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PARAMETER <br />I certify under penalty of law that this document and all anaclunems were prepared under my direction or <br />supnrvtston m accordance with a system designed to assure that mialified personnel properly gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gothenn the information, the information submitted is, <br />to the but of my knowledge and belief, true, accurate, and complete. I ant aware that there are significant <br />penalises for submitting false information, including the possibility of fine and imprisonment for knowing <br />violations. <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 />Iron, total recoverable <br />0098010 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />s <br />SIGNATURE,DF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cod. I <br />NUMBER <br />. <br />MM /DD/YYYY <br />PERMIT <br />REQUIREMENT <br />3500 <br />3ODA AVG <br />7000 <br />DAILY MX <br />ug/L <br />Quarterly <br />GRAB <br />Oil and grease <br />0358210 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,,,,,, <br />PERMIT <br />REQUIREMENT <br />10 <br />INST MAX <br />mg /L <br />Contingent <br />GRAB <br />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />..,,,. <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />mg /L <br />Contingent <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.,..,. <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />" "" <br />.. * * *; <br />Quarterly <br />VISUAL <br />NAMEffITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all anaclunems were prepared under my direction or <br />supnrvtston m accordance with a system designed to assure that mialified personnel properly gather and <br />evaluate the information submitted. Based on my inquiry of the person or persons who manage the <br />system, or those persons directly responsible for gothenn the information, the information submitted is, <br />to the but of my knowledge and belief, true, accurate, and complete. I ant aware that there are significant <br />penalises for submitting false information, including the possibility of fine and imprisonment for knowing <br />violations. <br />." <br />-. .� r .1)9 yr. - r - + .._. <br />a - <br />TELEPHONE <br />DATE <br />`t <br />` <br />( <br />• <br />i iI, .. , • , • - 1 <br />, 1 (! • <br />� t <br />! . <br />' <br />- <br />i <br />s <br />SIGNATURE,DF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Cod. I <br />NUMBER <br />. <br />MM /DD/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 />Quarterly monitoring - see C.14. <br />EPA Fonn 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 -Q <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />10/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <br />TO <br />DMR Mailing ZIP CODE: 81526 <br />MINOR <br />Quarterly Monitoring for 002 <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />07/24/2012 Page 1 <br />