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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. 5 MINE TO/WILLIAMS FK <br />ADDRESS 29515 RCR #27 000034142 003 A F-1 Check here if No Discharge <br />OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO NOTE: Read !nstr-,,.tio s bef I t' N I <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />10 01 01 TO 10 03 31 <br />n ore comp e mgt is orm <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 •..... (94) ...... + +»+ ...... <br />VISUAL MEASUREMENT 0 0 10 VISUAL <br />84066 1 0 0 PERMIT """• REPORT YES = 1 ...."+ *' '•"' *....r .... <br />-- <br />- - <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX NO=O <br /> WEEKLY VISUAL <br /> SAMPLE ...... ...... ...... <br /> MEASUREMENT <br /> PERMIT ...... .. ...... ...... .... .... <br />.. <br /> REQUIREMENT <br />.. <br /> SAMPLE ...... ...... .+++.. .. ..++ .....+ <br /> MEASUREMENT <br /> 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 ...... . .... <br /> REQUIREMENT <br /> SAMPLE ... ....•" +..+++ ...«. ..++.. <br /> MEASUREMENT <br /> PERMIT ... ...... ...... ...... <br /> REQUIREMENT - <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I Certify under penalty of law that this document and all attachments were prepared under f TELEPHONE DATE <br /> my direction or supervision in accordance with a system designed to assure that qualified <br />J <br />Brian A. Watterson, P.G. personnel properly gather and evaluate the information submitted. Based on my inquiry of ` <br />•r 970 870 - 2750 (i? `. <br />Geologist the person or persons who manage the system, or those persons directly responsible for SIGNATURE OF PRINCIPAL <br />J <br /> <br />{/ <br /> <br />V 7 <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 />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