2014-04-24_HYDROLOGY - C1981044 - Laserfiche WebLink

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PERMITTEE NAME /ADDRESS (include Facility Name /LocatfonffDffferent) 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, Supv �,io .HARGE MONfi C1 =JNo €i i,,N Ri 000034142 024 -A PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD MM /DD /YYYY I r MM /DD/YYYY 01/01/2014 1 03/31/2014 DMR Mailing ZIP CODE: 80467 -9704 MINOR Mine Dewatering to Sedimentation Basin Prior to Discha External Outfall No Discharge r1 NAME /TITLE PRINCIPAL EXECUTIVE OFFICER 1 certify under penalty of law that this document and an attachn ents ,ere prepared under my direction or supervision in accordance with a system designed to assure that quz lifted Pei son net 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 significant penaltresforsubmrttrng false information including the possrbrhry of fine and impusonment for knowing violations QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT EX OF ANALYSIS TYPE VALUE VALUE UNITS VALUE VALUE VALUE UNITS Zinc, potentially dissolved SAMPLE MEASUREMENT 01303 1 0 PERMIT * * * * ** ** " * * * ** * * * * *` Req. Mon. Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX Silver, potentially dissolved SAMPLE MEASUREMENT 013041 0 PERMIT * * * * ** * * * * *' * * * * ** * * * * ** Req. Mon. Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX Copper, potentially dissolved SAMPLE • • ° °* *' * *`* * * * ** * * * * ** MEASUREMENT 013061 0 PERMIT * ~ * * ** *' * * *' * * * * ** * * * * ** Req. Mon. Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX Arsenic, potentially dissolved SAMPLE MEASUREMENT 013091 0 PERMIT * * * * ** * * * * ** * * * * ** * * *' ** * * * * ** Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT DAILY MX Cadmium, potentially dissolvd SAMPLE MEASUREMENT 013131 0 PERMIT * * * * ** * * * * ** * * * * ** * * * * ** Req. Mon. Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX Lead, potentially dissolvd SAMPLE MEASUREMENT 01:318 1 0 PERMIT * * * * ** * * * * ** * * * * ** * * * * ** Req. Mon. Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX Manganese, potentially dissolvd SAMPLE MEASUREMENT 01319 1 0 PERMIT * * * * ** * * * * ** * * * * ** * * * * ** Req. Mon. Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX NAME /TITLE PRINCIPAL EXECUTIVE OFFICER 1 certify under penalty of law that this document and an attachn ents ,ere prepared under my direction or supervision in accordance with a system designed to assure that quz lifted Pei son net 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 significant penaltresforsubmrttrng false information including the possrbrhry of fine and impusonment for knowing violations _ -' - -_ - - TELEPHONE DATE % f +mss g °." i SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT AREA Code NUMBER MMIDD/ TYPED OR PRINTED COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Oil and grease sample required if visible sheen is observed. Otrly sampling instructions - LC 12, pg 11. EF `. Form 5b—C- fF= . %� i!0ti Previous editions may be used. 7/ 11/201