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PERMITTEE NAME/ADDRESS (Include Facility Name/Locavon if <br />Nom;., 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 (NPDFS) <br />DISCHARGE MONITORING REPORT (DMR) <br />COG850001 <br />1002-A <br />PERMIT NUMBER <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />SAMPLE <br />TYPE <br />MM/DD/YY1 <br />04/01/2016 <br />UNITS <br />06/30/2016 <br />Form Approved <br />OMB No. 2040- 0004 <br />DMR Mailing ZIP CODE: 81326 <br />MINOR <br />(SUER GB) LPLTA <br />NORTH SEDI POND TO HAY GULCH <br />External Outfall <br />No Discharge® <br />PARAMETER <br />I-1dryma. pemlty of Taw mat tbis comment and au amcbmmta were me,,o ea maor my <br />dtrmctton o:srpemalanmacmramce wlmaaystem aesl�mdm a:ame mat gnallaea <br />n.:omet pmpevy gam. and evaluate tum informmkn m mEtted. gases on my � of me <br />n or p.nom was maoagm the system, ar mnaen.sona aammv respammkf gam.mg <br />the normndommemformadansubmittedk.tothebovofmylmowkdgeandbad,tum, <br />ornate. and complete[am awaze mat mere are sigW9cant penalties tar sabmitdogtalse <br />mammneme posemmty offine maimpdaonmem far mow,ng vlotanona. <br />QUANTITY 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 />SAMPLE <br />MEASUREMENT <br />8406610 <br />Effluent Gross <br />PERMIT <br />REQUIREMENT <br />****** <br />Req. Mon. <br />INST:MAX <br />Y=1;N=0 <br />***"** <br />*****" <br />****** <br />k****^ <br />Twice per <br />Month <br />VISUAL' <br />NO DISCHARGE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />I-1dryma. pemlty of Taw mat tbis comment and au amcbmmta were me,,o ea maor my <br />dtrmctton o:srpemalanmacmramce wlmaaystem aesl�mdm a:ame mat gnallaea <br />n.:omet pmpevy gam. and evaluate tum informmkn m mEtted. gases on my � of me <br />n or p.nom was maoagm the system, ar mnaen.sona aammv respammkf gam.mg <br />the normndommemformadansubmittedk.tothebovofmylmowkdgeandbad,tum, <br />ornate. and complete[am awaze mat mere are sigW9cant penalties tar sabmitdogtalse <br />mammneme posemmty offine maimpdaonmem far mow,ng vlotanona. <br />TELEPHONE <br />DATE <br />Trent Peterson, V.P. <br />TYPED OR PRINTEDormadom <br />970-385-$528 <br />/'/� <br />SIGNA OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />uua coda NUMBER <br />/DD/YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference aR 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 edinom: may be used. 12/03/2015 Page 1 <br />