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PARAMETER <br />lucent} under p law fhat all anat la' ents dersonelunder ;yatherandO1 <br />evaluate the in subn mod Based on my ngnry ante person or persons who o manage the <br />system of those p rso s dnectl} sp ,stble for gathenng the mfom,nnon the tnformauon submitted t. <br />to the hest of my knowledge and bchef, true, accurate, and complete 1 am aware that there arc significant <br />cdtmpnsoumenttor <br />gthepobd rtyuttiu an <br />p thug! aise nformatm n, mcludm sn <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 <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 />S olids, settleable <br />0054510 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />...... <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 />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 />PERMIT <br />REQUIREMENT <br />Req Mon. <br />30DA AVG <br />Req Mon <br />DAILY MX <br />Mgal /d <br />Monthly <br />INSTAN <br />Solids, total dissolved <br />702951 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <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 />PERMIT <br />REQUIREMENT <br />Req Mon <br />INST MAX <br />Y =1 N =0 <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />lucent} under p law fhat all anat la' ents dersonelunder ;yatherandO1 <br />evaluate the in subn mod Based on my ngnry ante person or persons who o manage the <br />system of those p rso s dnectl} sp ,stble for gathenng the mfom,nnon the tnformauon submitted t. <br />to the hest of my knowledge and bchef, true, accurate, and complete 1 am aware that there arc significant <br />cdtmpnsoumenttor <br />gthepobd rtyuttiu an <br />p thug! aise nformatm n, mcludm sn <br />_ <br />)' <br />t / <br />S , e <br />` OF <br />TELEPHONE <br />DATE <br />I <br />13 V V <br />r` G'` C .F (5E <br />� / 7(_, F 7 C. -7�t <br />j // pp <br />C (/ (, G_ (' <br />SIGNATURE PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code 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.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />000034142 <br />PERMIT NUMBER <br />018 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />(C /G /au' /f TO f /3( /c'L'i if <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />(SUBR JC) MOFAT <br />W2SE 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 />