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PERMITTEE NAME /ADDRESS (Include Facility Name/Location /f Different)
<br />NAME:
<br />CAM Mining LLC
<br />ADDRESS:
<br />PO Box 98
<br />EX
<br />EX
<br />Loma, CO 81524
<br />FACILITY:
<br />MUNGER CANYON MINE
<br />LOCATION:
<br />3148 HWY 139
<br />VALUE
<br />LOMA, CO 81524
<br />ATTN: Richard Boone, Sr VP
<br />DISCHARGE MONITORING REPORT (DMR)
<br />COG850061 001 -A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY I MM /DD/YYYY
<br />FROM 10/01/13 1 TO 1 12/31/13
<br />OMB No. 2040-0004
<br />DMR Mailing ZIP CODE: 81524
<br />MINOR
<br />Discharge to Munger Creek
<br />External Outfall
<br />No Discharge 0
<br />PARAMETER
<br />I certify undm penal of Iaw that this dowmmt and all attachments were prepared undm my direction or
<br />aupernamama «ordm. withasyystemdestgned to assure that qualified personnel properly gather and
<br />evaluate the mfonnahon submttred. Based on my inquiry of the "moon or persons who m.nage the
<br />system, or these persons directly reapoosibl< for gathenng the information, the ;formation aubmmed is,
<br />o d e best of my know,edfe and belief true, accurate and complete. I am aware pri umu etc si k iowi nt
<br />"elation for su tmng fa se mformanon, Ettcluding the possibttiry offine and Impdaonment for lowing
<br />vtolatiom
<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />EX
<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 />J
<br />pHSAMPLE
<br />« « « ».«
<br />< « «. «.
<br />«. «...
<br />....,.
<br />MEASUREMENT
<br />0040010
<br />Effluent Gross,x
<br />PERMIT
<br />REQUIREMENT,
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<br />= MAXIIVIUM°
<br />!
<br />, SU
<br />Twice; Per,.
<br />GRAB
<br />Solids, total suspended
<br />SAMPLE
<br />« «««..
<br />..«...
<br />... «..
<br />. «...«
<br />MEASUREMENT
<br />0053010
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />ef,
<br />:'3,,:,
<br />«...,W .
<br />_ ' °:,s' ;,,
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<br />DAILY,
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<br />Mditl(i
<br />G B
<br />RA
<br />Solids, settleable
<br />SAMPLE
<br />MEASUREMENT
<br />00545 1 0
<br />Efluent Gross
<br />PERMIT
<br />R EQ UIREMENT
<br />y!
<br />-°`;i
<br />,'M
<br />0Di
<br />5Ya
<br />m / L
<br />Twice -Pe r
<br />Month
<br />S
<br />Oil and grease
<br />SAMPLE
<br />MEASUREMENT
<br />0358210
<br />E
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />- -1�A
<br />'
<br />x rt Ii!YN„ ,Y,c 'd €!'°`
<br />!g'.- 01 # *•p•, :..
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<br />- - x
<br />14'
<br />INS°PWAX
<br />f
<br />mg /L
<br />Contingent
<br />g
<br />G RAB
<br />Flow, in conduit or thru treatment plant
<br />SAMPLE
<br />MEASUREMENT
<br />500501 0
<br />Effluent Gross
<br />PERMIT
<br />RE UIREMENT
<br />Q
<br />Raq Mon.
<br />�,
<br />30t7i�t,Ai/G
<br />s R e i J'A, °!
<br />_ +MOr ^ °d
<br />,
<br />E'' -fti N =! '
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<br />= '�"M9Al /d,,,
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<br />;:;
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<br />a'
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<br />r
<br />iid , -E, .
<br />Continuous
<br />RCORDR;
<br />Solids, total dissolved
<br />SAMPLE
<br />MEASUREMENT
<br />70295 1 0
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />.....,
<br />;;,i,fi ;,..' €,; €,,, t,,,s,,, .=
<br />°,.:
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<br />''DAI YMx”
<br />_
<br />mg_
<br />Qfdatl9l j�; ;k'
<br />a'CfiA6'
<br />Oil and grease visual
<br />SAMPLE
<br />MEASUREMENT
<br />8406610
<br />Effluent Gross
<br />PERMIT
<br />REQUIREMENT
<br />. ». ».,,; .. -
<br />is ".'i' "° :?++
<br />°.ry
<br />; . =RetM ',;
<br />, =ftl�fS li re `
<br />_.Y -1;N?0
<br />;,'•:,E,:'
<br />4 ,f
<br />.
<br />rwtce'I'ei
<br />Month
<br />VISUAL
<br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
<br />I certify undm penal of Iaw that this dowmmt and all attachments were prepared undm my direction or
<br />aupernamama «ordm. withasyystemdestgned to assure that qualified personnel properly gather and
<br />evaluate the mfonnahon submttred. Based on my inquiry of the "moon or persons who m.nage the
<br />system, or these persons directly reapoosibl< for gathenng the information, the ;formation aubmmed is,
<br />o d e best of my know,edfe and belief true, accurate and complete. I am aware pri umu etc si k iowi nt
<br />"elation for su tmng fa se mformanon, Ettcluding the possibttiry offine and Impdaonment for lowing
<br />vtolatiom
<br />TELEPHONE
<br />DATE
<br />g70- 245 -4101
<br />10/11/2013
<br />Jim Stover, Agent
<br />S NATO E OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Coda
<br />NUMBER
<br />MMMD/YYYY
<br />TYPED OR PRINTED
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />Settleable solids limit waived for 10 -yr, 24 hr precip event subject to burden of proof requirements in Part 1.B.6. Any additional data shall be supplied to the division within 48 hours.
<br />3A Form 33204 (Rev.01 106) Previous editions rnav be used. 05/18/2011 Page 1
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