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PERMITTEE NAME /ADDRESS: <br />NAME: <br />MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: <br />WEST ELK MINE <br />QUALITY OR CONCENTRATION <br />P.O. BOX 591 <br />SOMERSET CO 81434 <br />FACILITY: <br />WEST ELK MINE <br />LOCATION: <br />APPX 1 MI E OF TOWN ON HWY 133 <br />NO. <br />SOMERSET, CO 81434 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />— Z`00038776 —1 (- 018A SED. POND TO SYLVESTER GULCH <br />PERMIT NUMBER DISCHARGE NUMBER (SUER MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE FXJ <br />A I I N: Ktl I h K. VVILLIAMS, F'KESIUEN <br />I NOTE: Read instructions before com pleting this form. <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />PARAMETER <br />>< <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE VALUE UNITS VALUE VALUE VALUE <br />UNIT <br />EX <br />OF <br />TYPE <br />970 - 929 -5015 <br />7/15I2014 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />ANALYSIS <br />OIL AND GREASE <br />SAMPLE <br />CCIMMFNT ANTI PYPI ANATION (1F ANY <br />\ /Ir)I ATI(1NS <br />VISUAL <br />MEASUREMENT <br />.... <br />84066 1 0RT <br />NO DISCHARGE <br />m _t t <br />EFFLUENT GROSS <br />REQUIREMENT <br />.... <br />MONTH:.; <br />VISUAL: <br />MEASUREMENT <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 LBA.F. <br />00202/980409 -1716 PAGE 2 OF 2 <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />Weston Norris <br />INFORMATION, THE INFORMATION SUBMITTED IS TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE. <br />AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />970 - 929 -5015 <br />7/15I2014 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />MM /DD/YYYY <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />CCIMMFNT ANTI PYPI ANATION (1F ANY <br />\ /Ir)I ATI(1NS <br />Forms by WindowCheT1707 <br />)864- 0845:o/n11090:v5. <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 LBA.F. <br />00202/980409 -1716 PAGE 2 OF 2 <br />