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PARAMETER <br />1 semi) under penalty of law mat this document and all attachments were prepared under my d i s c o u n t or <br />su,w t Y 8 9 p c properly ga <br />t,m,tna«emanrewmne, acmdes, designed qualified personnel gather <br />v mate them( nation submtned Based on my inquiry of the person or persons nho manage me <br />system or thou persons hrectl� responsible for gathering the information the tnform submitted is <br />to the best of my knowledge and belief, true, ..orate, on complete I am aware that there are significant <br />penalties <br />penalties for,ubmttbng false minnnahor, including the posstbtlnry of fine and imprisonment for Anmr mg <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO <br />FREQUENCY <br />OF ANALYSIS <br />SA E <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />pH <br />00400 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <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 />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 />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 />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 />Reg 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 />„ „ „ „ „„ <br />PERMIT <br />REQUIREMENT <br />Req Mon. <br />INST MAX <br />Y =1 N =0 <br />Monthly <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFIC <br />1 semi) under penalty of law mat this document and all attachments were prepared under my d i s c o u n t or <br />su,w t Y 8 9 p c properly ga <br />t,m,tna«emanrewmne, acmdes, designed qualified personnel gather <br />v mate them( nation submtned Based on my inquiry of the person or persons nho manage me <br />system or thou persons hrectl� responsible for gathering the information the tnform submitted is <br />to the best of my knowledge and belief, true, ..orate, on complete I am aware that there are significant <br />penalties <br />penalties for,ubmttbng false minnnahor, including the posstbtlnry of fine and imprisonment for Anmr mg <br />-. „Y <br />s � _ <br />v ('t V �� ~ <br />TELEPHONE <br />DATE <br />// , <br />r`./ I f (A <br />{� `!Ci If? / S <br />�/ ,�, 4 ' 7 C # 2.7 ``., <br />( A (, /z l (-.7__ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />I t <br />AREA Code NUMBER <br />MM /DD/YYYY <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 />C00034142 <br />PERMIT NUMBER <br />MM /DD/YYYY <br />FROM /(.1 /z�,f <br />016 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY <br />TO / 2.-/..31 / e t <br />Form Approved <br />OMB No 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />(SUBR JC) MOFAT <br />SESE 30 6N-91W TO YAMPA RIVER <br />External Outfall <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 <br />