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PARAMETER
<br />I eerlit) under penalty of law that this document and all attachments were prepared under my ihreetion nr
<br />sup rvrsmn Lo accordance with a system designed to assure that qualified personnel properly g dim and
<br />I t II fo non v in) Based on � Inquiry of the person or pc on who manage the
<br />sli or those persons directly r .p risible for gathering the information, the information submitted i.
<br />to the best of my knowledge and belief, true, accurate, and complete 1 am aware that there are mgt.-leant
<br />peo ne tormatmn, ualuJmg[ hepnastntivyoffrneandrmpnsonmentforlsoxmg
<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 />.,t,..,.
<br />PERMIT
<br />REQUIREMENT
<br />6 5
<br />MINIMUM
<br />9
<br />MAXIMUM
<br />SU
<br />Monthly
<br />GRAB
<br />S olids, settleable
<br />0054510
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />......
<br />....,,
<br />,....,
<br />.,.,,.
<br />,,,,,,
<br />PERMIT
<br />REQUIREMENT
<br />.5
<br />DAILY MX
<br />mUL
<br />Monthly
<br />GRAB
<br />Oil and grease
<br />0358210
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />.,,,.,
<br />,,.,..
<br />.. „„
<br />......
<br />,,,,,,
<br />PERMIT
<br />REQUIREMENT
<br />10
<br />INST MAX
<br />mg /L
<br />Contingent
<br />GRAB
<br />Flow, in conduit or thru treatment plant
<br />500501 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />......
<br />.....,
<br />,,,,,,
<br />,,,,,,
<br />PERMIT
<br />REQUIREMENT
<br />Req Mon.
<br />3ODA AVG
<br />Req Mon.
<br />DAILY MX
<br />MgaI:d
<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 />Oil and grease visual
<br />84066 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />.....,
<br />,,,,,.
<br />,,,,,,
<br />PERMIT
<br />REQUIREMENT
<br />Req Mon.
<br />INST MAX
<br />Y =1 N =0
<br />Monthly
<br />VISUAL
<br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER
<br />I eerlit) under penalty of law that this document and all attachments were prepared under my ihreetion nr
<br />sup rvrsmn Lo accordance with a system designed to assure that qualified personnel properly g dim and
<br />I t II fo non v in) Based on � Inquiry of the person or pc on who manage the
<br />sli or those persons directly r .p risible for gathering the information, the information submitted i.
<br />to the best of my knowledge and belief, true, accurate, and complete 1 am aware that there are mgt.-leant
<br />peo ne tormatmn, ualuJmg[ hepnastntivyoffrneandrmpnsonmentforlsoxmg
<br />/ —......,
<br />!
<br />A/ ( • /6 (/ u- i L.. �.------ '^'"`
<br />TELEPHONE
<br />DATE
<br />' 1 J y /t q
<br />V / /( EDa t ) JCy'1
<br />(
<br />77 L tl r ?l_I 2173
<br />/
<br />/ / _)
<br />C ( / , � / 2l• / 2.
<br />///
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code NUMBER
<br />///
<br />MM /DD/YYYY
<br />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.01 /06) 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 />MM /DD /YYYY
<br />015 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />(C / Cl /?C l_ TO
<br />MMIDD/YYYY
<br />DMR Mailing ZIP CODE:
<br />MINOR
<br />(SUBR JC) MOFAT
<br />E2NE 31 6N -91W TO WILLIAMS FRK
<br />External Outfall
<br />Form Approved
<br />OMB No 2040 -0004
<br />80467 -9704
<br />No Discharge
<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 />01/11/2012 Page 1
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