PARAMETER
<br />I,erut) under penalty ot law that this dowment and all attachmcntswacpn .pand under mydtrecnonor
<br />caper, ism III aeeordance with a system designed to assure that quabfied personnel properly gather and
<br />aluate the mfunnahon subnuned Based on my inquiry of the person or pe eons uho manage the
<br />cyst., or those person. direct]) reapon.hble for gatherin the information the tnfurmatton submitted t.
<br />to the best of my knowledge and belief, tote, accost., and complete I am aware that there are sty fca t
<br />pe name,, torsubmttingfalsemmnnaemh, inemdingthepos stbdtyoteneandimprisonment torkno ,ins
<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 />„ «a,«
<br />«.« «,a
<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 />„,,,,
<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 />PERMIT
<br />REQUIREMENT
<br />10
<br />INST MAX
<br />mgiL
<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 />Mgaltd
<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 />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 />« « « «,a
<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 />I,erut) under penalty ot law that this dowment and all attachmcntswacpn .pand under mydtrecnonor
<br />caper, ism III aeeordance with a system designed to assure that quabfied personnel properly gather and
<br />aluate the mfunnahon subnuned Based on my inquiry of the person or pe eons uho manage the
<br />cyst., or those person. direct]) reapon.hble for gatherin the information the tnfurmatton submitted t.
<br />to the best of my knowledge and belief, tote, accost., and complete I am aware that there are sty fca t
<br />pe name,, torsubmttingfalsemmnnaemh, inemdingthepos stbdtyoteneandimprisonment torkno ,ins
<br />._.
<br />k) ( �/ j c • ' LT.-
<br />TELEPHONE
<br />DATE
<br />�/
<br />(J r (CC i� , Vv- -c r 5( 1"
<br />y
<br />7( S' 7 7 S l%
<br />/ /'
<br />« t / L L a
<br />C_
<br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR
<br />AUTHORIZED AGENT
<br />AREA Code I 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 />C00034142
<br />PERMIT NUMBER
<br />MM /DD/YYYY
<br />(_Q / r / aL h tl
<br />013 -A
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />TO
<br />MM /DD/YYYY
<br />12 -0 r
<br />DMR Mailing ZIP CODE:
<br />MINOR
<br />(SUBR JC) MOFAT
<br />SWSW 29 6N-91W TO YAMPA RIVER
<br />External Outfall
<br />Form Approved
<br />OMB No. 2040 -0004
<br />80467 -9704
<br />No Discharge t�
<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.0 12,PG. 9
<br />01/11/2012 Page 1
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