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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 0 Check here if No Discharge <br />OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO NOTE: Read _VvIti b I I <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />10 04 01 TO 10 na 30 <br />ons a ore comp eUng this form <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION FREQUENCY SAMPLE <br />PARAMETER <br /> <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br /> <br />UM <br />MAXI <br />MAXI <br />M <br /> <br />UNITS N0. <br /> <br />EX OF <br /> <br />ANALYSIS TYPE <br />OIL AND GREASE SAMPLE ..,,«. (94) ..... .. ,... . <br />. <br />VISUAL MEASUREMENT 0 0 t/7 i <br />l <br />84066 1 0 0 PERMIT ..• ""•` v <br />sua <br /> <br />EFFLUENT GROSS VALUE <br />REQUIREMENT REPORT <br />INST MAX YES = 1 <br />NO=0 • ,++_,_ +,+, <br /> WEEKLY VISUAL <br /> SAMPLE ...... ...... ...... .... .+.... <br /> MEASUREMENT <br /> PERMIT ...... ...... ,,,___ .._._, <br />.... <br />•{-•?• <br /> REQUIREMENT <br /> SAMPLE ...... ._.«:« ...... ...... _«,... <br /> MEASUREMENT <br /> PERMIT ...«.. <br />. <br /> REQUIREMENT . <br /> SAMPLE +..««« ..... ...... <br /> MEASUREMENT <br /> PERMIT ««,.._« ...... .._... ...« <br />_ <br />+«..+ <br /> REQUIREMENT <br /> SAMPLE .+«+.. ...... .«...+ __ ...« <br /> MEASUREMENT <br /> PERMIT ...«. ._.«... <br />...« <br /> REQUIREMENT - <br /> SAMPLE ...... ....,. ( 03) +..... .. ,._« <br />f11fYF <br /> MEASUREMENT <br /> PERMIT ...... ...... MGD ....., <br /> REQUIREMENT <br /> SAMPLE ....++ ...+«« .».._ ._ .... +.,__« <br /> MEASUREMENT <br /> PERMIT ...... .+.,.« „«... .,.... <br /> REQUIREMENT <br />NAME/nTLE PRINCIPAL EXECUTIVE OF FICER I Certify under penalty of law that this document an d all attachme nts were prepared under TE LEPHO NE DATE <br /> my direction or supervision in accordance with a system designed to assure that qualified <br />Brian A. W atterson, P.G. personnel properly gather and evaluate the information submitted. Based on my inquiry of •,J (' 970 870 - 2750 <br />Geologist the person or persons who manage the system, or those persons directly responsible for SIGNATURE OF PRINCIPAL l '?I <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 3199) Previous editions may be used THIS IS A 4-PART FORM PAGE 2 OF 2