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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 022 A =1 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 />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 xxxxxx (94) ****** ** **** '''*xx <br />VISUAL MEASUREMENT 0 0 117 visual <br />84066 1 0 0 PERMIT 'REPORT YES= 1 *+"** x* xw** "x+x"` **** <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX N0=0 - '*** WEEKLY VISUAL <br /> SAMPLE xx+++x «xxxx .xxxxx xx xx++ "..... <br /> MEASUREMENT <br /> '.PERMIT:. • w xxxxxx x««xxw. xx..x«xx ++++.. <br /> REQUIREMENT <br />... <br /> SAMPLE +x.xxx xxxxxx xxxxxx xx <br />.xxx <br /> MEASUREMENT <br /> PERMIT xxx.wx ,xxxxxx xxxxxx .. *«xxx+ x+..x.x+. "..".. <br /> REQUIREMENT' <br /> SAMPLE *'**'* ****** xx«xxx <br /> MEASUREMENT <br /> PERMIT ++xxxw. ««.xxxx xxxxxx - «wxx+w. +r. xxxx:. .+xx+. <br /> REQUIREMENT <br />... <br /> SAMPLE xxxxxx .xxxx« xx«x«x ++ +xx <br /> MEASUREMENT <br /> :PERMIT +".xxx xxx+w* +xx««x xxxxxx .+.. xwxx «++.++ <br /> REQUIREMENT - " <br /> SAMPLE xxxxxx xxxxxx ( 03) xxxxxx xx xxxx +".",. <br /> MEASUREMENT <br /> PERMIT xxxxxw.... xxxx« MGD +xx. «x.+ .++++ <br /> REQUIREMENT <br />.... <br />- <br />... <br />_ <br /> SAMPLE xx.xxx «xx«xx +xxxxx xx xxxx ....+. <br /> MEASUREMENT <br /> .''.PERMIT x«xxx+ xxx«wx - xxxxxx xxxxxx xx xax+. .xw«« <br /> REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachments were prepared under J TELEPHONE DATE <br /> my direction or supervision in accordance with a system designed to assure that qualified <br />Brian A. Watterson, P.G. personnel property gather and evaluate the information submitted. Based on my inquiry of 970 870 - 2750 a'( <br />Q <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 YEAR MO DAY <br /> true, accurate, and complete. 1 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 - 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