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<br />PERMfTTEE NAME/ADDRESS (includes Facility NamelLocation If Different) NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) MINOR Form Approved <br />!SUER JCj OMB No. 2040-0004 <br /> <br />NAME <br />ADDRESS <br /> <br />FACILITY LOCATION <br />BTU EMPIRE CORPORA TIOr: EA( E l: l!)E CC`1PLEY. <br />29515 RCR 0-27 CC.IOi1 ata2 003 A <br />OAK CREEK. CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />CRAIG. CO F - FINAL MOFFAT <br />NO 6 MINE TO:WILLIAMS FK <br />x Here d No Discharge <br /> <br />NOTE. Read In; hu'.a-xi:. pefwe compiehng this form <br /> MONITORING PERIOD <br />ATTN: Mr Jerry Nettleton, Environmental Supervisor YEAR MO DAY YEAR MO DAY <br /> U3 0' ,n f U 39 <br /> DUALITY O R LOADING QUAL ITY OR CONCENTRATI ON FREQUENCY SAMPLE <br />PARAMETER <br />?E? <br /> N0. of TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS <br />OIL AND GREASE SAM;` E ...... (94) •••••• ...... ...... <br />VISUAL MEASUREMEN' 0 0 1/7 VISUAL <br />84066 1 0 0 PERMIT •••••• REPORT ...... •• •••• •••••• .... <br />EFFLUENT GROSSVALUE REQUIREMENT ?NST MAX re)=c •"' <br /> • 'NEEK:.Y VISUAL <br /> SAMPLE .••••• """ <br />••••.• <br /> MFASUaEVENT <br /> PERMIT '•"" •••••• •••••• <br />••••• <br /> REQUIREMENT <br /> $A.M-,,.F ...... ...... ...... .. .... ...... <br /> MEASUREMENT <br /> PERMIT ...... ...... ...... ...... .. .... ...... <br /> REQUIREMENT <br /> ;AMPLE ...... ...... ...... <br /> kAEA5.OREMENT <br /> PERMIT <br />REQUIREMENT """ ...... •••••• <br />••• <br /> SAMPLE """ """ <br /> MF A.IREMcNT <br /> PERMIT """ ^•••• •••••• <br />••••• <br /> REQUIREMENT <br /> SAMPLE ...... ...... ( 031 ...... .. .... ...... <br /> f.fE•:.?UREME:':i <br /> PERMIT "•"' """ tJGI? <br />•'•• <br /> PEOII(REMENT <br /> SAMPLE ...... """ <br /> MEASURPAENT <br /> PERMIT <br />REWIREMEN T ...... ...... ...... ...... <br />NAME/TITLE PRINCIPAL EXECUTIVE OF FICER I Certify undo, rMnally of law that 1h:s o?x_ument and at; attachmen ts Here vreparell cn?er TE EPRO "lE DATE <br /> j _ <br /> my (nfechm o, supervision in accrvdame with a system designed to assure that qua' r?e<I /) "nom <br />Brian A W dtterson P G personnel properly gamin and evaluate the information submitted Based on my mgwry of y70 870 - 2750 <br /> <br />C,eoioglst <br />the person w persons who manage the system, w those persons directly responsible Iw <br />SIGNATURE OF PRINCIPAI. Z <br /> gathenng the info mal- !h,, hf•vmahnn suemiTIO esto the best of my knovAedge and behat OFFICER OR AUTHORIZED AGENT APEA CODE NUMBER TE <br /> ,,.? 0-:r.,.-. ... -..... r:al rune=.T:<s:gnir?cant penalLlvs fw submming <br /> <br />Flow limit applies to combined bow from 003 022,&024 CO F. Grease grab sample analyses required it visible sheen is observed Quarterly sampling Instrucnons -I C i2. PG_ 9 <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used 'HIS IS A 4-PART FORM T`A GE 2 OF 2