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PERMITTEE NAME/ADDRESS (include Facility Namokocation itDifferent, <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 003-A <br />PERMIT NUMBER DISCHARGE NUMBER:::] <br />MONITORING PERIOD <br />MM/DD/YYYY MM/DD/Y_YYY <br />111/2017 1 1 3/31/2017 <br />Form Approved <br />OMB No. 2040-0004 <br />DMR Mailing ZIP CODE: 80467-9704 <br />MINOR <br />No. G M ne to Witlams Fork River <br />External Outrall <br />—No -Discharge <br />I -Ons <br />PARAMETER <br />I—tyunnmvo, yorwwmmmf,dowmanfa 1A.—+--Pro.—u„da'myanarnaao. <br />e pvNabn In aCGome w h a sysbm d••gn.d b •seam thal g -9w p•ronnai pmpedy Oft, <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 />^^'^ <br />J:j� � <br />TYPED OR PRINTED <br />""' <br />""" <br />""' <br />`^^' <br />PERMIT <br />REQUIREMENT <br />""" <br />Req, Mon. <br />INST MAX <br />Y=1;N=0 <br />I <br />""" <br />""" <br />I <br />""" <br />""" <br />I <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />I—tyunnmvo, yorwwmmmf,dowmanfa 1A.—+--Pro.—u„da'myanarnaao. <br />e pvNabn In aCGome w h a sysbm d••gn.d b •seam thal g -9w p•ronnai pmpedy Oft, <br />TELEPHONE <br />DATE <br />wale Ne va—bon suhminiM Based on my VR wv dr the pores+ a persons —man•9•dte <br />system or hose perom Wv Uy mspanslUla far 9aebdng me the W—W- 10—.d h <br />b Me Desi d my 1mMed" and b—f mw .—I. aM amhplale f am — that Ih•te •ro <br />70 S�f� / -IS- \ <br />It <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />�� 1 y <br />•qIX anf p•nabNs ro ,abmxix • res=. mrom emn motudhm the vm.rxv of • •nes imon•onmem « <br />._" haaan• <br />f+� T J l > <br />J:j� � <br />TYPED OR PRINTED <br />AREA C"7 NUMBER <br />/DDlVYVY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all atrachmentle-here) <br />Oil and grease sample required if visible shee is observed. Oirly sampling instructions - I.C.12. pg 11. <br />EPA Form 3320.1 (Rev.01/06) Previous editions may be used. 0510812013 Page 4 <br />