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PERMITTEE 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 001 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY MM /DD/YYYY <br />04/01/2014 06/30/2014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81326 <br />MINOR <br />(SUBR GB) LPLTA <br />SOUTH SEDI POND TO HAY GULCH <br />External Outfall <br />No Discharge <br />y.,— <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 />8406610 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />PERMIT <br />REQUIREMENT <br />" "" <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />I <br />" "" <br />" "" <br />" "" <br />" "" <br />Twice Per <br />Month <br />VISUAL <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 />supervielon In accordance wdh a system designed to assure that qualified personnel property gather and <br />valuate the Information submitted. Based an my Inquiry of the person or persons who manage the <br />V' system, or those persons dlrecity responsible for gathering the information, the Information submitted is, <br />v P. to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are <br />J significant penalties for submitting false Informalon, Including the possibility of fine and imprisonment lot <br />E OF PRINCIPAL EXECUTI' <br />AUTHORIZED AGENT <br />TELEPHON ®E,� DATE <br />; <br />OR �S""7r c if T ,I / <br />AREACade I NUMBER 0MID61YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SETTLEABLE SOLIDS LIMIT WAIVED FOR 10 -YR, 24 HR PRECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS INPART 1.8.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Form 3320 -1 (Rev.01t06) Previous editions may be used. 01/14/2014 Page 2 <br />