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PERM ITTEE NAME/ADDRESS (Include Facility Name/Location if 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 />C00034142 003 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />10/01/2013 12/31/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />No. 6 Mine to Williams Fork River <br />External Outfall <br />No Discharge <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER Icenityuriderpenalyof lawthatthisdocumentandallattachmentswerepreparedundermydirectionor TELEPHONE DATE <br />supervision in accordance with a system designed to assure that qualified personnel property gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the �} <br />system, or those persons directly responsible for gathering the information, the information submitted is <br />'elf, {� to the best of my knowledge and belief true, accurate. and complete. I am aware that there are art ��6 <br />��J significant penalties for submitting false information, including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR _ f Cu <br />TYPED OR PRINTED nowing violations. AUTHORIZED AGENT <br />AREA Code I NUMBER MM /DD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil and grease sample required if visible shee is observed. Qtrly sampling instructions - I.C.12, pg 11. <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 07/10/2013 Page 2 <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 />Zinc, potentially dissolved <br />SAMPLE <br />' * * * *' <br />* *' * ** <br />* * * * ** <br />•'• *" <br />MEASUREMENT <br />013031 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 />Silver, potentially dissolved <br />SAMPLE <br />MEASUREMENT <br />013041 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 />Copper, potentially dissolved <br />SAMPLE <br />« « * * *« <br />* * * * ** <br />*• "•* <br />•' *••' <br />MEASUREMENT <br />013061 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 />Arsenic, potentially dissolved <br />SAMPLE <br />« * * * *« <br />* * *• *' <br />* *• *'* <br />' * * * ** <br />* * * * «« <br />MEASUREMENT <br />013091 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 />Cadmium, potentially dissolvd <br />SAMPLE <br />"•• *' <br />* * * "* <br />* * * * ** <br />* * * * ** <br />MEASUREMENT <br />013131 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 />Lead, potentially dissolvd <br />SAMPLE <br />* * * *•* <br />*• * * «« <br />* * * * ** <br />* * * *'* <br />MEASUREMENT <br />013181 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 />Manganese, potentially dissolvd <br />SAMPLE <br />' * *•'• <br />* *' * ** <br />*• *••' <br />« *' * ** <br />MEASUREMENT <br />013191 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 />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER Icenityuriderpenalyof lawthatthisdocumentandallattachmentswerepreparedundermydirectionor TELEPHONE DATE <br />supervision in accordance with a system designed to assure that qualified personnel property gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the �} <br />system, or those persons directly responsible for gathering the information, the information submitted is <br />'elf, {� to the best of my knowledge and belief true, accurate. and complete. I am aware that there are art ��6 <br />��J significant penalties for submitting false information, including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR _ f Cu <br />TYPED OR PRINTED nowing violations. AUTHORIZED AGENT <br />AREA Code I NUMBER MM /DD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil and grease sample required if visible shee is observed. Qtrly sampling instructions - I.C.12, pg 11. <br />EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 07/10/2013 Page 2 <br />