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PERMITTEE NAME /ADDRESS (Include Facility Name /Location irDifferent) NAME: Moffat County Mining LLC ADDRESS: 29515 Routt CR 27 Oak Creek, CO 80467 -9704 FACILITY: WILLIAMS FORK MINE LOCATION: 1030 CR 107 CRAIG, CO 81626 ATTN: Jerry Nettleton, Supv NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) 000034142 003 -A PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD MM /DD/YYYY MM /DD/YYYY 04/01/2014 06/30/2014 Form Approved OMB No. 2040 -0004 DMR Mailing ZIP CODE: 80467 -9704 MINOR No. 6 Mine to Williams Fork River External Outfall No Discharge COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Oil and grease sample required if visible shee is observed. Qtrly sampling instructions - I.C.12, pg 11 EPA Form 3320.1 (Rev.01106) Previous editions may be used. 07/10/2013 Page 3 NAME /TITLE PRINCIPAL EXECUTIVE OFFICER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER TYPED OR PRINTED EX OF ANALYSIS TYPE VALUE VALUE UNITS VALUE VALUE VALUE UNITS Nickel, potentially dissolvd SAMPLE ' *' *'* ' * * *•* * * * * ** * * * * ** MEASUREMENT 013221 0 PERMIT *' * *" * "' ** ' *•'•' * " "'• Req. Mon. Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX Selenium, potentially dissolvd SAMPLE MEASUREMENT 013231 0 PERMIT * *•' ** "• "* " "'* " * "' Req. Mon. Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX Oil and grease SAMPLE MEASUREMENT 0358210 PERMIT *•'••* * * * *'• • * "•• ' *•' *• *' *••• 10 mg /L Contingent GRAB Effluent Gross REQUIREMENT INST MAX Chromium, trivalent total recoverablE SAMPLE MEASUREMENT 042621 0 PERMIT •••••• "•••• ••• "' • *'••• ' *••" Req. Mon. ug /L Monthly GRAB Effluent Gross REQUIREMENT DAILY MX Flow, in conduit or thru treatment plat SAMPLE MEASUREMENT 500501 0 PERMIT Req. Mon. Req. Mon. MGD * * * * ** "` *" "' * * ** * * * *'* Monthly INSTAN Effluent Gross REQUIREMENT 30DA AVG DAILY MX Solids, total dissolved SAMPLE MEASUREMENT 70295 1 0 PERMIT * * * * ** ' * * * ** * * * * ** * * *' ** Req. Mon. Req. Mon. mg /L Quarterly GRAB Effluent Gross REQUIREMENT 30DA AVG DAILY MX Mercury, total (as Hg) SAMPLE * * * * ** * * * ** * * * * ** * * * ** * * * ** MEASUREMENT 719001 0 PERMIT * * * * *' * * * * *" ' * * * ** ` * * * ** Req. Mon. * * * "' ug /L Monthly GRAB Effluent Gross REQUIREMENT 30DA AVG COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Oil and grease sample required if visible shee is observed. Qtrly sampling instructions - I.C.12, pg 11 EPA Form 3320.1 (Rev.01106) Previous editions may be used. 07/10/2013 Page 3 NAME /TITLE PRINCIPAL EXECUTIVE OFFICER Icertify under penalyof law that thsdocument and all attachments were prepared under my direct ion or supervision in accordance wth a system designed to assure that qualified personnel properly gather and valuate the information submitted. Based n my inquiry of the person or persons who manage the system, or those pe sons directly responsible f gathering the information , the information submitted is, to the best of m k wtetl and belief . true. accurate, a d complete. I a aware that there are signroant penalties ror submitting tal=e intormanon . including me passroniry or the and imprsonmem for vowing violations. TELEPHONE DATE _'•� � � G r1 Lr fr ��'� (i /7 7 7kl#� SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TYPED OR PRINTED AREACode NUMBER MM /DDfYYYY COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Oil and grease sample required if visible shee is observed. Qtrly sampling instructions - I.C.12, pg 11 EPA Form 3320.1 (Rev.01106) Previous editions may be used. 07/10/2013 Page 3