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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision m accordance with a system designed m assure that qualified personnel property gather and <br />hi t th f t bmmed Baud my mgmry of on he <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />LC50 Static Renewal 48Hr Acute <br />Ceriodaphnia dubia <br />TAM3B 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />. * * *.* <br />* * * * ** <br />* ***** <br />*** * ** <br />- <br />* * * *.* <br />PERMIT <br />REQUIREMENT <br />- <br />.1.**** <br />100 <br />MN VALUE <br />* * ** ** <br />...It.. <br />% <br />-- <br />Semiannual <br />GRAB -3 <br />LC50 Statre 96HrAcute Pimephales <br />TAN6C 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />* * * * ** <br />* * * * ** <br />* * * *** <br />PERMIT <br />REQUIREMENT <br />* ° * ** <br />100 <br />MN VALUE <br />* *** ** <br />* * * *** <br />Semiannual <br />GRAB -3 <br />/TITLE PRINCIPAL EXECUTIVE OFFICER <br />NAME / TITLE <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision m accordance with a system designed m assure that qualified personnel property gather and <br />hi t th f t bmmed Baud my mgmry of on he <br />< 1 <br />TELEPHONE I <br />DATE <br />970 864 7590 <br />01/23/2012 <br />Thomas D. Fry <br />system, those directly responsible for gathering a information, th e Information ub m <br />to best of knowledge d responsrue, accurate, and complete I am aware that there e N mformaon submed u, <br />to t best ub knowledge and rmatI n in complete f am m significant <br />wI <br />pelaltionsror submrthug false mfomtat�on, including We posvbd6y of tine and rmpnsonment for lmowmg <br />n <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER I <br />MM/DDIYYYY <br />I <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Western Fuels - Colorado LLC <br />ADDRESS: PO Box 628 <br />Nucla, CO 81424 -0628 <br />FACILITY: <br />LOCATION: <br />NEW HORIZON MINE <br />27646 W 5 AVE <br />NUCLA, CO 81424 <br />ATTN: R. LANCE WADE, MINE MGR <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 />000000213 <br />PERMIT NUMBER <br />009 -W <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/01/2011 <br />MM /DD/YYYY <br />12/31/2011 <br />TO <br />DMR Mailing ZIP CODE: <br />MINOR <br />(SUBR MH) MNTRS <br />ACUTE WET TESTING FOR 009A <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />81424 -0628 <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A.4. FOR DETAILS OF TEST PROCEDURE REPORT LOWEST DILUTION (% EFFLUENT) WHICH IS LETHAT TO50% OF TEST ORGANISMS (LC50) AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR <br />06/16/2011 Page 1 <br />