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PERMITTEE NAME /ADDRESS (Include Facility Name /LocationifDifferent) <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 003 -X <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />0601/2013 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 003A <br />External Outfall <br />No Discharge <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I 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 property gather and /� <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the 4 <br />1 system, or those persons directly responsible for gathering the information, the information submitted is, l ✓�„► -�'" <br />4 to the best of my knowledge and belief, true, accurate. and complete. I am aware that there are s <br />(' \� j -� <br />significant penalties for submitting false information including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR 6 -4 (, 7c;'L7SZ U <br />TYPED OR PRINTED nowing violations. AUTHORIZED AGENT <br />AREA Code NUMBER M DD/YYYV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE 1.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 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.01 /06) 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 />* * « * ** <br />* * ~ ~ ** <br />...... <br />MEASUREMENT <br />61426 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], 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 />TCP313 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 />TCP36 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 I 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 property gather and /� <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the 4 <br />1 system, or those persons directly responsible for gathering the information, the information submitted is, l ✓�„► -�'" <br />4 to the best of my knowledge and belief, true, accurate. and complete. I am aware that there are s <br />(' \� j -� <br />significant penalties for submitting false information including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR 6 -4 (, 7c;'L7SZ U <br />TYPED OR PRINTED nowing violations. AUTHORIZED AGENT <br />AREA Code NUMBER M DD/YYYV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE 1.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 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.01 /06) Previous editions may be used. 07/10/2013 Page 1 <br />