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PERMITTLL NAML /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 />�C00038776 019A NSSA SURFACE RUNOFF TO N FK GUNNISON <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />[-[0%11 1 rc 1 1 NO DISCHARGE <br />NOTE: Read instructions before comple ing this form. <br />PARAMETER. <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 />OIL AND GREASE <br />SAMPLE <br />_ <br />VISUAL <br />MEASUREMENT <br />NO DISCHARGE <br />..A. <br />PERMIT <br />REQUIREMENT <br />ONCE/ <br />MONTH <br />VISUAL <br />84066 1 0 <br />EFFLUENT GROSS <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME / TITLE PRINCIPAL EXECUTIVE O F F I C E R T E L E P H O N E <br />I D A I E <br />1/6/2015 <br />I OLAtIFY UNDER PENALTY OF LAW -HAT THIS DOCUMENT AND ALL ATTACHMENT6 WERE PREPARED UNDER NY <br />OgECTgN UR SUPERVISION IN ACCORDANCE WITH A SYSTEM DE51QN ED TO ASSURE THAT QUALIFIED PERSONNEL <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITED. I—ED ON MY INQUIRY a THE PFR6 OR <br />(PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPON516LE FOR OATHEA ;NG THE <br />INFWMATION, THE IN— FINATION SUBMITTED 6, TO THE SLIT Dl MY KNOWLEDGE AND SEUEF, TRUE, ACCURATE, <br />Weston Norris AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATON, SIGNATURE OF PRINCIPAL EXECUTIVE 970 - 929 -5015 <br />INCLUDING THE FOG -TTY OF FINE AND IMPRISONMENT FOR NNOWINONIXA71ONS. <br />MM /oorvYY <br />TYPED OR PRINTED � OFFICER OR AUTHORIZED AGENT <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Formby WindoWChem( 707 )884- 0845;p(n110,93;v5.L;111196 <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR < 10YR, 24HR PRECIP EVENT -SEE IA.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.1.1'. <br />001701980409 -1716 PAGE 2 OF 2 <br />