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PERMITTEE NAMEIADDRESS (include Facility Name/Location if Different)
<br />NAME:
<br />Energy Fuels Coal Inc
<br />ADDRESS:
<br />PO Box 459
<br />E
<br />EX
<br />Florence, CO 81226
<br />FACILITY:
<br />SOUTHFIELD MINE
<br />LOCATION:
<br />1190 COUNTY ROAD 92
<br />NUMBER
<br />FLORENCE, CO 81226
<br />ATTN: GEORGE V. PATTERSON, MINE MGR
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />� e�
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MMIDDIYYYY I MMIDDIYYYY
<br />FROM TO I i
<br />Lo- l-a.o (q 1� -31 -201
<br />Forth Approved
<br />OMB No. 2010-0004
<br />DMR Mailing ZIP CODE: 81226
<br />MINOR
<br />(SUBR TV) FRMNT
<br />DSCHG TO TRIB OF�"'E"�.,= .;6*4- ",�
<br />External Outfall CP–K
<br />No Dlachargepk
<br />NAMElTRLE PRINCIPAL EX CUTIVEOFFICER
<br />`
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<br />QUANTITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />E
<br />EX
<br />FREQUENCY
<br />OF ANALYSIS
<br />SAMPLE
<br />TYPE
<br />PARAMETER
<br />SIGN RE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AaEACoa.
<br />NUMBER
<br />itMlDD/YYYY
<br />TYPED OR PRINTED
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNITS
<br />pH
<br />SAMPLE
<br />......
<br />......
<br />......
<br />......
<br />MEASUREMENT
<br />0040010
<br />PERMIT
<br />••••••
<br />.•••.•
<br />••••••
<br />6
<br />MINIMUM
<br />....•.
<br />MAXI MUM
<br />U
<br />Twice Per
<br />Month
<br />GRAB
<br />Effluent Gross
<br />REQUIREMENT
<br />Solids, settleable
<br />SAMPLE
<br />......
<br />......
<br />......
<br />......
<br />MEASUREMENT
<br />0054510
<br />PERMIT
<br />.••.••
<br />.••••.
<br />•••.••
<br />••••••
<br />30DA AVG
<br />DAILY MX
<br />m
<br />T Month
<br />GRAB
<br />Effluent Gross
<br />REQUIREMENT
<br />Oiland grease
<br />SAMPLE
<br />......
<br />......
<br />......
<br />......
<br />......
<br />MEASUREMENT
<br />PERMIT
<br />••••••
<br />`•••`•
<br />" '
<br />" "
<br />' " ""
<br />......
<br />10
<br />INST MAX
<br />nVlL
<br />Contingent
<br />GRAB
<br />0358210
<br />Effluent Gross
<br />REQUIREMENT
<br />Flow, in conduit or thru treatment plant
<br />SAMPLE
<br />......
<br />......
<br />•••••.
<br />......
<br />MEASUREMENT
<br />PERMIT
<br />Req. Mon.
<br />30DA AVG
<br />Re E Mon.
<br />DAILY MX
<br />M9aYd
<br />••••••
<br />••••••
<br />••••••
<br />••••••
<br />Continuous
<br />RCORDR
<br />5005010
<br />Effluent Gross
<br />REQUIREMENT
<br />Oiland grease visual
<br />SAMPLE
<br />......
<br />. -••..
<br />•••.••
<br />••••••
<br />•••••
<br />MEASUREMENT
<br />PERMIT
<br />•.....
<br />Req. Mon.
<br />Y =1:N.0
<br />" ""
<br />" "•'
<br />" "••
<br />••••••
<br />Twice Per
<br />VISUAL
<br />8406610
<br />Effluent Gross
<br />REQUIREMENT
<br />INS MAX
<br />Month
<br />NAMElTRLE PRINCIPAL EX CUTIVEOFFICER
<br />`
<br />,,.tern.., mu.r a,.w.. Juw,y rtYP'an,We k, fair a* ,,,r.,m>,•,n.,n. w!•.mwn. >.l,nnva a,
<br />to �hela ofm > ►uu•. a+.l bci:cf, uue, tu,uc,uW Ian awae tln,h,e ae. fiw
<br />,r,, .nmex mu �u.dnrm.P`mnrr .n�,mn*Kr�••w
<br />TELEPHONE
<br />DATE
<br />G /
<br />' �•
<br />���(
<br />SIGN RE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AaEACoa.
<br />NUMBER
<br />itMlDD/YYYY
<br />TYPED OR PRINTED
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SETTLEABLE SOLIDS LIMIT WAIVED FORIOYR,24HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS IN PARTI.B.6, ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE DIVISION WITHIN 48 HOURS.
<br />EPA Forrn 3720 -1 (Rw.01106) Prsrrlous editions may be used. 02107/2011 Page i
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