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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 />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />Tonya Hammond, Agent <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 />C00027146 <br />PERMIT NUMBER <br />012 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />MM /DD/YYYY <br />-& 1120TO" <br />FROM - OWO112QtO TO <br />10101.f Zolt <br />10 Isl. Ito tt <br />PARAMETER <br />pH <br />00400 1 0 <br />Effluent Gross <br />Solids, settleable <br />00545 1 0 <br />Effluent Gross <br />Oil and grease <br />03582 1 0 <br />Effluent Gross <br />Flow, in conduit or thru treatment plant <br />50050 1 0 <br />Effluent Gross <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />QUANTITY OR LOADING <br />VALUE <br />t <br />VALUE <br />UNITS <br />Mgal /t1 <br />FY 1 N =:0 <br />QUALITY OR CONCENTRATION <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />ii <br />I certify under penalty of law that thin document end all attachments were prepared under my direction or <br />supervision in aceordance with a a designed to aeon that qualified personnel pmperly gather and <br />evaluate the information submitted. Based on my iry �qu� of the person or persons win manage the <br />those persons dvatiy responsible for get the information, the mf lion submitted' <br />m, i t / <br />to the best of my knowledge and belief true, accurate, and complete. l am aware that there are si fi <br />penalties for submitting false information, including the possibility of fne and imprisonment for ng ' a <br />violations. SIGNATU F PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.1.C. FOR ALTERNATE LIMITATIONS WHEN >10YR,24HR PRECIP. EVENT OCCURS, SUBJECT TO BURDEN OF PROOFREQUIREMENTS - SEE I.A.2. <br />DMR Mailing ZIP CODE: 81526 <br />MINOR <br />(SUBR DW) MESA <br />POND 7 TO COLORADO RIVER <br />Extemal Outfall <br />TELEPHONE <br />(970) 241 -8118 <br />AREA Code I NUMBER <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />DATE <br />( 1 1 0 4. ZOI <br />MMroDIWYY I <br />Page 1 <br />