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PERMITTEE NAME /ADDRESS (include Facility Name /Locationi"Dffferent) <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 />uio .;HARGE IVl0NI T jFdI,4 i REP�A- i DW_kFi <br />C00034142 022 -A <br />PERMIT NUMBER I I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />01/01/2014 03/31/2014 <br />I � I E, 1, - _ . - - <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 />F <br />a <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance win a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted Eased an my inquire of the person or persons w[,o manage the <br />system or those persons directly responsible for gathering the information the information submitted is <br />to the best of my knowledge and belief true accurate and complete I am aware that there are <br />significant penalties for submitting false information including the p—ibility of fine and imprisonment for <br />knowng violations <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />NUMBER M IDDIYfYYY <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 />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 />MEASUREMENT <br />013231 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 />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 recoverablE <br />SAMPLE <br />MEASUREMENT <br />042621 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 />MEASUREMENT <br />500501 0 <br />PERMIT <br />Req. Mon. <br />Req. Mon. <br />MGD <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 />MEASUREMENT <br />702951 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 />MEASUREMENT <br />71900 1 0 <br />PERMIT <br />*` * * ** <br />* * " * ** <br />*` *' <br />" " *` <br />Req. Mon. <br />" * *" <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance win a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted Eased an my inquire of the person or persons w[,o manage the <br />system or those persons directly responsible for gathering the information the information submitted is <br />to the best of my knowledge and belief true accurate and complete I am aware that there are <br />significant penalties for submitting false information including the p—ibility of fine and imprisonment for <br />knowng violations <br />e <br />TELEPHONE DATE <br />• t <br />�{ •-�• <br />f r, =. !y <br />F <br />"` " ^�- q ✓'.t <br />6 c "? e G <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER M IDDIYfYYY <br />TYPED OR PRINTED <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 />_°F>- =ofn1 :132b -I tFe,..Pf:iit6) Precious editions may be used. _ ; 10/20 "1 i F ^cc _ <br />