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PARAMETER <br />Icc rut > under per,altyot law that th�� document and all atta. hmenla were prepared under myducwin,or <br />supervumn m a,.enrdance wall a system designed in assure that qualified personnel properly gather and <br />valuate the information submitted Based on my mqutry of the person or per.ons who manage the <br />system of /hose persons hrcetly >p stble for gathering the information, the information submitted 1. <br />to the best of my knowledge and bche(,'rue, acemate, and complete 1 am aware that there are siauticam <br />pen s mbar tr mgfalse . nfmahm,., nemangmeFassd , and mprsnneoor tor u,n,,,ng <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 />pHSAMPLE <br />00400 1 0 <br />Effluent Gross <br />MEASUREMENT <br />a * „ ** <br />, *,,., <br />PERMIT <br />REQUIREMENT <br />o 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 />PERMIT <br />REQUIREMENT <br />5 <br />DAILY MX <br />mL'L <br />Monthly <br />GRAB <br />Oiland grease <br />0358210 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />* *,a *. <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 />Mcal /d <br />Monthly <br />INSTAN <br />Solids, total dissolved <br />70295 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />,, „ *, <br />PERMIT <br />REQUIREMENT <br />” <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 />* *a, <br />., *.,* <br />, *, * *, <br />PERMIT <br />REQUIREMENT <br />Req Mon. <br />INST MAX <br />Y =1 N =11 <br />Monthly <br />VISUAL <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />Icc rut > under per,altyot law that th�� document and all atta. hmenla were prepared under myducwin,or <br />supervumn m a,.enrdance wall a system designed in assure that qualified personnel properly gather and <br />valuate the information submitted Based on my mqutry of the person or per.ons who manage the <br />system of /hose persons hrcetly >p stble for gathering the information, the information submitted 1. <br />to the best of my knowledge and bche(,'rue, acemate, and complete 1 am aware that there are siauticam <br />pen s mbar tr mgfalse . nfmahm,., nemangmeFassd , and mprsnneoor tor u,n,,,ng <br />.> <br />; <br />/ / r • <br />jJ L 7 j/ <br />I ' � - � <br />TELEPHONE <br />DATE <br />t <br />ICJ /,Cn (1\1:1-11-41v rC <br />� ' �i �7(' �' 7k_ <br />�r // <br />C / / Z �./ _1 <br />MM /DD/YYYY <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code NUMBER <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 />C00034142 <br />PERMIT NUMBER <br />020 -A <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD /YYYY <br />/0 /0 /taQ,(r <br />TO <br />1 412 , ,/?(; <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />(SUBR JC) MOFAT <br />E2SE 30 6N-91W TO YAMPA RIVER <br />External Outfall ( r <br />V <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 />