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PERMITTEE NAME /ADDRESS (Include Facility Name /Location ff Different) <br />NAME: <br />Moffat County Mining LLC <br />ADDRESS: <br />29515 Routt CR 27 <br />MONITORING PERIOD <br />Oak Creek, CO 80467 -9704 <br />FACILITY- <br />WILLIAMS FORK MINE <br />LOCATION: <br />1030 CR 107 <br />6/30/2013 <br />CRAIG, CO 81626 <br />ATTN• Jerry Nettleton, Supv <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000034142 <br />FLOW -A <br />DMR Mailing ZIP CODE <br />MINOR <br />Total Flow <br />External Outfall <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />M M /DD/YYYY <br />VALUE <br />M MID DIYYYY <br />4/1/2013 <br />VALUE <br />6/30/2013 <br />Form Approved <br />OMB No 2040 -0004 <br />80467 -9704 <br />No Discharge 0 <br />PARAMETER <br />Icertifyunderpenaltyofl aw thatthisdocumentandallattachmentswerepreparedundermydirectionor <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 />Flow, in conduit or thru treatment plant <br />500501 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />C, `-r- I /� <br />�j <br />1 . L1 � 1 <br />G <br />TYPED OR PRINTED <br />AREA COtle <br />*" <br />* * * * ** <br />Q <br />/ <br />G� + <br />PERMIT <br />REQUIREMENT <br />4.03 <br />30DA AVG <br />Req. Mon. <br />DAILY MX <br />MGD <br />"' ** <br />* "" <br />" ".. <br />Monthly <br />CALCTD <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />Icertifyunderpenaltyofl aw thatthisdocumentandallattachmentswerepreparedundermydirectionor <br />TELEPHONE DATE <br />supe,,swn in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted eased on my inquiry of the person or persons who manage the <br />system or those persons directly responsible for gathenng the mformabon the informal— submitted is <br />to the bast of my knowledge and belief, true accurate, and complete I am aware that there are <br />1 / <br />j`i��f 7�/ <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />s, gmfi— tpenalt— forsubmittingfatse mforma ba nincludingthepossib ilityoffin,and ,pnsonme,tfor <br />�„ ` <br />_/ of / <br />owing— lahons <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA COtle <br />I NUMBER MM /DD/YVVV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Report total flow from 003A, 022A and 024A. <br />EPA Form 3320.1 (Rev.01 /06) Previous editions may be used. 05/08/2013 Page 1 <br />