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PERMITTEE NAME /ADDRESS (Include Facdity Name /Location (/Diffe(ent) <br />NAME: Moffat County Mining LLC <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 -9704 <br />FACILITY- WILLIAMS FORK MINE <br />LOCATION. 1030 CR 107 <br />CRAIG, CO 81626 <br />ATTN: Jerry Nettleton, Supv <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000034142 024 -A <br />PERMIT NUMBER I I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MMIDDIYYYY <br />4/1/2013 6/30/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />Mine Dewatermg to Sedimentation Basin Prior to Disc <br />External Outfall ,rr,(, <br />No Discharge \ <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />IceMfyurderpenaltyoflewthatlh, sdocumentandallattachments ,erepreparedundermyd- cuonor <br />supemsmn m accordance wdh a system designed to assure that qualified personnel properly gather and <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />//' <br />'(f /! <br />EX <br />OF ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />SAMPLE <br />* * * * ** <br />AREA Code <br />' * * "* <br />`` "" <br />` "`" <br />MEASUREMENT <br />840661 0 <br />PERMIT <br />* " " " ** <br />Req. Mon. <br />Y =1;N =0 <br />"` " "" <br />" <br />" " " "" <br />Twice Per <br />VISUAL <br />Effluent Gross <br />REQUIREMENT <br />INST MAX <br />I Month <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />IceMfyurderpenaltyoflewthatlh, sdocumentandallattachments ,erepreparedundermyd- cuonor <br />supemsmn m accordance wdh a system designed to assure that qualified personnel properly gather and <br />,,r -- <br />TELEPHONE <br />DATE <br />valuate the mformabon submitted Based on my inq—y of the person or persons who manage the <br />//' <br />'(f /! <br />fN C 1 1 �_VSC� <br />system or those persons dotty responsible cc gathering the mform,hon the information submitted �s <br />to the best of my knoMedge and belief true a ,rate and complete I am aware that there are <br />sgmfwnlpenalbes for submRbng false rfamratan rdudmgthepossibibtyoffeeand -pnsonmentfor <br />�,. -'" <br />L^ <br />170 � `-��'� <br />C <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED <br />owing violaaons <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDDIVYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil and grease sample required if visible sheen is observed. Qtrly sampling Instructions - I C 12, pg 11 <br />EPA Form 3320.1 (Rev.01106) Previous editions may be used. 05/08/2013 Page 4 <br />