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PARAMETER <br />I cerh under penalty of law that this document and direction direction attachments were prepared under my direction or <br />supervision to aesordance with asystem desIged to assure that qualified personnel properly gather and <br />evaluate the tnfomtauon subm tted Based on my mgmry of the person or persons who manage the <br />system of those persons dnce:1y responsible for gathenng the mformabon the tnformauon sobmttted is <br />m the hest of my knowledge and belief, we, accurate, and complete Ltm aware that there are significant <br />',smith, subm,tbng take mtormahuq mcludntg the pos>,btlrty ut tine and tmpnsenmcnt for knots me <br />1 t <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO, <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />pH SAMPLE <br />00400 1 0 <br />Effluent Gross <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />6 5 <br />MINIMUM <br />9 <br />MAXIMUM <br />SU <br />Monthly <br />GRAB <br />Solids, settleable <br />0054510 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />5 <br />DAILY MX <br />mL/L <br />Monthly <br />GRAB <br />Oil and grease <br />03582 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />„,.. <br />.,.... <br />,..... <br />PERMIT <br />REQUIREMENT <br />INST MAX <br />mg /L <br />Contingent <br />GRAB <br />Flow, in conduit or thru treatment plant <br />50050 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />PERMIT <br />REQUIREMENT <br />Req Mon <br />30DA AVG <br />Req. Mon <br />DAILY MX <br />Mgalid <br />Monthly <br />INSTAN <br />Solids, total dissolved <br />702951 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />-- <br />...... <br />PERMIT <br />REQUIREMENT <br />Req Mon <br />QRTR AVG <br />Req Mon. <br />QRTR MAX <br />mg /L <br />Quarterly <br />GRAB <br />Oiland grease visual <br />84066 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <br />...... <br />...... <br />...... <br />PERMIT <br />REQUIREMENT <br />Req Mon <br />INST MAX <br />Y =1 N =0 <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFI Lenity <br />I cerh under penalty of law that this document and direction direction attachments were prepared under my direction or <br />supervision to aesordance with asystem desIged to assure that qualified personnel properly gather and <br />evaluate the tnfomtauon subm tted Based on my mgmry of the person or persons who manage the <br />system of those persons dnce:1y responsible for gathenng the mformabon the tnformauon sobmttted is <br />m the hest of my knowledge and belief, we, accurate, and complete Ltm aware that there are significant <br />',smith, subm,tbng take mtormahuq mcludntg the pos>,btlrty ut tine and tmpnsenmcnt for knots me <br />1 t <br />1 ,' <br />/ , 4 { • _- <br />TELEPHONE <br />DATE <br />./ <br />/J / l (t t 1 ��U�� `{� y �� <br />L <br />� 7 e _ 7 SL' <br />1. L <br />f / S `/? c I � <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code I NUMBER <br />MM /DD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Moffat County Mining LLC <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 -9704 <br />FACILITY: <br />LOCATION: <br />EAGLE MINE COMPLEX <br />1030 COUNTY ROAD 107 <br />CRAIG, CO 81626 <br />ATTN JERRY NETTLETON, ENV SUPERVISR <br />EPA Form 3320 - 1 (Rev.01106) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00034142 <br />PERMIT NUMBER <br />014 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY MM /DD/YYYY <br />/V(G (f TO /2._/ Lt; <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />(SUBR JC) MOFAT <br />NW /4 32 6N-91W TO YAMPA RIVER <br />External Outfall <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMIT WAIVED FOR >10YR,24HR PRECIP EVENT -SEE I.A.1,PG. 3, FOR REQUIREMENTS. OIL &GREASE GRAB SAMPLE ANALYSIS REQUIRED IF VISIBLE SHEEN IS OBSERVED. QRTRLY SAMPLING <br />INSTRUCTIONS- I.C.12,PG. 9 <br />No Discharge' <br />01/11/2012 Page 1 <br />