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PERMITTEE NAMEIADDRESS Qxlude FecWtyNam&Locstion fiDitlerent) <br />NAME: GCC Energy LLC <br />ADDRESS: 5652 County Road 120 <br />Hesperus, CO 81326 <br />FACILITY: KING COAL MINE <br />LOCATION: 4424 COUNTY ROAD 120 <br />HESPERUS, CO 81326 <br />ATTN: DAN REDETZKI, MINE ENGINEER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850001 I 003-A <br />PERMITNUMBER DlS HA UMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM /DD/YYYY <br />10/01/2013 1 1 12/3112013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: $1326 <br />MINOR <br />(SUBR GB) LPLTA <br />SURFACE RUNNOFF TO HAY GULCH <br />Extemal Outfa4 <br />No Discharge j <br />PARAMETER <br />f:sorryw+ dapee efiyd raw&- tew pr eparodundamydtreoedna <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE I <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Oil and grease visual <br />840661 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />SIGNATURE OF PRINCIPAL EXE 17VE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code NUMBEn <br />MMlO /!YYY <br />PERMIT <br />REQUIREMENT <br />" '"' <br />Req. Mon. <br />INST MAX <br />Y =1 :N =0 <br />'""" <br />""" <br />"""° <br />"efee <br />Twice Per <br />VISUAL <br />p" <br />uo <br />NAMEITITLEPRJNCIPAL EXECUTIVE OFFICER <br />f:sorryw+ dapee efiyd raw&- tew pr eparodundamydtreoedna <br />TELEPHONE <br />DATE <br />eupW,4$W In seedrdence wdT a system d&&W d to meve M gwlfied per—W w pwly rA�r and <br />we trla Infortnaden suomldad. 6wed On my leq*y of M peeon a pee vte manefw one <br />.Mae, or ewes person. Okawy refponet fe fa pamafnp do boonneden, me wwmafion suoeeeed Ie, <br />' <br />_ <br />/�Qfc/?` P l'E'• fso/R% v <br />ro me Dee of my knoMedpe end oe➢ef, true, =w ft. and ow plate. Ism ewes mu mere we <br />elv+na.0 pewee W subrn=np fatse ir:fomudlan, krkrdbq me posab" or fine and knpn.onrnorx fa <br />SIGNATURE OF PRINCIPAL EXE 17VE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AREA Code NUMBEn <br />MMlO /!YYY <br />COMMENTS AND E)(PLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMIT WAIVED FOR10 -YR, 24 HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS INPART 1.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Form 3320 -1 ( Rev. 01106) Previous editions may be used. 01/1412014 Page 2 <br />