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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 1= Check here if No Discharge <br />OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO NOTF- Road Inefn-i- -11- a efi .6: <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />09 04 01 TO 09 06 31 <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION FREQUENCY SAMPLE <br />PARAMETER <br /> NO. OF TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS <br />OIL AND GREASE SAMPLE ""** (g4) ***+*• +. xx«. «*.«xx <br />VISUAL MEASUREMENT 0 0 1/7 VISUAL <br />84066 1 0 0 PERMIT ****** - REPORT YES= 1 ""'*** ** *"** - - *****+ *+*• ;. <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX NO = o <br /> WEEKLY VISUAL' <br /> SAMPLE '*"" •*+'*• x«+... .* xxxx xxx«++ <br /> MEASUREMENT <br /> PERMIT xxxxx. *.**.. - «xxxxx .*.+**. <br /> REQUIREMENT - <br />. <br /> SAMPLE `***'• ««xx«. xxxxxx xx** **.*.. <br /> MEASUREMENT <br /> PERMIT .*..xx -- *..-.** xxx.xx x:««r«« _ <br />*xxx« <br /> REQUIREMENT. <br /> SAMPLE *++xxx +..... xxxx«x <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE •••+_+ •***++ ....xx <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE xxxxxx xx.xxx ( 03) xxxxx« xx ««.. xxxxxx <br /> MEASUREMENT <br /> PERMIT xx.x*. xxxxxx MGD <br /> REQUIREMENT <br /> SAMPLE <br />`****' <br />'***** <br />****+* <br /> <br />++.+xx <br /> MEASUREMENT <br /> PERMIT - +xxxxx .*.xxx xxx.*+ xx«*.. - ** ,.** <br />*** <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 /> my direction or supervision in accordance with a system designed to assure that qualified _ <br />? <br /> <br />Bflan A. Watterson, P.G. <br />personnel property gather and evaluate the information submitted. Based on my inquiry of ? <br />-- <br />970 870 - 2750 <br />Geologist the person or persons who manage the system, or those persons directly responsible for SIGNATURE OF PRINCIPAL d <br /> gathering the information, the information submitted is, to the best of my knowledge and belief OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER <br /> , <br />true, accurate, and complete. I am aware that there are significant penalties for submitting YEAR DAY <br />MO <br />TYPE OR PRINTED false information, including the possibility of fine 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 THIS IS A 4-PART FORM PAGE 2 OF 2