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PERMITTEE NAME /ADDRESS (Include Facility Nama/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, Supv <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />000034142 024 -X <br />PERMIT NUMBER I I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />01/01/2013 12/31/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />Chronic WET Testing at 024A <br />External Outfall <br />No Discharge* <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER 1 certify under penalty of law that this document and all attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and /J ` / <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the �(J/ (!/ G �� <br />system, or those persons directly responsible for gathering the information, the information submitted is. l} <br />.}� to the best of my knowledge and belief, true, accurate. and complete. I am aware that there are 7d ; <br />�ri4i /� ��;,'� 1 ►rt'�% -j� -/\ significant penahies for submitting false information. including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR LY I Z /'t <br />TYPED OR PRINTED vowing violations. AUTHORIZED AGENT nttBa code NUMBER MMIDDIYYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.B.3, FOT DETAILS OF TEST PROCEDURE. RPT RESULTS OF LETHALITY DERIVS AS "% EFFECT', GROWTH &REPRODDERIVS AS "TOXICITY". RPT LOWEST % EFFL AT WHICH <br />STATISTICALLY SIGNIF 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.01106) Previous editions may be used. 07/10/2013 Page 1 <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />PARAMETER <br />EX <br />OF ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Toxicity [chronic], Ceriodaphnia dubi <br />i SAMPLE <br />MEASUREMENT <br />61426 P 0 <br />PERMIT <br />* * * * ** <br />" * " " ** <br />* " " " ** <br />Req. Mon. <br />... <br />tox chronic <br />Annual <br />GRAB -3 <br />See Comments <br />REQUIREMENT <br />MN VALUE <br />Toxicity [chronic], Ceriodaphnia dubi <br />i SAMPLE <br />MEASUREMENT <br />61426 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 />Toxicity (chronic), Pimephales <br />SAMPLE <br />* * * * ** <br />* * * * ** <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 />promelas (Fathead Minnow) <br />MEASUREMENT <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 Chron <br />c SAMPLE <br />Ceriodaphnia dubia <br />MEASUREMENT <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 Chron <br />c SAMPLE <br />Ceriodaphnia dubia <br />MEASUREMENT <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 />Pimephales <br />MEASUREMENT <br />TCP6C 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 />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER 1 certify under penalty of law that this document and all attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and /J ` / <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the �(J/ (!/ G �� <br />system, or those persons directly responsible for gathering the information, the information submitted is. l} <br />.}� to the best of my knowledge and belief, true, accurate. and complete. I am aware that there are 7d ; <br />�ri4i /� ��;,'� 1 ►rt'�% -j� -/\ significant penahies for submitting false information. including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR LY I Z /'t <br />TYPED OR PRINTED vowing violations. AUTHORIZED AGENT nttBa code NUMBER MMIDDIYYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.B.3, FOT DETAILS OF TEST PROCEDURE. RPT RESULTS OF LETHALITY DERIVS AS "% EFFECT', GROWTH &REPRODDERIVS AS "TOXICITY". RPT LOWEST % EFFL AT WHICH <br />STATISTICALLY SIGNIF 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.01106) Previous editions may be used. 07/10/2013 Page 1 <br />