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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I do�a1tyu f law tho this doeumeet and ell atmchments wore undo my direction or <br />anpa rvuuninm 00 00 ooewhe e temdeei g ee d ma »o ethu g uagned I peopeet go thee oo d <br />evaluate Me iefotmation submitted. Bmod oe my io o f the p erson apenom who menage the <br />em, othose pen onadi rectlyemp iblefoegather ng the ieformation,thernfmmaeen.ubmi _° <br />to the hest otmy knowledge end belief, tow, mttente td compteta I em.wan that there aR.i Wirt <br />r <br />. l`L.. <br />A .f .. . . .. . <br />TELEPHONE <br />DATE <br />Ton a Hammond, Agent <br />Y <br />(970) 241 - 8118 <br />(. i ,1 Q� I <br />1 t l `�` I J <br />MM/DD/ <br />pendtieo for mbm;ttin false infomadon includin the poor bility of fine nod im s7Imo .. <br />violations. <br />SIGN • U '( <br />PRINCIPAL D AGENT NE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location if Different) <br />NAME: <br />ADDRESS: <br />FACILITY: <br />LOCATION: <br />Snowcap Coal Company Inc <br />PO Box 1430 <br />Palisade, CO 81526 <br />ROADSIDE NORTH & SOUTH MINES <br />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 />A74949949" <br />MM /DD/YYYY <br />11743442040 <br />c• II 2.0 li <br />016 -A <br />DISCHARGE NUMBER <br />TO <br />,o /3t 2.0 ti <br />DMR Mailing ZIP CODE: 81526 <br />MINOR <br />(SUBR DW) MESA <br />ROADSIDE SOUTH TO COLO RIVER <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />PARAMETER <br />pH <br />00400 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 />QUANTITY OR LOADING <br />VALUE <br />VALUE <br />UNITS <br />0.457 <br />b'bDA <br />N.M• <br />el1N =O' .f <br />QUALITY OR CONCENTRATION <br />VALUE <br />'7, at <br />VALUE <br />..MN <br />VALUE <br />'7. t . <br />UNITS <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />47 <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 />Page 1 <br />