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PARAMETER <br />I cemfy under penalty of law that this document mi d all attachments were prepared under my duccuon or <br />supemsi <br />coal ate th n imnformehon cnbmiue B on m Inquiry of the person or persons wI o manage the <br />s or those persons directl g , nude nd res st g for gatherin mfonoeeon the mfonnaton dygathe sub is , <br />to the hest of my knowledge and brl.rf, trot, accurate, and complete. I am aware that there are significant <br />penahiesforsubmittmgfalsemformauon, indudmgi hepombdityoffineendtmpsoomemforknowmg <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 />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />AREA Code <br />NUMBER <br />....., <br />// <br />tG <br />(G <br />' <br />/ <br />«« .... <br />PERMIT <br />REQUIREMENT <br />30DA 3500 <br />AVG <br />7000 <br />DAILY Y MX <br />` fig/ <br />Quarterly <br />GRAB <br />Oil and grease <br />0358210 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,..,.. <br />;,r;ri- <br />!1,/ <br />✓h' <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 />' ' <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ing/L <br />' <br />Quarterly <br />GRAB <br />Oil and grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br /># <br />f, <br />......• <br />• ^: t✓ <br />�; l <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />« *• *•' <br />/ <br />Quarterly <br />VISUAL <br />NAMEITITLEPRINCIPALEXECUTNEOFFICER <br />I cemfy under penalty of law that this document mi d all attachments were prepared under my duccuon or <br />supemsi <br />coal ate th n imnformehon cnbmiue B on m Inquiry of the person or persons wI o manage the <br />s or those persons directl g , nude nd res st g for gatherin mfonoeeon the mfonnaton dygathe sub is , <br />to the hest of my knowledge and brl.rf, trot, accurate, and complete. I am aware that there are significant <br />penahiesforsubmittmgfalsemformauon, indudmgi hepombdityoffineendtmpsoomemforknowmg <br />violations. <br />I ' '� <br />- <br />`� �/ � <br />�'''' l t ,�• �- its -'t ' 1 - a -''� <br />TELEPHONE <br />DATE <br />i <br />/t 'ti�l• "' <br />,,Jf` <br />�if; l)1'I r1 l f. 11C y }{e; <br />n .f' <br />( <br />9 , <br />/ t✓ <br />r <br />,L L' l . �/ / 3 <br />, i <br />, • Q,'," , - <br />j <br />SIGNAT RINCIPALEXECUTIVEOFFICEROR <br />- -AUTHORIZED AGENT <br />AREA Code <br />NUMBER <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 />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 />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Quarterly monitoring - see C.14. <br />C00027146 <br />PERMIT NUMBER <br />016 - 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 016 <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />No Discharge <br />07/24/2012 Page 1 <br />