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PERMITTEE 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, Supv NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) DISCHARGE MONITORING REPORT (DMR) C00034142 003 -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 003A External Outfall No Discharge NAME/TITLE PRINCIPAL EXECUTIVE OFFICER certify under penalty of law that this document and all attachments were prepared under my direction or supe is o accordance with a system designed t that qualified perso nel properly gather and valuate the information sub fitted Based y - inquiry f the person o persons who manage the system. or those persons dir ctly respons ble for gathering the - inform at on. the information submrUed is to ni best f my knowledge i and belief f t accurate d complete, the t . I m aware a th t there are significant penalties for submitting false information, including the possibility of fine and imprisonment for vowing violations. QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE PARAMETER AREA Code EX OF ANALYSIS TYPE VALUE VALUE UNITS VALUE VALUE VALUE UNITS Toxicity [chronic], Ceriodaphnia dubi i 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 61426 S 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 S 0 PERMIT * * * * ** * * * * ** * * * * ** Req. Mon. * * * * ** * * * * ** tox chronic Annual GRAB -3 See Comments REQUIREMENT MN VALUE %Effect Static Renewal 7 Day Chron c SAMPLE Ceriodaphnia dubia MEASUREMENT TCP3B P 0 PERMIT * * * * ** - * * " * ** * * * * ** Req. Mon. * * * * ** * * " * ** % Annual GRAB -3 See Comments REQUIREMENT MN VALUE %Effect Static Renewal 7 Day Chron c SAMPLE * * * * ** * * * * ** * * * * ** * * * * ** * * * * ** Ceriodaphnia dubia MEASUREMENT TCP3BS 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 certify under penalty of law that this document and all attachments were prepared under my direction or supe is o accordance with a system designed t that qualified perso nel properly gather and valuate the information sub fitted Based y - inquiry f the person o persons who manage the system. or those persons dir ctly respons ble for gathering the - inform at on. the information submrUed is to ni best f my knowledge i and belief f t accurate d complete, the t . I m aware a th t there are significant penalties for submitting false information, including the possibility of fine and imprisonment for vowing violations. /�/,�j''�nn� " K l /�r (/ /` TELEPHONE DATE /� e7.� G, 77 rn �r j , v v SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR AUTHORIZED AGENT TYPED OR PRINTED AREA Code I NUMBER I MMIDD /YYYV COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) SEE I.B.3, FOR DETAILS OF TEST PROCEDURE. RPT RESULTS OF LETHALITY DERIVS AS "% EFFECT', GROWTH &REPRODDERIVS AS "TOXICITY ". RPT LOWEST % EFFL AT WHICH STATISTICALLY SIGNIF DIFF WAS OBSERVED USING CODE "S ".RPT IC25 USING CODE "P ". IWC =18 %. ATTACH TOX REPORT FORM TO DMR. EPA Form 3320.1 (Rev.01i06) Previous editions may be used. 07/1012013 Page 1