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PERMITTEE NAME / ADDRESS I'McfudeFacl *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 NUMBER DISCHARGE UMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MMIDDIYYYY <br />07/01/2014 09/30/2014 <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 />Ieedfy under pena lty of law that this document and all attachments e.pfepued under mydre'llmor <br />auParvrcbn in accordance vAth a system deel�ted to assure that ouatl'fied penonnd property gather snd <br />evaluate the informatoo submitted. Based an my inquiry of the person or person who manage the <br />system, or those Perse directlyrewndble for gathering the informaton, the information submitted Is <br />to the beat of my knowledge and bNef, true, accurate, and compkte. I am aware that there are signifloam <br />pendtiea for cubmiMng false information, including the poedbility of Me and impMonmentfw kno wing <br />xiolatiana, <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />I FREQUENCY <br />OFANALYSIS <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 />**•*** <br />*�»+ <br />*»��«* <br />REQUIREMENT <br />.«a.». <br />Req. Mon. <br />INST MAX <br />Y =1;N =0 <br />*"**'* <br />""**"" <br />""*""" <br />*"'"' <br />Twice Per <br />Month <br />VISUAL <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER <br />Ieedfy under pena lty of law that this document and all attachments e.pfepued under mydre'llmor <br />auParvrcbn in accordance vAth a system deel�ted to assure that ouatl'fied penonnd property gather snd <br />evaluate the informatoo submitted. Based an my inquiry of the person or person who manage the <br />system, or those Perse directlyrewndble for gathering the informaton, the information submitted Is <br />to the beat of my knowledge and bNef, true, accurate, and compkte. I am aware that there are signifloam <br />pendtiea for cubmiMng false information, including the poedbility of Me and impMonmentfw kno wing <br />xiolatiana, <br />✓� — g -- ( -� t�� <br />TELEPHONE <br />DATE <br />J <br />703�Sy5 a i' <br />IO l <br />SIGNATURE OF PRINCIPAL EXECUTNE OFFICER OR <br />AUTHORIZED AGENT <br />TYPED OR PRINTED <br />AR--a <br />NUMBER <br />MMIDD/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 1.6.6. ANY ADDITIONAL DATA SHALL BE SUPPLIED TO THE <br />DIVISION WITHIN 48 HOURS. <br />EPA Form 3320 -1 (Rev.01J06) Previous editions may be used. 07/21/2014 Page 10 <br />