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PERM ITTEE NAME /ADDRESS (include Facility Name/Location if Different) 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, SLIpV NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) 000034142 022 -X PERMIT NUMBER DISCHARGE NUMBER MONITORING PERIOD MM /DD/YYYY MM /DD/YYYY 01/01/2014 12/31/2014 Form Approved OMB No. 2040 -0004 DMR Mailing ZIP CODE: 80467 -9704 MINOR Chronic WET Testing at 022A External Outfall No Discharge NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penally oflaw that this document and all attachments were prepared under my ch ection or supervision in accordance with a system designed to assure that qualified personnel properly gather and QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER !/ r {` SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR EX OF ANALYSIS TYPE VALUE VALUE UNITS VALUE VALUE VALUE UNITS Toxicity [chronic], Ceriodaphnia dubi SAMPLE * * * * ** * * * * ** * * * * ** * * * * ** * * * * ** MEASUREMENT 61426 P 0 PERMIT * * * * ** * * * * ** * * * * ** Req. Mon. * * * * ** * * " * ** tox chronic Annual GRAB -3 See Comments REQUIREMENT MN VALUE Toxicity [chronic], Ceriodaphnia dubi i SAMPLE * * * * ** * * * * ** * * * * ** * * * * ** * * * * ** MEASUREMENT 61426S 0 PERMIT * * * * ** * * * * ** * * * * ** Req. Mon. * * * * *" * * * * *" tox chronic Annual GRAB -3 See Comments REQUIREMENT MN VALUE Toxicity (chronic), Pimephales SAMPLE * * * * ** * * * ** * * * * ** * * * ** * * * * ** promelas (Fathead Minnow) MEASUREMENT 61428 P 0 PERMIT * * * * ** * * * * ** * * * * ** Req. Mon. ` *` * ** * *' * ** tox chronic Annual GRAB -3 See Comments REQUIREMENT MN VALUE Toxicity (chronic), Pimephales SAMPLE promelas (Fathead Minnow) MEASUREMENT 61428 SO PERMIT * * * * ** * * * * ** * * * * ** Req. Mon. * * * * ** * * * * ** tox chronic Annual GRAB -3 See Comments REQUIREMENT MN VALUE %Effect Static Renewal 7 Day Chron c SAMPLE Ceriodaphnia dubia MEASUREMENT TCP38 P 0 PERMIT * * * * *" * * * " ** * * * * "" Req. Mon. * * * " ** * * * * ** % Annual GRAB -3 See Comments REQUIREMENT MN VALUE %Effect Static Renewal 7 Day Chron c SAMPLE Ceriodaphnia dubia MEASUREMENT TCP3B S 0 PERMIT * * * * ** * * * * ** * * * * ** 18 * * * * ** * * * * ** % Annual GRAB -3 See Comments REQUIREMENT MN VALUE %Effect Statre 7Day Chronic SAMPLE Pimephales MEASUREMENT TCP6C P 0 PERMIT * * * * ** * * * * ** * * * * ** Req. Mon. " * * * ** * * * * ** % Annual GRAB -3 See Comments REQUIREMENT MN VALUE NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penally oflaw that this document and all attachments were prepared under my ch ection or supervision in accordance with a system designed to assure that qualified personnel properly gather and n TELEPHONE DATE valuate the information submitted, Based on my inquiry of the person or persons who manage the system or those persons d rectly responsible for gathering the information, the i nformation submtttetl s to the best of m k wfed and b I f t ac t d com 1 I . I am aware that there are significant forsub— hngfalsenformation,includingthepossbilityoffineandmprisonmentfor !/ r {` SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR �IG +� I/�G�T'ICS <e` }� ([C�� L7��' �% TYPED OR PRINTED novdng violations. AUTHORIZED AGENT AREA Code NUMBER MM /DD ry COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) SEE 1.B.3, FOR DETAILS OF TEST PROCEDURE. RPT RESULTS OF LETHALITY DERIVS AS "% EFFECT', GROWTH &REPRODDERIVS AS "TOXICITY". RPT LOWEST % EFFL AT WHICH STATISTICALLY DIGNIF DIFF WAS OBSERVED USING CODE "S ".RPT IC25 USING CODE "P ". IWC =18 %. ATTACH TOX REPORT FORM TO DMR. EPA Form 3320 -1 (Rev.01106) Previous editions may be used. 07/'10/2013 Page 1