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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) MINOR Form Approved <br />PERMITTEE NAME/ADDRESS (includes Facility Name/Location if Different) DISCHARGE MONITORING REPORT (DMR) (SUBR JC) OMB No. 2040-0004 <br />F -FINAL MOFFAT <br />NAME BTU EMPIRE CORPORATION -EAGLE MINE COMPLEX NO. 6 MINE TO/WILLIAMS FK <br />ADDRESS 29515 RCR #27 000034142 003 A ~ Check here if No Discharge <br />OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO Nr1TF~ Gmn b.~..,,.t' b f <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />OB 03 01 TO 08 03 31 <br />. ions a ore camplehng this form <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION FREQUENCY SAMPLE <br />PARAMETER <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS NO. <br />EX of TYPE <br /> <br />OIL AND GREASE <br />SAMPLE <br />+'+"+ <br />(gq) <br />++»+_ <br />+. +.++ <br />,.++++ ANALYSIS <br />VISUAL MEASUREMENT O 0 1/7 I <br /> <br />84066 1 O O <br />-PERMIT <br />""" <br />"`«" V <br />SU81 <br /> <br />EFFLUENT GROSS VALUE <br />.REQUIREMENT REPORT <br />INST MAX VES = 1 <br />N0=0 " "" +++•++ ++.+ <br />"" <br /> <br />"" WEEKLY VISUAL <br /> SAMPLE " """ <br />~~ <br /> MEASUREMENT <br /> `PERMIT ... ,.. .....+ .... <br /> .. .. <br />*+ - <br />., ... <br /> REQUIREMENT <br /> SAMPLE •••••• ••,,•, <br />`•,' <br /> MEASUREMENT <br /> PERMIT ....,.. ...... ..+... ....., <br /> REQUIREMENT <br /> SAMPLE ,.,... .:.... ...... <br /> MEASUREMENT <br /> PERMIT ..+.,, ,...,. ...+.. ...»,. <br />... <br /> REQUIREMENT <br /> SAMPLE ++•::« ...„. „++++ <br />++++ <br /> MEASUREMENT <br /> PERMIT ....., .«... ...... .< , ... <br /> REQUIREMENT <br /> SAMPLE .,..,. ».,,, (03) <br /> MEASUREMENT <br /> PERMIT ...... ...... MGD ..»,. <br />...... <br /> REQUIREMENT <br /> SAMPLE """ """ <br /> MEASUREMENT <br /> PERMIT - «,.... ..„.. ...... ....» <br />...... <br /> REQUIREMENT <br />NAME/rI7LE PRINCIPAL EXECUTIVE OF FICER I Certify under penalty of law Mat this document an d all attachme nts were preparetl under TE LEPHO NE <br /> ~ DATE <br /> my direction or supervision in accordance with a system designed to assure that qualified " <br />~~ ~7p • ~7 <br />Bflan A. W atterSDn, P.G. personnel properly gather and evaluate the information submitted. Based on my inquiry of , <br />V ~~~,,,/ 970 870 - 2750 ~ y: <br />GBOIOgISt the person or persons who manage the system, or those persons directly responsible for SIGNATURE OF PRINCIPAL © V~ `V <br /> gathering the information, Me information submitted is, to the best of my knowledge antl belief, OFFICER OR AUTHORIZED AGENT AREA CODE NUMBE <br /> <br />true, accurate, and complete. I am aware that there are significant penalties for submitting R YEAR MO DAV <br />TYPE OR PRINTED false information, including Me possibility of fine and impdsonment for knowing violations. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Flow limit applies to combined flow from 003, 022, & 024. Oil & Grease grab sample analysis required if visible sheen is observed. Quarterly sampling instructions - I.C.12, PG. 9. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used <br />THIS IS A 4-PART FORM PAGE 2 OF 2 <br />