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I <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Moffat County Mining LLC <br />ADDRESS: 29515 Routt CR 27 <br />Oak Creek, CO 80467 -9704 <br />FACILITY- WILLIAMS FORK MINE <br />LOCATION: 1030 CR 107 <br />CRAIG, CO 81626 <br />ATTN Jerry Nettleton, Sup <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00034142 003 -X <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY MM /DDIYYYY <br />11/1/2012 12/31 /2012 <br />DMR Mailing ZIP CODE: <br />MINOR <br />Chronic WET Testing at 003A <br />External Outfall <br />Form Approved <br />OMB No. 2040 -0004 <br />80467 -9704 <br />No Discharge <br />PARAMETER <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 />°/ Effect Statre 7Day Chronic <br />Pimephales <br />TCP6C S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />* * * * ** <br />* * * * ** <br />* * * * ** <br />/G <br />* * * * ** <br />* * * * ** <br />PERMIT <br />REQUIREMENT <br />* * * * ** <br />** * * ** <br />* * * * ** <br />18 <br />MN VALUE <br />* * * * ** <br />% <br />Annual <br />RAB -3 <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments ware prepared under my direction or TELEPHONE DATE <br />supe —,on in accordance with a system designed to assure that qualified personnel properly gather and <br />valuate the information submitted eased on my mquiry of the person or persons who manage the <br />system or those persons directly responsible forgathering the information, the information submitted is <br />I , to the best of my knowledge and belief true, accurate and complete I am aware that there are P <br />Ur aigm(cant penalties for submitting false information, including the possibility of fine and impnsonment for SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />TYPED OR PRINTED owing _].Wns AUTHORIZED AGENT AREA Code NUMBER MMIDD /YYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE LB 3, FOR DETAILS OF TEST PROCEDURE RPT RESULTS OF LETHALITY DERIVS AS "% EFFECT ", GROWTH &RE PROD DERIVS AS "TOXICITY" RPT LOWEST % EFFL AT WHICH <br />STATISTICALLY SIGNIF DIFF WAS OBSERVED USING CODE "S ".RPT IC25 USING CODE "P" IWC =18e/ ATTACH TOX REPORT FORM TO DMR <br />EPA Form 3320 -1 (Rev.01 /06) Previous editions may be used. 05/08/2013 Page 2 <br />