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PERMITTEE 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 />000034142 FLOW -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />04/01/2014 06/30/2014 <br />DMR Mailing ZIP CODE <br />MINOR <br />Total Flow <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />80467 -9704 <br />No Discharge EJ <br />PARAMETER <br />1 aendy under penarcy or lawthat this document and all attachments were prepared under my direction or <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 />Flow, in conduit or thru treatment plat <br />500501 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />6,6 2-?-- <br />0 <br />* * * <br />AREA COde <br />NUMBER <br />MtNIDDIYYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />PERMIT <br />REQUIREMENT <br />4.03 <br />I 30DA AVG <br />Req. Mon. <br />DAILY MX <br />MGD <br />" "" <br />"" *' <br />" "" <br />"' "' <br />Page 1 <br />Monthly <br />CALCTD <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />1 aendy under penarcy or lawthat this document and all attachments were prepared under my direction or <br />TELEPHONE <br />DATE <br />supervision in accordance wth a system designed t assure that quallfed personnel properly gather and <br />persons ho manage the al ate the information submitted. Based on my inquiry of the person or <br />system, or those persons directly responsible for gathering the information the information submitted is <br />to the best of my kno'Medge and belief, true. accurate and complete I am aware that there are <br />r�, <br />43,1 t h <br />C <br />�7(] � <br />�� � <br />L � l � �'�� <br />sign fcantpenalties for submttingfalse information, ncluding the possibildy of fine and imprisonment for <br />ovnng violations. <br />SIGNATURE OF PR CIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />9!{J -7 <br />TYPED OR PRINTED <br />AREA COde <br />NUMBER <br />MtNIDDIYYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Report total flow from 003A, 022A and 024A. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. <br />07/10/2013 <br />Page 1 <br />