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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my dtrectton or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the Information submtted Based on my Inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gnthenng the Information, the mfonnalon submitted <br />o best :rig y knowledge and behef, t ue, accurat :Pod e complete I am eworc that the arc stgnd <br />i ol the attionebmmmgfalumf onoaaon, mcwdmg oe boo - <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />E( <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 />SIGMA UR OF PRINCIPAL EXECUTIVE OFFICER OR <br />N--/ AUTHORIZED AGENT <br />..,.,. <br />NUMBER <br />MMIDD/YYYY <br />,, <br />TYPED OR PRINTE <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <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 />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY 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 />PERMIT <br />REQUIREMENT <br />5 <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />MGD <br />Continuous <br />RCORDR <br />Sulfide- hydrogen sulfide <br />(undissociated) <br />51202 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...,,, <br />..,,.. <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />mg /L <br />Twice Per <br />Month <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that this document and all attachments were prepared under my dtrectton or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the Information submtted Based on my Inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gnthenng the Information, the mfonnalon submitted <br />o best :rig y knowledge and behef, t ue, accurat :Pod e complete I am eworc that the arc stgnd <br />i ol the attionebmmmgfalumf onoaaon, mcwdmg oe boo - <br />) <br />TELEPHONE <br />DATE <br />, <br />74 <br />-;2 C <br />/- —ro i <br />t <br />c d ! <br />s-2 <br />Ti!^.'CA <br />�/�/� ,/�� <br />�I Y1M1 rno' -t <br />q <br />J (� <br />1 j t ? 1 �� <br />�fYLs� '�r' <br />at►t1a..., <br />SIGMA UR OF PRINCIPAL EXECUTIVE OFFICER OR <br />N--/ AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDD/YYYY <br />,, <br />TYPED OR PRINTE <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 />FACILITY: ROADSIDE NORTH & SOUTH MINES <br />LOCATION: I - 70, EXIT 46 (CAMEO EXIT) <br />PALISADE, CO 81526 <br />ATTN: Henry James, VP <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 />FROM <br />C00027146 <br />PERMIT NUMBER <br />002 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MMIDD/YYYY <br />09/01/2012 <br />MMIDD/YYYY <br />09/30/2012 <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 <br />