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PERMITTEE NAME /ADDRESS (Include Facility Name /Location ff Different) <br />NAME: Moffat County Mining LLC <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 -9704 <br />FACILITY: WILLIAMS FORK MINE <br />LOCATION: 1030 CR 107 <br />CRAIG, CO 81626 <br />ATTN Jerry Nettleton, Supv <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000034142 022 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY MM /DD/YYYY <br />07/01/2013 1 09/30/2013 <br />Form Approved <br />OMB No 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />Spoils Springs to Channel Prior to Discharge to Williams <br />External Outfall <br />No Discharge <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER 'certify under penalty of law that this document and all attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and _ <br />valuate the information submitted Based on my inquiry of the person or persons who manage the <br />f system, or those persons directly responsible for gathering the information the information submitted is - <br />i + to the best of my knowledge and belief true accurate and complete i am aware that there are l.' � -� 2 <br />tl � 15Ga1 7 ) <br />V'- � significant penalties for submitting false inrormation including the possibility of floe and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR �'G r�� . �� �— 2_��) C` �- /( ) <br />TYPED OR PRINTED knowing violations AUTHORIZED AGENT <br />AREA Code I NUMBER MMlDD /YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil and grease sample required if visible sheen is observed. Qtrly sampling instructions - I.C.12, pg 11. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may be used. 07/10/2013 Page 3 <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />EX <br />OF ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Nickel, potentially dissolvd <br />SAMPLE <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />MEASUREMENT <br />013221 0 <br />PERMIT <br />« * * * ** <br />* * * * ** <br />" * * ** <br />* * * *`* <br />Req. Mon. <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />Selenium, potentially dissolvd <br />SAMPLE <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />MEASUREMENT <br />013231 0 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />* * * * ** <br />* * * * ** <br />* * * * *' <br />*' *' ** <br />Req. Mon. <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />ug /L <br />Monthly <br />GRAB <br />Oil and grease <br />SAMPLE <br />MEASUREMENT <br />0358210 <br />PERMIT <br />* * * * ** <br />* * * * ** <br />' * "'* <br />* * * * ** <br />* * * * ** <br />10 <br />mg /L <br />Contingent <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />Chromium, trivalent total recoverabIE <br />SAMPLE <br />MEASUREMENT <br />04262 1 0 <br />PERMIT <br />* « * * ** <br />* * * * ** <br />* * * *" <br />* * * * ** <br />* * * * ** <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />DAILY MX <br />Flow, in conduit or thru treatment plat <br />SAMPLE <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />MEASUREMENT <br />500501 0 <br />PERMIT <br />Req. Mon. <br />Req. Mon. <br />MGD <br />* *' * ** <br />* * * * ** <br />* *' « ** <br />* * * * ** <br />Monthly <br />INSTAN <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />Solids, total dissolved <br />SAMPLE <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />MEASUREMENT <br />70295 1 0 <br />PERMIT <br />' * *' ** <br />* *' * ** <br />*' * * ** <br />* * * * ** <br />Req. Mon. <br />Req. Mon. <br />mg /L <br />Quarterly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />Mercury, total (as Hg) <br />SAMPLE <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />MEASUREMENT <br />71900 1 0 <br />PERMIT <br />Req. Mon. <br />" * * *' <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER 'certify under penalty of law that this document and all attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and _ <br />valuate the information submitted Based on my inquiry of the person or persons who manage the <br />f system, or those persons directly responsible for gathering the information the information submitted is - <br />i + to the best of my knowledge and belief true accurate and complete i am aware that there are l.' � -� 2 <br />tl � 15Ga1 7 ) <br />V'- � significant penalties for submitting false inrormation including the possibility of floe and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR �'G r�� . �� �— 2_��) C` �- /( ) <br />TYPED OR PRINTED knowing violations AUTHORIZED AGENT <br />AREA Code I NUMBER MMlDD /YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil and grease sample required if visible sheen is observed. Qtrly sampling instructions - I.C.12, pg 11. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may be used. 07/10/2013 Page 3 <br />