Laserfiche WebLink
PERMITTEE NAME /ADDRESS (Include Factl/ty 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 />oiji.,HARGE MONITORING FLE' ORi (LAVIK) <br />000034142 022 -A <br />PERMIT NUMBER I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY MM /DD/YYYY <br />01/01/2014 03/31/2014 <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 />6 <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <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 />Oil and grease visual <br />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />* * * * *` <br />Req. Mon. <br />INST MAX <br />Y =1,N =0 <br />*" * <br />* " * "* <br />* * *'* <br />Twice Per <br />Month <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of lath t this document and all attachments sere prepared under my direction or y_ <br />supervision In accordance vrth a system designed to assure that qualified personnel properly gather and — <br />valuate the Information submitted Based on my Inquiry of the person or persons mho manage the <br />r system or those persons directly responsible for gathering the information the Information submitted Is :.� <br />to the best of my 4 noviedge and belief true accurate and complete am aware that there are <br />significant penalties for submitting false m*ormatron including the possibility of fine and Imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />im—mg wolaaons AUTHORIZED AGENT <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 />TELEPHONE DATE <br />AREACOde I NUMBER I MMP( n /YYYY <br />Previous editions maybe used. 17/ 11 01 <br />