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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) MINOR Form Approved <br />PERMITTEE NAMEIADDRESS (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 022 A Check here if No Discharge <br />OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO NOTE: Read instructions before comDletino this form <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR NO DAY YEAR MO DAY <br />08 04 01 TO 08 06 31 <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION FREQUENCY SAMPLE <br />PARAMETER <br />f?2 <br />NO. <br />OF <br />TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS <br />OIL AND GREASE SAMPLE •••••• (94) ...... ...... ...... <br />VISUAL MEASUREMENT U U 1n VISUAL <br />84066 1 0 0 PERMIT;. ••`•`« REPORT YES=1 •••«» - «, ,,.... ,..«„ .... <br />EFFLUENT GROSS VALUE REQUIREMENT INsTMAX NO=D •••• WEEKLY VISUAL <br /> SAMPLE "'•" .... .«.... <br /> MEASUREMENT <br /> .____..PERMIT :.-. _, ...... ,. .......... ,.. ...... .,. - - - <br /> REQUIREMENT <br /> SAMPLE ...«.. .»... ...... <br /> MEASUREMENT <br /> r PERMIT. ...... <br /> REQUIREMENT <br /> SAMPLE ...... ...... ...... <br /> MEASUREMENT <br /> PERMIT: ...... ..,.. ...... ....... <br /> REQUIREMENT. <br /> SAMPLE ...... ...... ...... .. ..,. <br /> MEASUREMENT <br /> PERMIT ...... .... ... ... <br /> REQUIREMENT - - - <br /> SAMPLE ...«. ...... ( 03) ...... ...... ...... <br /> MEASUREMENT <br /> PERMIT ...... ...... MGD ....r <br /> REQUIREMENT <br /> SAMPLE .,.... ... ...... <br /> MEASUREMENT <br /> PERMIT ....... ....... ...... .,«,.,. <br /> REQUIREMENT - <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachments were prepared under TELEPHONE DATE <br /> i <br />i r <br /> my d <br />rect <br />on 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 {ma 970 870 - 2750 Ok 1 7 W <br />Geologist the person or persons who manage the system, or those persons directly responsible for SIGNATURE OF PRINCIPAL 0 <br /> gathering the information, the information submitted is, to the best of my knowledge and belief, OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY <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 fine and imprisonment for knowing violations. <br />COMMtN 1 A AND EXPLANA 1 ION OF ANY vluLA I IUNS (Mererence au 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 3199) Previous editions may be used <br />THIS IS A 4-PART FORM PAGE 2 OF 2