2014-02-04_HYDROLOGY - C1981044

• Permit No: C1981044
• IBM Index Class Name: Hydrology
• Doc Date: 2/4/2014
• Doc Name: 4th Quarter 2013 DMRS ‎(CO-0034142)‎
• From: Moffat County Mining, LLC
• To: WQCD
• Permit Index Doc Type: DMR’s
• Email Name: JLE
• Email Name: SB1
• Media Type: D
• Archive: No

PERM ITTEE NAME /ADDRESS (Include FacilityName/Locatlon if Different)
NAME: Moffat County Mining LLC
ADDRESS: 29515 Routt CR 27
Oak Creek, CO 80467 -9704
FACILITY: WILLIAMS FORK MINE
LOCATION: 1030 CR 107
CRAIG, CO 81626
ATTN: Jerry Nettleton, Sup
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
DISCHARGE MONITORING REPORT (DMR)
000034142 022 -A
PERMIT NUMBER I DISCHARGE NUMBER
MONITORING PERIOD
MM /DD/YYYY MM /DD/YYYY
10/01/2013 12/31/2013
Form Approved
OMB No. 2040 -0004
DMR Mailing ZIP CODE: 80467 -9704
MINOR
Spoils Springs to Channel Prior to Discharge to Williams
External Outfall
No Discharge
PARAMETER
I certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
valuate the information submitted. Based on my inquiry of the person or persons who manage the
system, or those persons directly responsible for gathering the information. the information submitted is
to the best of my knowledge and belief, true, accurate, and complete I am aware that there are
significantpenatties for submitting false information. including the possibility of fine and imprisonment for
knowing violations.
QUANTITY OR LOADING
QUALITY OR CONCENTRATION
NO.
EX
FREQUENCY
OF ANALYSIS
SAMPLE
TYPE
VALUE
VALUE
UNITS
VALUE
VALUE
VALUE
UNITS
Oiland grease visual
840661 0
Effluent Gross
SAMPLE
MEASUREMENT
* * * * **
EPA Form 3320 -1 (Rev.01 106) Previous editions may be used.
* * * * **
* * * * **
* * * * **
* * * * **
PERMIT
REQUIREMENT
* * * * **
Req. Mon.
INST MAX
Y =1;N =0
* * * *'*
* * * * **
* * * * *'
* * * *'*
Twice Per
Month
VISUAL
NAME /TITLE PRINCIPAL EXECUTIVE OFFICER
I certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
valuate the information submitted. Based on my inquiry of the person or persons who manage the
system, or those persons directly responsible for gathering the information. the information submitted is
to the best of my knowledge and belief, true, accurate, and complete I am aware that there are
significantpenatties for submitting false information. including the possibility of fine and imprisonment for
knowing violations.
- y_� _
TELEPHONE
DATE
lC(7n Vtj�t P/ 5( h
'qq `
q o e77 1 2-7 1L,
1 C S
C( '
SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
AUTHORIZED AGENT
AREA code
NUMBER
M IDDfn Ym
TYPED OR PRINTED
COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
Oil and grease sample required if visible sheen is observed. Qtrly sampling instructions - I.C.12, pg 11.
EPA Form 3320 -1 (Rev.01 106) Previous editions may be used.
07/10/2013
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