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PERM ITTEE 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- WILLIAMS FORK MINE <br />LOCATION: 1030 CR 107 <br />CRAIG, CO 81626 <br />ATTN• Jerry Nettleton, Sup <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C0003414 <br />022-X <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />SAMPLE <br />MM /DD/YYYY <br />_L11�F269 2 <br />VALUE <br />12t34t2B12- <br />6 <br />VALUE <br />DMR Mailing ZIP CODE: <br />MINOR <br />Chronic WET Testing at 022A <br />External Outfal I <br />7-0 ?4/1 A V4;,l <br />Form Approved <br />OMB No. 2040 -0004 <br />80467 -9704 <br />No Discharge <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER Icerb fyunderpenaltyoflawthatOnsdocument andallat tachmentswerepreparedundermydirechonor TELEPHONE DATE <br />supenesi the m accordance with a system d on my to assure that person or personnel property gather and ��� / /f <br />valuate the mformatwn submitted Based on my inquiry of the person or persons who manage the G C <br />system or those persons deeclly responsible for gathermg the information the mformatwn submitted is <br />u r1 G vt Yf C `n to the best of my knowledge and bel,ef, true accurate and complete I am aware that there are <br />s,gmficant penalbes forsubmmmg ralse mformamo mcludmg the possibility of fine and impr,sonme,t for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED tww'ng violations AUTHORIZED AGENT ARFA Code <br />NUMBER MM/Di <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.B.3, FOR DETAILS OF TEST PROCEDURE. RPT RESULTS OF LETHALITY DERIVS AS "% EFFECT" GROWTH &REPRODDERIVS AS "TOXICITY" RPT LOWEST % EFFL AT WHICH <br />STATISTICALLY DIGNIF DIFF WAS OBSERVED USING CODE "S" RPT IC25 USING CODE "P" IWC =18%. ATTACH TOX REPORT FORM TO DMR. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 05/08/2013 Page 1 <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />EX <br />OF ANALYSIS <br />TYPE <br />Toxicity [chronic], Cenodaphnia dubia <br />SAMPLE <br />MEASUREMENT <br />* * ** <br />* * * * ** <br />...... <br />/ <br />/S6 � <br />(Annual <br />�3' h <br />61426 P 0 <br />PERMIT <br />" * " * "* <br />--- <br />Req. Mon. <br />* * * * "" <br />* * " " "" <br />tox chronic <br />GRAB -3 <br />See Comments <br />REQUIREMENT <br />MN VALUE <br />Toxicity [chronic], Cenodaphnia dubia <br />SAMPLE <br />• * * * *' <br />MEASUREMENT <br />f41 �75 <br />61426S 0 <br />PERMIT <br />* * * * ** <br />* * * * ** <br />Req. Mon. <br />" *' "' <br />*' *' <br />tox chronic <br />Annual <br />GRAB -3 <br />See Comments <br />REQUIREMENT <br />MN VALUE <br />Toxicity (chronic), Pimephales <br />SAMPLE <br />* * ** <br />^ * * *• <br />* * *_•• <br />promelas (Fathead Minnow) <br />MEASUREMENT <br />61428 P 0 <br />PERMIT <br />* * * *• <br />*• * * ** <br />* ** <br />Req Mon <br />* * * " *" <br />* " * * *" <br />tox chronic <br />Annual <br />GRAB-3 <br />See Comments <br />REQUIREMENT <br />MN VALUE <br />Toxicity (chronic), Pimephales <br />SAMPLE <br />"* <br />^ " * * ** <br />* * * * ^^ <br />promelas (Fathead Minnow) <br />MEASUREMENT <br />/GC <br />C" <br />61428 S 0 <br />PERMIT <br />" * * ** <br />* * * * ** <br />* * * * ** <br />Req. Mon. <br />* * * * ** <br />* * *• ** <br />tox chronic <br />Annual <br />GRAB -3 <br />See Comments <br />REQUIREMENT <br />MN VALUE <br />%Effect Static Renewal 7 Day Chronic <br />SAMPLE <br />...... <br />Ceriodaphnia dubia <br />MEASUREMENT <br />G G <br />TCP3B P 0 <br />PERMIT <br />*` *• ** <br />" " * * ** <br />* ** <br />Req. Mon. <br />*`* <br />• " * "* <br />% <br />Annual <br />GRAB -3 <br />See Comments <br />REQUIREMENT <br />MN VALUE <br />°/ Effect Static Renewal 7 Day Chronic <br />SAMPLE <br />MEASUREMENT <br />* * * * ** <br />• * * ** <br />* * * * ** <br />G <br />73 <br />l <br />Ceriodaphnia dubia <br />7 / C <br />U <br />C <br />TCP3B S 0 <br />PERMIT <br />•' *' ** <br />•'* <br />" * * * ** <br />18 <br />* * * ** <br />•• "•' <br />% <br />Annual <br />GRAB -3 <br />See Comments <br />REQUIREMENT <br />MN VALUE <br />%Effect Statre 7Day Chronic <br />SAMPLE <br />MEASUREMENT <br />Pimephales <br />j'ry ( <br />/ }�C i <br />yet <br />PERMIT <br />... <br />' * * * ** <br />Req. Mon. <br />* * "' ** <br />* * * * ** <br />% <br />Annual <br />GRAB -3 <br />TCP6C P 0 <br />See Comments <br />REQUIREMENT <br />MN VALUE <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER Icerb fyunderpenaltyoflawthatOnsdocument andallat tachmentswerepreparedundermydirechonor TELEPHONE DATE <br />supenesi the m accordance with a system d on my to assure that person or personnel property gather and ��� / /f <br />valuate the mformatwn submitted Based on my inquiry of the person or persons who manage the G C <br />system or those persons deeclly responsible for gathermg the information the mformatwn submitted is <br />u r1 G vt Yf C `n to the best of my knowledge and bel,ef, true accurate and complete I am aware that there are <br />s,gmficant penalbes forsubmmmg ralse mformamo mcludmg the possibility of fine and impr,sonme,t for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED tww'ng violations AUTHORIZED AGENT ARFA Code <br />NUMBER MM/Di <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.B.3, FOR DETAILS OF TEST PROCEDURE. RPT RESULTS OF LETHALITY DERIVS AS "% EFFECT" GROWTH &REPRODDERIVS AS "TOXICITY" RPT LOWEST % EFFL AT WHICH <br />STATISTICALLY DIGNIF DIFF WAS OBSERVED USING CODE "S" RPT IC25 USING CODE "P" IWC =18%. ATTACH TOX REPORT FORM TO DMR. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 05/08/2013 Page 1 <br />