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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 />supervtsto in accordance with a system designed to assure that qualified personnel properly gather and <br />�ae f b tied Based onmymheringfeinformah , submit <br />system, or those persons directly responsible o for gathering the mfor or persons the who manage information submitted u, <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are ogmticant <br />penalties f submdhgfalse mformnhon, rncludmg the possibrhtyof fne and impnsonment for knowing <br />violations. <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />d <br />Z <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Lead, potentially dissolvd <br />013181 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,..... <br />...... <br />PERMIT <br />REQUIREMENT <br />" "" <br />""" <br />" "" <br />Req Mon. <br />30DA AVG <br />Req Mon <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Manganese, potentially dissolvd <br />013191 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,, <br />,,,,,, <br />,,,,,,, <br />PERMIT <br />REQUIREMENT <br />" "" <br />"" "` <br />Req Mon. <br />30DA AVG <br />Req Mon <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Nickel, potentially dissolvd <br />01322 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />....,. <br />...... <br />..,,,., <br />....., <br />PERMIT <br />REQUIREMENT <br />"" <br />" "" <br />"" "" <br />Req Mon <br />30DA AVG <br />Req. Mon <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Selenium, potentially dissolvd <br />01323 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,,, <br />„,,,, <br />,..,,, <br />PERMIT <br />REQUIREMENT <br />"' <br />" " "' <br />" " <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervtsto in accordance with a system designed to assure that qualified personnel properly gather and <br />�ae f b tied Based onmymheringfeinformah , submit <br />system, or those persons directly responsible o for gathering the mfor or persons the who manage information submitted u, <br />to the best of my knowledge and belief, true, accurate, and complete I am aware that there are ogmticant <br />penalties f submdhgfalse mformnhon, rncludmg the possibrhtyof fne and impnsonment for knowing <br />violations. <br />TELEPHONE l DATE <br />C1 i_._ <br />U <br />Thomas Fry <br />970 864 7590 <br />02/10/2012 <br />SIGNATURE O F PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code I NUMBER <br />MM /DD /YYYY <br />I <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 />FROM <br />ATION OF ANY VIOLATIONS (Reference all attachments here) <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 />C00000213 <br />PERMIT NUMBER <br />MN1 -1 <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />01/01/2012 <br />MM /DD/YYYY <br />01/31/2012 <br />TO <br />Form Approved <br />OMB No 2040 -0004 <br />DMR Mailing ZIP CODE: 81424 -0628 <br />MINOR <br />(SUBR MH) MNTRS <br />SR &MINE DRNG TRIB TO TUTTLE DR <br />External Outfall <br />No Discharge <br />06/16/2011 Page 2 <br />