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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 003 -A <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD /YYYY MM /DD /YYYY <br />04/01/2014 06130/2014 <br />Form Approved <br />OMB No. 2040 -0004 <br />DMR Mailing ZIP CODE: 81326 <br />MINOR <br />(SUBR GB) LPLTA <br />SURFACE RUNNOFF TO HAY GULCH <br />External Outfall <br />No Discharge <br />PARAMETER <br />1 certify under penalty of lawthatth s document and all attachments were prepared under my direction or <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 />system, or those persons responsible gathering submitted <br />Y <br />to the best of my knowledge and belief, true, accurate, and complete, l am aware that there are <br />AL'1VC OFFICER OR <br />/J �+'�Z <br />7 l" <br />PERMIT <br />REQUIREMENT <br />* * * * *` <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />" "" <br />* * * "* <br />* " *" <br />.. * *�. <br />I NUMBER <br />Twice Per <br />Month <br />VISUAL <br />6 � j � 6 1-1 <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify under penalty of lawthatth s document and all attachments were prepared under my direction or <br />L \ <br />TELEPHONE <br />DATE <br />supervision in socordancewith a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted. Based on my inquiry of the person or persons who manage the <br />directly for the information, the Information is, <br />- ° - <br />®����� s ' . <br />system, or those persons responsible gathering submitted <br />Y <br />to the best of my knowledge and belief, true, accurate, and complete, l am aware that there are <br />AL'1VC OFFICER OR <br />/J �+'�Z <br />7 l" <br />significent penalties for submitting false Information, Including the possibility of fine and Imprisonment for <br />SftNATURE OF PRINCE <br />y� .3.V <br />7 r� <br />TYPED OR PRINTED <br />nowingvlolabcns. <br />AUTHORIZED AGENT <br />AREA code <br />I NUMBER <br />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 1.B.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 01/14/2014 Page 2 <br />