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PARAMETER
<br />I ce
<br />certify malt tins document and all attachmets e n were re under m uecuon or
<br />supems under ionm ca wMa of law that tncewdhasystemdesl gnedtoassurethatquahfiedixn d d
<br />°nnelpropedy d gaiherand
<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 />Lead, potentially dissolvd
<br />01318 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,,,,,•
<br />MMIDD/YYYY
<br />TYPED OR PRINTED
<br />; * ; * ;*
<br />, *,,,,
<br />* * *, *,
<br />PERMIT
<br />REQUIREMENT
<br />* * * * *'
<br />" * *}*
<br />Req. Mon.
<br />30DA AVG
<br />* * * * **
<br />ug /L
<br />Twice Per
<br />Month
<br />GRAB
<br />Selenium, potentially dissolvd
<br />01323 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />* *, *„
<br />, * *,•
<br />* * * **,
<br />* * * * **
<br />PERMIT
<br />REQUIREMENT
<br />* * * * **
<br />Req. Mon.
<br />30DA AVG
<br />Req. Mon.
<br />DAI LY MX
<br />ug /L
<br />Twice Per
<br />Month
<br />GRAB
<br />Flow, in conduit or thru treatment plant
<br />50050 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />*, *, *,
<br />* * * * **
<br />* * * •**
<br />,, *, *,
<br />PERMIT
<br />REQUIREMENT
<br />.5
<br />30DA AVG
<br />Req. Mon.
<br />DAILY MX
<br />MGD
<br />* * *, *,
<br />* * * * **
<br />,,,,,,
<br />••••,,
<br />Continuous
<br />RCORDR
<br />Sulfide- hydrogen sulfide
<br />(undissociated)
<br />51202 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />* * *
<br />, *,*
<br />**
<br />* **
<br />�� * + **
<br />PERMIT
<br />REQUIREMENT
<br />* * * * **
<br />Req. Mon.
<br />30DA AVG
<br />* * * * **
<br />mg /L
<br />Twice Per
<br />Month
<br />GRAB
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER
<br />I ce
<br />certify malt tins document and all attachmets e n were re under m uecuon or
<br />supems under ionm ca wMa of law that tncewdhasystemdesl gnedtoassurethatquahfiedixn d d
<br />°nnelpropedy d gaiherand
<br />- -
<br />\ i
<br />� -� /_Y w y
<br />Qs._
<br />TELEPHONE
<br />DATE
<br />vZ
<br />\ A
<br />rlr� {yv
<br />A� +
<br />e al at the 1 f at s bmat d Bas d on my inquiry of the person or persons who manage the
<br />t or those persons directly ne responsible and responsible for accurate, enn the d complete. .neon, ware that there submitted 1y'
<br />re the best of ob ,It ng false and belief, o, rn accurate, end complete. I am aware that there are og
<br />De' aiiiesforsublmtungfalseinfonnahon mcludmgiheposstbddyoffineandm 1pnsonmem(orknowmg
<br />9 02 V / �i / / ('
<br />V a a
<br />/
<br />Ci / ///
<br />r----,
<br />It)
<br />SIGNATUR
<br />F PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code
<br />I NUMBER
<br />MMIDD/YYYY
<br />TYPED OR PRINTED
<br />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 />ROADSIDE NORTH & SOUTH MINES
<br />1 -70, EXIT 46 (CAMEO EXIT)
<br />PALISADE, CO 81526
<br />FACILITY:
<br />LOCATION:
<br />ATTN: Henry James, VP
<br />FROM
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />Oil and grease - see I.A.1, pg 3. Termperature - see C.5 and 11.
<br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />C00027146
<br />PERMIT NUMBER
<br />002 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY
<br />08/01/2012
<br />MM /DD/YYYY
<br />08/31/2012
<br />TO
<br />DMR Mailing ZIP CODE: 81526
<br />MINOR
<br />Form Approved
<br />OMB No. 2040 -0004
<br />Mine Drainage Discharge to Colorado River
<br />External Outfall
<br />No Discharge
<br />07/24/2012 Page 2
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