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PERMITTEE NAME/ADDRESS (include Facility Name/Location if <br />R ME " Energy Fuels Coal Inc <br />ADDRESS: PO Box 459 <br />Florence, CO 81226 <br />FACILITY: SOUTHFIELD MINE <br />LOCATION: 1190 COUNTY ROAD 92 <br />FLORENCE, CO 81226 <br />ATTN: GEORGE V. PATTERSON, MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850045 <br />002-A <br />PERMIT NUM ER <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YY YY <br />SAMPLE <br />MM/DD/YYYY <br />01/01/2016 <br />EX <br />03/31/2016 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 81226 <br />MINOR <br />(SUER TV) FRMNT <br />DSCHG TO TRIB OF NEWLIN CREEK <br />External Outfall <br />No Discharge <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />t certify — Penalty of law that this document and aB attachments were preperae'nder my <br />direction or supervision in accordance with a system designed to assure that qualified <br />Personnel properly gather and evaluate the information submitted. Based on my kw*Ary of the <br />person or persons who manage the system, or those parsons d(racdy responsible fur gathering <br />the information the information submitted is. to the best of my knowledge and bene(. true.J <br />accurate. andcomplete I am aware that there are %gntflcant penatties ls <br />for sbmettiri9 fae <br />tntki kng the possmbibfy of fine and impnsonment for knowing vloistiens. <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />EX <br />OF ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />PH <br />SAMPLE <br />MEASUREMENT <br />004001 0 <br />PERMIT <br />.... <br />•'••" <br />•••"• <br />6.5 <br />"•'•' <br />9 <br />SU <br />Twice per <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />MINIMUM <br />MAXIMUM <br />Month <br />Solids, settleable <br />SAMPLE <br />MEASUREMENT <br />005451 0 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />»•:».. <br />»:»»,» <br />»»»,«» <br />•*__« <br />Req. Mon. <br />30DA AVG <br />.5 <br />DAILY MX <br />mL/L <br />Twice per <br />Month <br />GRAB <br />Oil and grease <br />SAMPLE <br />MEASUREMENT <br />0358210 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />»»»»», <br />»ass» <br />, <br />s », <br />»»,»»» <br />»,►,»»10 <br />INST MAX <br />mg/L <br />Contingent <br />GRAB <br />Flow, in conduit or thru <br />SAMPLE <br />•••••• <br />...... <br />+••••» <br />...... <br />treatment plant <br />MEASUREMENT <br />5005010 <br />PERMIT <br />Req. Mon. <br />Req. Mon. <br />MGD <br />««4.»4 <br />""»•' <br />"•`•• <br />.... <br />Continuous <br />Recorder <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />(auto) <br />Oil and grease visual <br />SAMPLE <br />`•`••• <br />___••• <br />••••»• <br />+•+••: <br />•+•••• <br />MEASUREMENT <br />840661 0 <br />PERMIT <br />•••'•' <br />Req. Mon. <br />N=0;Y=1 <br />`•"" <br />»"•" <br />"'•" <br />'••"' <br />Twice per <br />VISUAL <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />Month <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE <br />t certify — Penalty of law that this document and aB attachments were preperae'nder my <br />direction or supervision in accordance with a system designed to assure that qualified <br />Personnel properly gather and evaluate the information submitted. Based on my kw*Ary of the <br />person or persons who manage the system, or those parsons d(racdy responsible fur gathering <br />the information the information submitted is. to the best of my knowledge and bene(. true.J <br />accurate. andcomplete I am aware that there are %gntflcant penatties ls <br />for sbmettiri9 fae <br />tntki kng the possmbibfy of fine and impnsonment for knowing vloistiens. <br />TELEPHONE <br />DATE <br />1 LSt LJ J'15014,— <br />�X�Gei J/ > > � <br />/ 7 -+4j S 35',7 <br />'Vz/ ler- <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code I NUMBER <br />/DD/YYW <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMIT WAIVED FORI0YR,24HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS IN PARTI.8.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Form 3320-1 (Rev.01/06) Previous editions may be used. 12/29/2015 Page 1 <br />6 <br />