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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) MINOR SL <br />PERMITTEE NAME/ADDRESS (includes Facility Name /Location if Differ DISCHARGE MONITORING REPORT (DMR) (SUBR JC) M fr'l MOFFAT <br />NAME MOFFAT COUNTY MINING, LLC <br />ADDRESS 29515 ROUTT COUNTY ROAD # 27 C00034142 <br />OAK CREEK, CO 80467 PERMIT NUMBER <br />FACILITY LOCATION CRAIG CO <br />WILLIAMS FORK MINE <br />ATTN: JERRY N NETTLETON, CO 80467 r YEAR MO <br />TO <br />SJ3ntta -4P WTR &Seep to Wd MOFFAT <br />G External Outfall <br />0224— ® Check here if No Discharge <br />DISCHARGE NUMBER NOTE: Read Instructions before completing this form <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />u <br />INFLUENT SAMPLES MUST BE COLLECTED & ANALYZED MONTHLY AND REPORTED QUARTERLY REGARDLESS OF WHETHER AN EFFLUENT DISCHARGE OCCURS HYDRAULIC CAPACITY= 0 015 MCC, <br />ORGANIC CAPACITY = 31 2 LBS BOD -5/DAY <br />EPA Form 3320 -1 (REV 3/99) Previous editions may be used PAGE 2 OF 2 <br />00527/010709 -1126 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />N0. <br />OF <br />TYPE <br />AVERAGE <br />MAXIMUM <br />UNITS <br />MINIMUM <br />AVERAGE <br />MAXIMUM <br />UNITS <br />EX <br />ANALYSIS <br />MANGANESE, <br />POTENTIALLY DISSOLVD <br />SAMPLE " **` *•* <br />MEASUREMENT <br />** ` <br />^ <br />`� <br />L� <br />-26 <br />0 <br />21 <br />Grab <br />01319 1 0 0 <br />* * *"* <br />UG /L <br />PERMIT <br />** *"*"" <br />" """ <br />"" ""' <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQUIREME <br />30 DA AVG <br />DAILY MX <br />PER MONTH <br />GRAB <br />NICKEL, <br />POTENTIALLY DISSOLVD <br />SAMPLE <br />MEASUREMENT <br />"` ^' <br />^' <br />/.0 <br />=A, <br />t28) <br />0 <br />2/9Z <br />Grab <br />01322 1 0 0 <br />* * **** <br />PERMIT <br />"'*" <br />""" <br />`*"•' <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQUIREMEN <br />30DA AVG <br />DAILY MX <br />UG /L <br />PER MONTH <br />GRAB <br />SELENIUM, <br />POTENTIALLY DISSOLVD <br />SAMPLE <br />MEASUREMENT <br />^` <br />^` °" <br />r <br />t <br />G . It <br />(28) <br />0 <br />219P—% <br />Grab <br />01323 1 0 0 <br />° * **"* <br />PERMIT <br />'**"" <br />""" <br />""" <br />REPORT <br />REPORT <br />ONCE) <br />EFFLUENT GROSS VALUE <br />REQUIREMEN <br />30DA AVG <br />DAILY MX <br />UG /L <br />PER MONTH <br />GRAB <br />MERCURY, TOTAL <br />(AS (AS HG) <br />SAMPLE "` <br />MEASUREMENT <br />^' <br />"" <br />yr L <br />128) <br />0 <br />2/91V <br />Grab <br />71900 1 0 0 <br />REPORT <br />PERMIT <br />*"""" <br />••••" <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQINREME <br />30DA AVG <br />DAILY MX <br />UG /L <br />PER MONTH <br />GRAB <br />ARSENIC <br />POTENTIALLY DISSOLVD <br />SAMPLE * * * <br />MEASUREMENT <br />* ** <br />" ^` <br />(28) <br />0 <br />2190 <br />Grab <br />? ? ? ?? <br />* * **** <br />PERMIT <br />" "" <br />" "" <br />""" <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQUIREMEN <br />30DA AVG <br />DAILY MX <br />UG /L <br />PER MONTH <br />GRAB <br />CHROMIUM, <br />SAMPLE 1 " <br />(28) <br />Total recoverable <br />MEASUREMENT <br />< 10 <br />< 10 <br />0 <br />2190 <br />Grab <br />9 ? ? ?? <br />* * * * ** <br />PERMIT <br />"'*"" <br />'• *"' <br />' *`*'" <br />REPORT <br />REPORT <br />ONCE/ <br />EFFLUENT GROSS VALUE <br />REQUIREMENT <br />300A AVG <br />DAILY MX <br />UG /L <br />MONTH <br />GRAB <br />SULFIDE <br />16 • C <br />C, C. L <br />Mg /I <br />219t <br />Grab <br />? ? ? ?? <br />PERMIT <br />""" <br />""" <br />REPORT <br />REPORT <br />[JPERMONTH <br />ONCE/ <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />GRAB <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />I Certify under penalty of law that this document and all attachments were prepared under <br />my direction or supervision In accordance with a system designed to assure that qualified <br />LLL <br />/', t /�7. <br />TELEPHONE <br />DATE <br />Brian A Wa$erSOn, P G. <br />Geologist <br />personnel properly gather and evaluate the information submitted Based on my inquiry of <br />the person or persons who manage the system, or those persons directly responsible for <br />�, <br />l '/J !! �-�''� <br />970 870-2750 <br />f 7 <br />7 <br />• ?/: <br />!fit <br />SIGNATURE OF PRINCIPAL <br />gathering the information, the information submitted is, to the best of my knowledge and belief, <br />true, accurate, and complete I am aware that there are significant penalties for submitting <br />false information, including the possibility of fine and imprisonment for knowing violations <br />OFFICER OR AUT ORIZED AGENT <br />AREA CODE NUMBER <br />YEA <br />MO DAV <br />TYPE OR PRINTED <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />u <br />INFLUENT SAMPLES MUST BE COLLECTED & ANALYZED MONTHLY AND REPORTED QUARTERLY REGARDLESS OF WHETHER AN EFFLUENT DISCHARGE OCCURS HYDRAULIC CAPACITY= 0 015 MCC, <br />ORGANIC CAPACITY = 31 2 LBS BOD -5/DAY <br />EPA Form 3320 -1 (REV 3/99) Previous editions may be used PAGE 2 OF 2 <br />00527/010709 -1126 <br />