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PARAMETER
<br />I Lena) under penalty of law that this dowment and all attachments were prepared under my dueLnon or
<br />vacry t,ronIna«ord,mewtmas y stemdest gt edtoassurethat qualified personnel properly a a g atrer and
<br />t nn
<br />evaluate
<br />em, the p tmn subnmred Based Inquiry person t . the m who manage the
<br />system, m those ose persons rsons directly resp stbie lc for or i gathenng the Informatioo n, the Informanon submuted it
<br />to the best of my knowledge and belief, true, act.urate, and complete I am aware that there arc sign Ica t
<br />penalise, for submtnng false intonation, Including the powtbthty of tine and Impnsonment for Mon me
<br />violations
<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 />„ «,,.
<br />C
<br />) 7
<br />rt f
<br />PERMIT
<br />REQUIREMENT
<br />6 5
<br />MINIMUM
<br />9
<br />MAXIMUM
<br />SU
<br />Weekly
<br />INSITU
<br />Solids, total suspended
<br />00530 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />,,,,,,
<br />,..,,,
<br />.,,,.,
<br />`° S
<br />i ]
<br />V/ (z
<br />C, y ;,‘::,)
<br />PERMIT
<br />REQUIREMENT
<br />35
<br />30DA AVG
<br />70
<br />DAILY MX
<br />m g L
<br />Twice Per
<br />Month
<br />GRAB
<br />Iron, total recoverable
<br />00980 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />(
<br />L E l
<br />,
<br />-3 /(1--
<br />U vc `.a
<br />PERMIT
<br />REQUIREMENT
<br />1
<br />30DA AVG
<br />Req. Mon
<br />DAILY MX
<br />mg /L
<br />Monthly
<br />GRAB
<br />Zinc, total recoverable
<br />01094 1 0
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />e •V 2.
<br />0
<br />0 6 �� --
<br />t 1
<br />1 /q z
<br />/
<br />c: rf, l.>
<br />PERMIT
<br />REQUIREMENT
<br />30DA AVG
<br />DAILY MX
<br />mg /L
<br />Monthly
<br />GRAB
<br />Oil and grease
<br />03582
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<br />«, «..,
<br />N /
<br />N4
<br />Al/
<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 />MEASUREMENT
<br />G . 6(
<br />( 6(
<br />" ««
<br />l
<br />fr[ j4-r, , N,
<br />PERMIT
<br />REQUIREMENT
<br />4 03
<br />30DA AVG
<br />Req Mon
<br />DAILY MX
<br />Mgal/d
<br />Weekly
<br />INSTAN
<br />Solids, total dissolved
<br />702951 0
<br />Effluent Gross
<br />MEASUREMENT
<br />< «.,,,
<br />«
<br />/C C
<br />c..1 C C
<br />C)
<br />�,
<br />a ,,` b
<br />PERMIT
<br />REQUIREMENT
<br />Req Mon
<br />QRTR AVG
<br />Req Mon
<br />QRTR MAX
<br />mg /L
<br />Quarterly
<br />GRAB
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICE
<br />I Lena) under penalty of law that this dowment and all attachments were prepared under my dueLnon or
<br />vacry t,ronIna«ord,mewtmas y stemdest gt edtoassurethat qualified personnel properly a a g atrer and
<br />t nn
<br />evaluate
<br />em, the p tmn subnmred Based Inquiry person t . the m who manage the
<br />system, m those ose persons rsons directly resp stbie lc for or i gathenng the Informatioo n, the Informanon submuted it
<br />to the best of my knowledge and belief, true, act.urate, and complete I am aware that there arc sign Ica t
<br />penalise, for submtnng false intonation, Including the powtbthty of tine and Impnsonment for Mon me
<br />violations
<br />r: / /
<br />l '1.—''‘.
<br />t J 4 "- i —�`
<br />TELEPHONE
<br />DATE
<br />j, /
<br />/ r G rs.. V 4 / wi ( / ,
<br />■4 , L V 5 c.`-Y�
<br />(' 7 f ,
<br />i' J -/ <2_75
<br />? //
<br />l / / Z �/ �r / 2 „
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code I NUMBER
<br />MMIDDIYYYY
<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 />C00034142
<br />PERMIT NUMBER
<br />MM /DD/YYYY
<br />FROM /0 /Gt /ZM'tf
<br />003 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />TO
<br />MM /DD /YYYY
<br />Form Approved
<br />OMB No 2040 -0004
<br />DMR Mailing ZIP CODE: 80467 -9704
<br />MINOR
<br />(SUBR JC) MOFAT
<br />NO. 6 MINE TO WILLIAMS FORK RV
<br />External Outfall
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />FLOW LIMIT APPLIED TO COMBINED FLOW FROM 003, 022 & 024. OIL & GREASE GRAB SAMPLE ANALYSIS REQUIRED IFVISIBLE SHEEN IS OBSERVED. QRTRLYSAMPLING INSTRUCTIONS- I.C.12, PG. 9.
<br />No Discharge
<br />01/11/2012 Page 1
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