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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 />004 POND MB -2R (BACKWASH & RUNOFF) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROIN1 -C _, 7 I."_u 4 1 NO DISCHARGE <br />NOTE: Read instructions hefore rmminletinn this fnrm <br />PARAMETER <br />I>< <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 />SOLIDS, TOTAL <br />SAMPLE <br />DISSOLVED <br />MEASUREMENT <br />(19) <br />1/90 <br />GRAB <br />PEtiItT <br />70295 1 0 <br />EFFLUENT GROSS <br />REOUIRtME NT <br />mg /I <br />NO D <br />ff1TRLY <br />GRAB <br />OIL AND GREASE <br />SAMPLE <br />VISUAL <br />MEASUREMENT <br />NA <br />NA <br />84066 1 0 <br />EFFLUENT GROSS <br />R6WIREMENT <br />WEEK.C* <br />VISUAL <br />SAMPLE <br />MEASUREMENT <br />P�FtMIT <br />REQUIREMENT: ' <br />SAMPLE <br />MEASUREMENT <br />F�RtuuHT <br />#3l~QUIREMENT <br />SAMPLE <br />MEASUREMENT <br />F"T <br />REflUlf MENT <br />SAMPLE <br />MEASUREMENT <br />KRUT <br />t2EQL11REMENT <br />SAMPLE <br />MEASUREMENT <br />PER#tA'T' <br />RE;it I MENT <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER 4 <br />L r, 7 F <br />DIRECTION Oft SUPERVISION ACCORDANCE A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />PROPERLY GATHER AND EVALUATE THE INFORMATION PERSONS DI BASED ON PO SIBLE R THE PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />AND COMPLETE THE INFORMATION AT THEE IS, TO THE BENT OF A KNOWLEDGE AND BELIEF, TRUE ACCURATE, <br />Weston Norris AND COMPLETE AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMTTNG FALSE 'FORMATION SIGNATURE OF PRINCIPAL EXECUTIVE 970 - 929 -5015 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS <br />4/15/2014 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />MM /DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference a!1 attachments here) Forms by WurdowChem (707)664- O845,pin 11090,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.2, 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 1.B.1.F. <br />00002/980409 -1716 PAGE 2 OF 2 <br />