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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 />NAME BTU EMPIRE CORPORATION - EAGLE MINE COMPLEX <br />ADDRESS 29515 RCR #27 000034142 <br />OAK CREEK, CO 80467 PERMIT NUMBER <br />FACILITY LOCATION CRAIG, CO <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />F - FINAL MOFFAT <br />NO. 5 MINE TO/WILLIAMS FK <br />003 A Check here if No Discharge <br />DISCHARGE NUMBER <br />NOTE <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MID DAY <br />10 10 01 TO 10 12 31 <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION FREQUENCY SAMPLE <br />PARAMETER <br /> NO. OF TYPE <br /> _ AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS <br />OIL AND GREASE SAMPLE "'"• (94) ..._*_ <br />VISUAL MEASUREMENT O O 1/7 VISUAL <br />84066 1 0 0 PERMIT "''" REPORT YES = 1 ,..... .. .... _••___ .... <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX NO=0 <br /> WEEKLY VISUAL <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 ...... <br /> MEASUREMENT <br /> PERMIT ...... ...... ...««. ...... <br />...... <br />...... <br /> REQUIREMENT <br /> SAMPLE ...... ....., ( 03) ...,,, „ .... .... <br /> MEASUREMENT <br /> PERMIT ...... ...... MGD •..... <br /> REQUIREMENT <br /> SAMPLE ...... ...... .... <br /> MEASUREMENT <br /> PERMIT ...... ...... .... ...... <br /> REQUIREMENT <br />NAMEITITLE 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 /> DATE <br /> my direction or supervision in accordance with a system designed to assure that qualified <br />Brian A. W atterson, P.G. personnel propedy gather and evaluate the information submitted. Based on my inquiry of 970 870 - 2750 <br />(( <br />U/ <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 <br /> <br />true, accurate, and complete. I am aware that there are significant penalties for submitting MO DAY <br />TYPE OR PRINTED false information, including the possibility of fine and imprisonment for knowing violations. <br />I VIAI-N I J A - -LAINA I I VIV Ur AIN T V IULA I IUNS (Hererence an attacnments 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