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NAMEITITLE PRINCIPAL EXECUTIVE OFFICER leemry aaw hat a gt to el n`u.htierepreparwwdermydieeaonor eupe meion i o rmi ry q property gamer end /'-' ( TELEPHONE G ATE J a E. Stover, Agent reo r per rarme l information eu directly re Bexd le my' inquiry of e i person io par in om menage mt e to r t os eot system. or Chow persons directly respomibla for gemermg the iNumulion, the mf lion submitted is. to the beet ofm knowled end hehef, true, accurate, aed ccoommpplate.l am awua that Ihue am si ream ;Itti� for subnitt n false infomation, ncludin e e poaaib@lit of fine end imp, sonment for W3owv+ Violations. 970 - 245 -4101 � � MM/DDIYYYY SIG ATURE PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA Coda NUMBER TYPED OR PRINTED PARAMETER @ „ - �,f „�'= x;:�= €;Isar.; „ER:n�.i; ..: ' - °'I' ' !' y!,:v i:�si ... ...v.::x ie '4f @,l:s•E3::�« €:!.v!::xuwie`QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. 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'frFe.._.:,- b.s�'!i:�.._ .. .i,:... !:. �� 3!: x: »: ». . ¢, ;.:.i.:....? _. 9w =+ ..I...x !.:..f qry 5, -x3k . ,gyp > •aw . ��ii :F: @31;.. :.�. ,>rx �, «°.. .. . €.. ��'.x"kiva:x:� i :d t .:..e_'m'3A:u:: . � .. ...,n,: . ,rva!:: ..fd aa.... _ l , €»,x w @3i_x .e.a.:arkv »!�:G i,i:; @ri r. 44 ' ?LI, ..d -r 1. .... e a.. qy ,:_4.. , - :S•R v1..... 1�: -��:, =8 « miv. _ @L.i'.4 : a' `n c. @L. ' =s tSS. . ._,@ ' ?: �!tn..: PERMITTEE NAME/ADDRESS (include FacilityNeme/Localon if Different) NAME: CENTRAL APPALACHIA MINING, LLC ADDRESS: P.O. BOX 98 LOMA, CO 81524 FACILITY: MCCLANE CANYON MINE LOCATION: 19 MILE MARKER ON HWY. 139 LOMA, CO 81524 ATTN: WALTER WHITLEDGE, MINE SUPT. EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) FROM C00038342 PERMIT NUMBER 002A DISCHARGE NUMBER MONITORING PERIOD MM /DD/YYYY 10/01/2011 MM/DD/YYYY 10/31/2011 TO DMR Mailing ZIP CODE: MINOR (SUBR DW) GRFLD MINE WTR DSCHG TO E SALT CR External Outfall COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) 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. Form Approved OMB No. 2040 -0004 No Discharge Page 1