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PARAMETER <br />I eerily under ;felinity of law that this document and all attachments were prepared under my direction or <br />sup crvmum in accnrdancc with ' system designed to assure Mat qualified personnel properly gather mr s <br />evaluate die information submitted Based on my inquiry of the person or persons who manage the <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 />....•. <br />.. *..* <br />. <br />.*.* ** <br />MM /DD/YYYY <br />•.... <br />� <br />TYPED OR PRI TED <br />PERMIT <br />REQUIREMENT <br />* * * * ** <br />* * * * ** <br />* * * *** <br />Req. Mon. <br />3ODA AVG <br />*** * ** <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 />.... *. <br />PERMIT <br />REQUIREMENT <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 />... *.. <br />* *. * *. <br />PERMIT <br />REQUIREMENT <br />.5 <br />30DA 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 />Req. Mon. <br />3ODA AVG <br />mg /L <br />Twice Per <br />Month <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />I eerily under ;felinity of law that this document and all attachments were prepared under my direction or <br />sup crvmum in accnrdancc with ' system designed to assure Mat qualified personnel properly gather mr s <br />evaluate die information submitted Based on my inquiry of the person or persons who manage the <br />I <br />7 �•^' <br />TELEPHONE <br />DATE <br />� /_, 11 (i <br />O <br />f) ) � /� <br />(/ .X <br />•..,---• <br />I C 11 L (Q <br />I to <br />lY W1 YVI Or) a <br />Q <br />system, on those persons directly responsible forgathering the information, the infonnatmn submn • <br />the beer eft my knowledge and belief, true accurate, and complete. I am aware that there arc sea ficant <br />panh lnr submitting take n ntormamon, including the possibility m fine and mtprnannmem for kn <br />violations <br />( <br />SIGN ' T r <br />OF PRINCIPAL EXECUTIVE OFF I <br />AUTHORIZED AGENT <br />- 1 R <br />AREA Coda <br />NUMBER <br />MM /DD/YYYY <br />V <br />� <br />TYPED OR PRI TED <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 />01/01/2013 <br />MM /DD/YYYY <br />01/31/2013 <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 />