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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 TOMILLIAMS FK <br />ADDRESS 29515 RCR #27 000034142 003 A <br />Check here if No Discharge <br /> OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO NOTE: Read Instructions before completing this form <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />08 04 01 TO 08 06 30 <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION FREQUENCY SAMPLE <br />PARAMETER NO. OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS <br />OIL AND GREASE SAMPLE ...... (94) ...... .. ••.. ...•.. <br />VISUAL MEASUREMENT O O 17 VISUAL <br />84066 1 0 0 PERMIT'. REPORT - YES = 1 .."`" " "" """ **•* <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX NO=O •`•• WEEKLY VISUAL <br /> SAMPLE ...... ...... ...... .....« <br /> MEASUREMENT <br /> ----PERMIT-- ` -. ` ._:-_.:. ...-...... ;;-.-.: ...... .... - -_-:.. -- -- <br /> REQUIREMENT . <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .,..., - ...... ...... ...... ...... <br /> REQUIREMENT <br /> SAMPLE <br />«. <br />.... <br />„.... <br />...... <br /> MEASUREMENT <br /> :PERMIT ...«.: ,...... ...... ...... ....,. <br /> REQUIREMENT - <br /> SAMPLE ...... ...... ...... ...... <br /> MEASUREMENT <br /> PERMIT .,.... ...... ...... .,.... ...«.. -. <br /> REQUIREMENT <br /> SAMPLE ...... ...... ( 03) ...... ...... ...... <br /> MEASUREMENT <br /> PERMIT ...... «..... MGD ...... ...... .,..., <br /> REQUIREMENT <br /> SAMPLE ...... ...... ...... .. .... <br /> MEASUREMENT <br /> PERMIT .,. ...... ...... .. <br /> REQUIREMENT <br />NAME/rITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachments were prepared under TELEPHONE DATE <br /> my direction or supervision in accordance with a system designed to assure that qualified <br />Brian A. Watterson, P.G. personnel properly gather and evaluate the information submitted. Based on my inquiry of 970 870 - 2750 <br />/7 <br />Geologist the person or persons who manage the system, or those persons directly responsible for SIGNATURE OF PRINCIPAL <br /> gathering the information, the information submitted is, to the best of my knowledge and belief, OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER Y DA <br />Y <br /> true, accurate, and complete. I am aware that there are significant penalties for submitting <br />TYPE OR PRINTED false information, including the possibility of tine and imprisonment 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