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PARAMETER <br />I cemfy under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the mformanon submitted Based on my inquiry of the person or persons who manage the <br />system, a those persons directly a <br />belief, e i t r u , for gathering the information, the information submitted is, ( <br />po I for submitting false inftn mclu g the and possb complete of fin and Imprisonment for significant owiin g <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />ANALYSIS <br />SAM E <br />OF <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 />NUMBER <br />� CZ <br />TYPED OR PRINTED <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA <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 />« « « « «« <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 />PERMIT <br />REQUIRE <br />Req. Mon. <br />30DA AVG <br />mg /L <br />Twice Per <br />Month <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I cemfy under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and <br />evaluate the mformanon submitted Based on my inquiry of the person or persons who manage the <br />system, a those persons directly a <br />belief, e i t r u , for gathering the information, the information submitted is, ( <br />po I for submitting false inftn mclu g the and possb complete of fin and Imprisonment for significant owiin g <br />( <br />k,, �_ <br />TELEPHONE <br />DATE <br />_ 1 , <br />�? rnr t ya <br />O t 111 b VY� <br />, 1 <br />, 'Y. <br />C / 7 C' <br />2-q- / 7 I ii <br />! f d <br />J/ I o C .� zo / ( <br />I <br />MM/DD/YYYY <br />SIGNA <br />RE <br />PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />� CZ <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 />FACILITY: ROADSIDE NORTH & SOUTH MINES <br />LOCATION: 1 -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 />000027146 <br />PERMIT NUMBER <br />002 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />11/01/2012 <br />MM /DD/YYYY <br />11/30/2012 <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 />