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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 Inctmetinnc hefnro rn nnlounn this rn <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />-1 10 10 01 TO 10 12 31 <br />- ----- - WUALII r vn WAUtNG-_._-- QUAL ITY 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 0 0 117 visual <br />84066 1 0 0 PERMIT ,..... REPORT YES = 1 ""'• "• •`•' •••"•• "*** <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX NO <br />O «..' <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 /> REQUIREMENT <br /> SAMPLE ..»».. ..«_., ( 03) ..«»„ ». .... ..«.., <br /> MEASUREMENT <br /> PERMIT •''••' •'•... MGD ...,.. <br /> REQUIREMENT <br /> SAMPLE ««.... ,..,«. .,...« ...,«« «..... <br /> MEASUREMENT <br /> PERMIT ...... ...... ...... <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OF FICER 1 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 y 970 870 - 2750 I N <br />Z <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. 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