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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 />ATiN: Jerry Nettleton, Supv <br />NATIONAL FOLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00034142 <br />FLOW -A <br />DMR Mailing ZIP CODE: <br />MINOR <br />Total Flow <br />External Outfall <br />PERMIT NUMBER I <br />I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />PARAMETER <br />MM /DD/YYYY <br />1/1/2015 <br />3/31 /2015 <br />Form Approved <br />OMB No. 2040 -0004 <br />80467 -9704 <br />No Discharge <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I Wily under penalty of law that this document and all attachments were prepared under my directan or <br />supemsan in a¢crdance mth a system desgned to assure that qualified personnel property gather and <br />aluate the Informalion wbmided. Based on my Inquiry of the person or persons who manage the <br />I sysem, or Ohose persons directly responsible for gathering the information. the Information submitted Is. <br />to the best of my Immiedge and bel,ef, true, aaurate and complete. I am aware that there are <br />ir.,,) / j( •i -�/ signif— tpenaWesforsubmim d false Information. indudrg the possbdryWfneand imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />ng violations. AUTHORIZED AGENT <br />TYPED OR PRINTED <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.01 106) Previous editions may be used. <br />TELEPHONE DATE <br />V70 S-M 27S-0 01 � /S <br />AREAC.d. I NUMBER I MMIDDNYYY <br />05/08/2013 Page 1 <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />EX <br />OF ANALYSIS <br />I <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Flow, in conduit or thru treatment plant <br />SAMPLE <br />MEASUREMENT <br />C _ /r'G� / <br />0C3 -2 <br />" "" <br />" "" <br />'' "" <br />"' "' <br />j% <br />f J <br />1 <br />E (C- f(( r <br />5005010 <br />PERMIT <br />4.03 <br />Req. Mon. <br />MGD <br />" "" <br />"' "' <br />a "' "" <br />" "'• <br />Monthly <br />CALCTD <br />Effluent Gross <br />REQUIREMENT I <br />30DA AVG <br />DAILY MX <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I Wily under penalty of law that this document and all attachments were prepared under my directan or <br />supemsan in a¢crdance mth a system desgned to assure that qualified personnel property gather and <br />aluate the Informalion wbmided. Based on my Inquiry of the person or persons who manage the <br />I sysem, or Ohose persons directly responsible for gathering the information. the Information submitted Is. <br />to the best of my Immiedge and bel,ef, true, aaurate and complete. I am aware that there are <br />ir.,,) / j( •i -�/ signif— tpenaWesforsubmim d false Information. indudrg the possbdryWfneand imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />ng violations. AUTHORIZED AGENT <br />TYPED OR PRINTED <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.01 106) Previous editions may be used. <br />TELEPHONE DATE <br />V70 S-M 27S-0 01 � /S <br />AREAC.d. I NUMBER I MMIDDNYYY <br />05/08/2013 Page 1 <br />