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PERMITTEE NAMEIADDRESS: <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 />PARAMETER <br />[>< <br />PH <br />MEASUREMENT <br />ASUREMENT <br />00400 1 0 <br />EFFLUENT GROSS_ <br />SOLIDS, TOTAL <br />SAMPLE <br />SUSPENDED <br />MEASUREMENT <br />00530 1 0 <br />EFFLUENT GROSS <br />EQ11!?EME1!IT: <br />SOLIDS, SETTLEABLE <br />SAMPLE <br />MEASUREMENT <br />00545 1 0 <br />I'1 € <br />EFFLUENT GROSS <br />!` <br />IRON, TOTAL <br />SAMPLE <br />(AS FE) <br />MEASUREMENT <br />p <br />01045 1 0 <br />EFFLUENT GROSS <br />:: RIREMIT: <br />SAMPLE <br />OIL AND GREASE <br />MEASUREMENT <br />03582 1 0 <br />::: WRRT <br />EFFLUENT GROSS <br />?!` MI- <br />FLOW, IN CONDUIT OR <br />iTHRU TREATMENT PLANT <br />SAMPLE <br />MEASUREMENT <br />50050 1 0 <br />EFFLUENT GROSS!! <br />SOLIDS, TOTAL <br />SAMPLE <br />DISSOLVED <br />MEASUREMENT <br />!70295 1 0 <br />;EFFLUENT GROSS <br />:: REQI!fEMN <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />—Z 00038776 — 005 A COAL CONVEYOR RUNOFF (MB -3) <br />PERMIT NUMBER DISCHAR E NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR Xj <br />FROM To NO DISCHARGE <br />QUALITY OR LOADING <br />VALUE I VALUE I UNITS <br />NOTE: Read instructions before <br />OR CONCENTRATION <br />NO. F <br />UNIT EX <br />VALUE I VALUE I VALUE <br />(12) <br />s_u. <br />(19) <br />mg /I <br />(25) <br />NO DISCHARGE (28) . <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED E UNDER EL <br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT INQUIRY OF TH O PERSONNEL <br />PROPERLY GATHER AND EVALUATE THE INFORMATION ERSONS DI BASED ON MY SIBL R THE PERSON OR <br />.PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />(19) <br />REQUENCY SAMPLE <br />OF TYPE <br />ANALYSIS <br />e, <br />:INFORMATION. THE INFORMATION SUBMITTED IS. TO THE BEST OF MY KNOWLEDGE AND BELIEF. TRUE ACCURATE <br />Weston Norris AND COMPLESUBMITTING W <br />I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE FORIMTION.I SIGNATURE OF PRINCIPAL EXECUTIVE 970- 929 -5015 1 10113/2014 <br />INCLUDING THE POSSIBILITY OF FINE AND IWRISONMENT FOR KNOWING MOIT10NS. <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT MMlDDtYYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference ad attachments here) Forms by Wlndowchem(707 )e64 -De45 ymIo9D;Ys.Ddn126 <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.1.F. <br />00025/980409 -1716 PAGE 1 OF 2 <br />mg /I <br />77;::: <br />CiN)f. <br />'IE1E: <br />(19) <br />TELEPHONE <br />I DATE <br />:INFORMATION. THE INFORMATION SUBMITTED IS. TO THE BEST OF MY KNOWLEDGE AND BELIEF. TRUE ACCURATE <br />Weston Norris AND COMPLESUBMITTING W <br />I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE FORIMTION.I SIGNATURE OF PRINCIPAL EXECUTIVE 970- 929 -5015 1 10113/2014 <br />INCLUDING THE POSSIBILITY OF FINE AND IWRISONMENT FOR KNOWING MOIT10NS. <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT MMlDDtYYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference ad attachments here) Forms by Wlndowchem(707 )e64 -De45 ymIo9D;Ys.Ddn126 <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.1.F. <br />00025/980409 -1716 PAGE 1 OF 2 <br />