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PARAMETER <br />Icemfy tinder penalty of law that fins document and all attachments were prepared under my direction or <br />mpervt to accordance with a system designed to assure that qualtned personnel properly gather and <br />e dunce the information submitted Based on my tngmry of the person or persons who manage the <br />system, or those pc s dg qtly responsible for gnthenng the Information, the Information submitted rs, <br />to the beat of m know a and belief; true, ecettre and coin Icte.1 am ewnre that there ere si tflcatit_ <br />oio Ines r subm It gfalsemfomatmn,mcI dm gtheposs i M1dnyoffineandimpnsonm e ntforknowmg <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 />OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />,.,..• <br />NUMBER <br />1 / <br />MM /DD/YYYY <br />,,,... <br />TYPED OR PRINT D <br />J <br />PERMIT <br />REQUIREMENT <br />" "" <br />Req. Mon. <br />3ODA 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 />PERMIT <br />REQUIREMENT <br />" "" <br />"' "' <br />" "" <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 />3ODA AVG <br />Req. Mon. <br />DAILY MX <br />MGD <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 />PERMIT <br />REQUIREMENT <br />" "" <br />..***** <br />' <br />Req. Mon. <br />30DA AVG <br />mg /L <br />Twice Per <br />Month <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />Icemfy tinder penalty of law that fins document and all attachments were prepared under my direction or <br />mpervt to accordance with a system designed to assure that qualtned personnel properly gather and <br />e dunce the information submitted Based on my tngmry of the person or persons who manage the <br />system, or those pc s dg qtly responsible for gnthenng the Information, the Information submitted rs, <br />to the beat of m know a and belief; true, ecettre and coin Icte.1 am ewnre that there ere si tflcatit_ <br />oio Ines r subm It gfalsemfomatmn,mcI dm gtheposs i M1dnyoffineandimpnsonm e ntforknowmg <br />C } <br />V <br />;_ UY�.-e — 1 , <br />TELEPHONE <br />DATE <br />7 1 . <br />`t /1 /_ �J' J (1• <br />7 Q 3 � <br />/ <br />/ / / , ! <br />L ,,, <br />r , yh 41t p t� <br />�� e tl <br />_ <br />U Y1 `-1 <br />SIGNATUR <br />OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />1 / <br />MM /DD/YYYY <br />\ J <br />TYPED OR PRINT D <br />J <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.01 /06) 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 />10/01/2012 <br />MM /DD/YYYY <br />10/31/2012 <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 <br />