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PERMITTEE NAME /ADDRESS: <br />NAME: MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: WEST ELK MINE <br />P.O. BOX 591 <br />SOMERSET CO 81434 <br />FACILITY: WEST ELK MINE <br />LOCATION: APPX 1 MI E OF TOWN ON HWY 133 <br />SOMERSET, CO 81434 <br />ATTN: KEITH R. WILLIAMS, PRESIDENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />00038776 005 A ICOAL CONVEYOR RUNOFF (MB -3) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE <br />NOTE: Read instructions before com pletinn this form <br />PARAMETER <br />>< <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />SAMPLE <br />PH MEASUREMENT <br />(12) <br />00400 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />S.U. <br />MONTH; <br />iNSITU <br />SOLIDS, TOTAL SAMPLE <br />SUSPENDED MEASUREMENT <br />(19) <br />00530 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />mg/I <br />ONGf <br />Iv1C)3VTH <br />GRAB <br />SOLIDS, SETTLEABLE SAMPLE <br />MEASUREMENT <br />(25) <br />00545 1 0 PERARIT <br />EFFLUENT GROSS REQUIREMENT <br />mg /I <br />SCE / <br />AAONTH . <br />GRAS <br />IRON, TOTAL SAMPLE <br />(AS MEASUREMENT <br />(28) <br />01045 1 0 PERMIT <br />010 5 <br />NO DISCHARGE <br />ONCE / <br />EFFLUENT GROSS REQUIREMENT: <br />pg /I <br />MONTH::: <br />GRAB <br />SAMPLE <br />OIL AND GREASE MEASUREMENT <br />(19) <br />03582 1 0 PERMIT <br />CON TIN... <br />EFFLUENT GROSS REQUIREMENT <br />mgA <br />GENT <br />GRAS <br />FLOW, IN CONDUIT OR SAMPLE <br />THRU TREATMENT PLANT MEASUREMENT <br />50050 1 0 PERMIT <br />POP. <br />EFFLUENT GROSS REOUIREMEtJT <br />MONTH <br />1NSTAkT <br />. <br />SOLIDS, TOTAL SAMPLE <br />DISSOLVED MEASUREMENT <br />(19) <br />70295 1 0 PERMIt' <br />EFFLUENT GROSS REQUIREMENT I <br />mg /I <br />.QTRLY <br />GRAS <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MV <br />pIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL -- <br />TELEPHONE <br />DATE <br />OROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INOUIRV OF THE PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM. OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION. THE INFORMATION E T SUBMITTED IS TO THE BEST OF A KNOWLEDGE AND BELIEF TRUE. ACDDRATE, SIGNATURE OF PRINCIPAL EXECUTIVE <br />Weston Norris AND COMPLETE AM AWARE THAT THERE ARE SIGNIFICANT OWING I IO FOR SUBMITTING FALSE INFORMATION <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOW ING VIOLATIONS. <br />970 -929 -5015 <br />1 /15/2014 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />MM/DDNYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Fortes by WindowChem( 707 )864- 0845;p/n11090;v5.0;111/96 <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR < 10YR. 24HR PRECIP EVENT -SEE I.A.3, PG 5, FOR REQUIREMENTS. 30 DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING INSTRUCTIONS- I.C.11. OIL & GREASE -SEE I.B.15. <br />00025/980409 -1716 PAGE 1 OF 2 <br />