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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 927 000034142 003 A [= Check here if No Discharge <br />OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO NOTE: Read Instructions before comoletino this form <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />09 07 01 TO 09 09 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 +x*x*' (94) ****+* ****** ****** <br />VISUAL MEASUREMENT 0 O 1/7 VISUAL <br />84066 1 0 0 . -PERMIT REPORT YES= 1 ***"* '*_ "•* `*•**" **** <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX No = 0 WEEKLY VISUAL <br /> SAMPLE xw++«« +«++«« +«++++ ++ «+++ ++++++ <br /> MEASUREMENT <br /> PERMIT -xw+wx: x+.w+*. ««++++ ++xxw. .x?ww*.. ,..+..r.. <br /> REQUIREMENT - <br />- <br /> SAMPLE ++++«+ «+++++ ++++++ ++ «««+ <br /> MEASUREMENT <br /> PERMIT ... +++:+. *+«*+ - ++++++ ++.:++ *+-+++* <br /> REQUIREMENT: <br /> SAMPLE *"'** "**'* ****** <br /> MEASUREMENT <br /> PERMIT +wwx+w w+++++ «+++++ +.+++.: +•...wxx xxx+++. <br /> REQUIREMENT <br />_. <br /> SAMPLE **++++ «+«+++ ++++++ ++ ++++ <br /> MEASUREMENT <br /> PERMIT xx ++++.+ ., .+.. +*+*+: <br /> REQUIREMENT - <br /> SAMPLE +++++« «+«+++ ( 03) ++++++ .. ++++ ++++++ <br /> MEASUREMENT <br /> PERMIT +.+++* wx+*+* MGD wx «w+. +.. <br /> REQUIREMENT - <br />... <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 /> my direction or supervision in accordance with a system designed to assure that qualified A <br />Brian A. Watterson, P.G. personnel properly gather and evaluate the information submitted. Based on my inquiry of `T v 970 870 - 2750 Q pJ ? yn <br />Geologist the person or persons who manage the system, or those persons directly responsible for SIGNATURE OF PRINCIPAL ( a C <br /> gathering the information, the information submitted is, to the best of my knowledge and belief, OFFICER OR AUTHORIZED AGENT ARFJ1 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 />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 - LC.12, PG. 9. <br />EPA Form 3320-1 (REV 3/99) Previous editions may be used THIS 15 A 4-PART FORM PAGE 2 OF 2