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PERMITTEE NAMEIADDRESS (Include Facility Nama/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 I 003 -A <br />NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY MM /DD/YYYY <br />10/0112014 12/31/2014 <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 />QUANTITY <br />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 />I <br />Req. Mon. <br />I INST MAX <br />Y =1;N =0 <br />I <br />"`"" <br />I <br />""•"" <br />I <br />" "•` <br />I <br />• " ""` <br />I <br />I <br />Twice Per <br />Month <br />VISUAL <br />NO DISCHARGE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 certify raider penefy of law that this document and ati attachments were prepared under my direction or TELEPHONE DATE <br />supervision in accordance wtih a system designed to assure that qualified personnel property gather and <br />ate the information submitted. Based on my Inquiry of the parson or persons who manage the <br />V.P. system, or Mose parsons dhectiy responsible for gathering the Information, the information submitted k, n 70 —� Q C — ^ c n o <br />Trent Peterson, V . P. to the best of my knowledge end belief, true, accurate, and complete. I am aware that Nero we slgNfleaM 7 O J 4528 <br />penalties for submitting fake information, including the possibility of ens and Imprisonment for knowing SIGNATURE OF PRINCiPAC19MrUnyE OFFICER OR <br />violations. AUTHORIZED AGENT <br />TYPED OR PRINTED AREA Cods I NUMBER 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 /06) Previous editions may be used. 07/21/2014 Page 18 <br />