR <br />THORIZED AGENT <br />AREA node 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.01 /06) Previous editions may be used. <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/DDIYYYY <br />48031721717 TO <br />6 %/6 Z6 <br />011 -A <br />DISCHARGE NUMBER <br />04/301-e.40 <br />COMMENTS 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 IA2. <br />DMR Mailing ZIP CODE: 81526 <br />MINOR <br />(SUBR DW) MESA <br />POND 6 TO COAL CREEK <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />Page 2 <br />PARAMETER <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />VALUE <br />QUANTITY OR LOADING <br />VALUE UNITS <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />VALUE <br />QUALITY OR CONCENTRATION <br />VALUE <br />VALUE UNITS <br />N5 <br />_1 <br />N,` <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />