|
PARAMETER
<br />I s.emryy under penalty of law that this document and all attachments were prepared under my ducctmn or
<br />supervision Ill accordance with a system deswed to assure that qualnficd personnel properly gather and
<br />evaluate the Information submmed Based on my inquiry of the person or persons who manage the
<br />system of those persons directly responsible for gathering the Information the on submitted Is
<br />to the hest of my knowledge and belief, tine, irate, and complete I am aware that there arc significant
<br />Item / for submitting taleIntomiaion, Includluding the possibilityoffine and impnsonment tor lamamg
<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 />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 />mLL
<br />Monthly
<br />GRAB
<br />Oil and grease
<br />0358210
<br />Effluent Gross
<br />SAMPLE
<br />MEASUREMENT
<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 />30DA AVG
<br />Req Mon
<br />DAILI MX
<br />Mgalld
<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 />, «,,,,
<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 />I s.emryy under penalty of law that this document and all attachments were prepared under my ducctmn or
<br />supervision Ill accordance with a system deswed to assure that qualnficd personnel properly gather and
<br />evaluate the Information submmed Based on my inquiry of the person or persons who manage the
<br />system of those persons directly responsible for gathering the Information the on submitted Is
<br />to the hest of my knowledge and belief, tine, irate, and complete I am aware that there arc significant
<br />Item / for submitting taleIntomiaion, Includluding the possibilityoffine and impnsonment tor lamamg
<br />(/
<br />V 6 / / ` �— /_.
<br />r�
<br />TELEPHONE
<br />DATE
<br />I 'ry?
<br />J /
<br />1 ti r‘
<br />s
<br />t/ , - e ✓/'
<br />(/ 7 G
<br />�, G 7 �T l t
<br />Cr /z (~ z (�l .)
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Lode
<br />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.01106) 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 />1 0 l ot / - z. Q tt
<br />004 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />TO
<br />MMIDD/YYYY
<br />1 2 1 - d / t;
<br />DMR Mailing ZIP CODE:
<br />MINOR
<br />(SUBR JC) MOFAT
<br />N OF MINE 6 TO WILLIAMS FORK
<br />External Outfall
<br />Form Approved
<br />OMB No. 2040 -0004
<br />80467 -9704
<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 />No Discharge
<br />01/11/2012 Page 1
<br />
|