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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 = Check here if No Discharge <br />OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO NOTE Read !n •rIt b f <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY I' I YEAR MO DAY <br />10 01 01 TO 70 nz a« <br />ions a ore completing this form <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION FREQUENCY - SAMPLE <br />PARAMETER <br /> <br /> <br />OIL AND GREASE <br />AVERAGE <br />...... <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS NO. <br />EX OF <br />ANALYSIS TYPE <br /> SAMPLE (94) ...... < +++« <br />+ .+. <br />VISUAL MEASUREMENT 0 0 <br /> <br />84066 1 0 0 <br />PERMIT <br />...... <br />...... 1!7 VISUaI <br /> <br />EFFLUENT GROSS VALUE <br />REQUIREMENT REPORT <br />INST MAX YES= 1 <br />NO=o ....... ,+«+ <br />... <br /> <br />...«« WEEKLY VISUAL <br /> SAMPLE ...... <br /> MEASUREMENT <br /> PERMIT .«.... ...... ,.<«+« ....., <br /> <br /> REQUIREMENT <br /> SAMPLE •,.,«« «+«... .<++.. ,« .... +..+«. <br /> MEASUREMENT <br /> PERMIT .....+ ...... ...... .,.... <br /> REQUIREMENT " <br />" <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 />.. 'k*+ <br />• <br /> REQUIREMENT , <br /> SAMPLE .»... .... <br />,. <br />..«.«. <br />«. .,.. <br />...:.. <br /> MEASUREMENT <br /> PERMIT ...... <..... ...... <..... <br />««+. <br />....,,« <br /> REQUIREMENT <br />NAMENITLE PRINCIPAL EXECUTIVE OF FICER I Certify under penalty of law that this document an d all attachme nts were prepared under TE LEPHO NE <br /> <br /> <br />i <br />B <br />my direction or supervision in accordance with a system designed to assure that qualified <br /> <br />'(1411 /1 6 DATE <br />r <br />an A. Watterson, P.G. personnel properly gather and evaluate the information submitted. Based on my inquiry of V 1..? 970 870 - 2750 n <br />Geologist the person or persons who manage the system, or those persons directly responsible for SIGNATURE OF PRINCIPAL / <br />V <br /> gathering the information, the information submitted is, to the best of my knowledge and belief, OFFICER OR AUTHORIZED AGENT AREA CODE NUMBE <br /> <br />true, accurate, and complete. I am aware that there are significant penalties for submitting R YEAR MO DAY <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