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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) (SUER JC) OMB No. 2040-0004 <br /> <br />NAME BTU EMPIRE CORPORATION - EAGLE MINE COMPLEX F - FINAL MOFFAT <br /> <br />ADDRE NO. 5 MINE TO/WILLIAMS FK <br />SS 29515 RCR #27 000034142 003 A <br /> Check here it No Discharge <br />OAK CREEK, CO 80467 PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY LOCATION CRAIG, CO NOTE: Read instruc tions before cmmnletinn this form <br />ATTN: Mr. Jerry Nettleton, Environmental Supervisor <br />MONITORING PERIOD <br />YEAR MO DAY Ma DAY <br />11 01 01 TO 1 YEAR1 03 at <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 <br />84066 1 0 0 PERMIT REPORT YES = 1 .. •••` •»••• ++++ <br />EFFLUENT GROSS VALUE REQUIREMENT INST MAX NO=o ..» WEEKLY VISUAL <br /> SAMPLE ...... ...... ...... ...... ...... <br /> MEASUREMENT <br /> PERMIT ..«.. ...... ...... «.... <br />• ' • <br /> REQUIREMENT - - <br /> SAMPLE .... ., ....., ...... ...... ...... <br /> MEASUREMENT, <br /> PERMIT ••«'• •••»• .«... ».«. - <br />•»••• <br /> REQUIREMENT - <br /> SAMPLE .,.... ««,. ...,,. <br /> MEASUREMENT <br /> PERMIT . ....» .«... ..,... ...«. <br />...... <br /> REQUIREMENT <br />REQUIREMENT <br /> .«... ...+.. .,.... .. .... <br /> MEASUREMENT <br /> PERMIT ....« ...». ..,... ...... .. .... ...... <br /> REQUIREMENT <br /> SAMPLE ...... ...... ( 03) ...... .. .... ...«, <br /> MEASUREMENT <br /> PERMIT ..«.` ...... MGD ...'.` <br />••••• <br /> REQUIREMENT <br /> SAMPLE ...... ,..... .«... .. ..., ...... <br /> MEASUREMENT <br /> PERMIT. ...... ...«. ...... »«.. ...... <br />...«. <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 ' •' "?? 970 870 - 2750 !t <br /> <br />Geologist <br />the person or persons who manage the system, or those persons directly responsible for <br />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 NUMBER YEAR MO DAY <br /> true, accurate, and complete. 1 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