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PERMITTEE 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, Supv <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00034142 022 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD /YYYY <br />10/01/2013 12/31/2013 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 80467 -9704 <br />MINOR <br />Spoils Springs to Channel Prior to Discharge to Williams <br />External Outfall <br />No Discharge <br />UNI <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance aim a system designed to assure that qualified personnel property gather and - valuate the information submitted. Based on my inquiry of the person or persons who manage the - <br />/j ( system. or those persons directly responsible for gathering the information, the information submitted is 9 <br />i it V 1 Li �TTI �/-� to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br />.l V C z significant penalties for submitting false information, including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />knowing violations. AUTHORIZED AGENT <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil and grease sample required if visible sheen is observed. Qtrly sampling instructions - I.C.12, pg 11. <br />TELEPHONE DATE <br />'?7 d(,4' z -7 �b 10f� l �f� <br />T AREA Code NUMBER I MMIDD /YYYY <br />EPA Form 3320.1 (Rev.01 /06) Previous editions may be used. 07/10/2013 Page 2 <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 />Zinc, potentially dissolved <br />SAMPLE <br />` * * * ** <br />MEASUREMENT <br />013031 0 <br />PERMIT <br />* * * * ** <br />* " *'* <br />* * * " *" <br />* * * * ** <br />Req. Mon. <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />Silver, potentially dissolved <br />SAMPLE <br />MEASUREMENT <br />013041 0 <br />PERMIT <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />Req. Mon. <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />Copper, potentially dissolved <br />SAMPLE <br />MEASUREMENT <br />013061 0 <br />PERMIT <br />* * * * ** <br />* * * * ** <br />* * * "'* <br />* * * * ** <br />Req. Mon. <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />Arsenic, potentially dissolved <br />SAMPLE <br />MEASUREMENT <br />013091 0 <br />PERMIT <br />* * * * ** <br />* * " ** <br />*' * * ** <br />* * *` ** <br />* * *' ** <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />DAILY MX <br />Cadmium, potentially dissolvd <br />SAMPLE <br />MEASUREMENT <br />013131 0 <br />PERMIT <br />" * " * ** <br />* * * " ** <br />* * * * ** <br />* * * * ** <br />Req. Mon. <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />Lead, potentially dissolvd <br />SAMPLE <br />MEASUREMENT <br />013181 0 <br />PERMIT <br />* " " * ** <br />* * * * ** <br />* * " " ** <br />* * * * ** <br />Req. Mon. <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />Manganese, potentially dissolvd <br />SAMPLE <br />MEASUREMENT <br />I <br />013191 0 <br />PERMIT <br />" * * ** <br />* * * * ** <br />' * * " ** <br />* * * * ** <br />Req. Mon. <br />Req. Mon. <br />ug /L <br />Monthly <br />GRAB <br />Effluent Gross <br />REQUIREMENT <br />30DA AVG <br />DAILY MX <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance aim a system designed to assure that qualified personnel property gather and - valuate the information submitted. Based on my inquiry of the person or persons who manage the - <br />/j ( system. or those persons directly responsible for gathering the information, the information submitted is 9 <br />i it V 1 Li �TTI �/-� to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br />.l V C z significant penalties for submitting false information, including the possibility of fine and imprisonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />knowing violations. AUTHORIZED AGENT <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Oil and grease sample required if visible sheen is observed. Qtrly sampling instructions - I.C.12, pg 11. <br />TELEPHONE DATE <br />'?7 d(,4' z -7 �b 10f� l �f� <br />T AREA Code NUMBER I MMIDD /YYYY <br />EPA Form 3320.1 (Rev.01 /06) Previous editions may be used. 07/10/2013 Page 2 <br />