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PERM ITTEE NAME/ADDRESS (include Facility Name/Location if Different) <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 (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850001 002 -A <br />PERMIT UMB I DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DD/YYYY <br />01/01/2014 03/31/2014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81326 <br />MINOR <br />(SUBR GB) LPLTA <br />NORTH SEDI POND TO HAY GULCH <br />External Outfall <br />No Discharge <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO, <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <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 />PERMIT <br />I REQUIREMENT <br />"••'" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />' " *` "' <br />« " "`** <br />* *•••" <br />' "` " *" <br />Twice Per <br />Month <br />VISUAL <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />0 CD V/5c-, <br />certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel property gather and <br />:valuate the Informallon submitted. Based on my inquiry of the person or persons who manage the <br />ystem, or those persons directly responsible for gathering the Information, the information submitted is, <br />o the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br />Ignificant penalties for submitgng false information, including the possibility of fine and Imprisonment for <br />TELEPHONE I DATE <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR g�a � y5! I av /��Iroi <br />AUTHORIZED AGENT ARIM cede I NUMBER I MM /DD /YYYY <br />COMMENTS AND EXPLANATION 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 I.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Form 3320 -1 (Rev.01 106) Previous editions may he used. 01/14/2014 Page 2 <br />