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PARAMETER <br />I cern ty under penalty of law at this document and all attachments were prepared under my direction or <br />m <br />gerly gaer and <br />supervision in accordance w im a system designed to assure that qualified personnel gingerly m <br />valuate the information submitted Based on my inquiry of the person e pe or persons who manage the <br />system, or those persons directly responsible fur gathering the mtomretron, the rnfomtatron submitted is, <br />to the best of my knowledge and belief, we, activate, and complete f am aware that mere are rgmficant <br />penalties tot submitting trier informatiinformatiinformation, including ovincluding the possibility ot fine and rmpnsomernt for ]mowing <br />violations <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />O <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 />Oil and grease visual <br />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.. * *,— <br />ii- <br />kir <br />,___.. <br />...... <br />... <br />PERMIT <br />REQUIREMENT <br />Reg Mon. <br />INST MAX <br />Y =1;N =0 <br />""* "` <br />_ *** ** <br />" "`" <br />Weekly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I cern ty under penalty of law at this document and all attachments were prepared under my direction or <br />m <br />gerly gaer and <br />supervision in accordance w im a system designed to assure that qualified personnel gingerly m <br />valuate the information submitted Based on my inquiry of the person e pe or persons who manage the <br />system, or those persons directly responsible fur gathering the mtomretron, the rnfomtatron submitted is, <br />to the best of my knowledge and belief, we, activate, and complete f am aware that mere are rgmficant <br />penalties tot submitting trier informatiinformatiinformation, including ovincluding the possibility ot fine and rmpnsomernt for ]mowing <br />violations <br />�� �� I I / <br />Y ` <br />TELEPHONE <br />DATE <br />970 864 7590 12/07/2012 <br />Thomas D. Fry / Engineering Tech <br />/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />I NUMBER <br />MMIDDIYYYY <br />TYPED OR PRINTED <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 />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 />FROM <br />000000213 <br />PERMIT NUMBER <br />013 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />11/01/2012 <br />MM /DD/YYYY <br />TO I 11/30/2012 <br />DMR Mailing ZIP CODE: <br />MINOR <br />(SUBR MH) MNTRS <br />SR &MINE DRNG TO TUTTLE DRAW <br />External Outfall <br />Form Approved <br />OMB No 2040 -0004 <br />81424 -0628 <br />No Discharge E1 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />TSS & FE LIMITS WILL BE WAIVED & SETTLEABLE SOLIDS LIMIT APPLIED FOR 10YR/24HR PRECIP EVENT - SEE I A 2,PP 11 -12 FOR REQUIREMENTS QRTRLYSAMPLING INSTRUCTIONS - I C 10, PG20 30 DAY AVG IS HIGHEST <br />MONTHLYAVG DURING PERIOD REPORTED <br />04/02/2012 Page 2 <br />