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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 />COAL 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 compIll ing this form. <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference a// attachments here) r«mB by wlnaDM. nemLlwww uo.o;wnn&W,15.0JAiD. <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 LB.1.F. <br />00026/980409 -1716 PAGE 2 OF 2 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />OIL AND GREASE <br />SAMPLE <br />VISUAL <br />MEASUREMENT <br />PERMIT <br />ONCE/ <br />84066 1 0 <br />NO D <br />VISUAL <br />EFFLUENT GROSS <br />REQUIREMENT <br />MONTH <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 OFFICER <br />TELEPHONE <br />DATE <br />1 DIRECTION UNDER PENALTY OF O THAT E DOCUMENT MO ALL ED TO ASSURE WERE PREPARED PERSON AIL <br />OR A SYSTEM ED ASSURE THAT Y QVAUFIEO <br />W AO�RWINF ON MY THE PERSONNEL <br />THE THE PERSON <br />PROPERLY HER AND EV RMA SUBMITTED. D <br />TOR TMATENJ PERSONS U BAKED <br />PERSONS GATHER AND EVALUATE <br />BIBLE R <br />PERSONS WHO MWlAGE THE SYSTEM. OR THOSE PERSONS dRlCTLY RESPONSIBLE FOR GTHERW/ THE <br />INFORMATION, THE INFdiWMN SUBMITTED 5. TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE AOOURATE <br />Weston Norris AND COMPLETE I AN AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALIE wFoRmATION, <br />INOLUDING THE P0. EUUTV OF FINE ANGIMPRISONMENT FOR KNOWWG VIOLATIONS. <br />SIGNATURE OF PRINCIPAL EXECUTIVE 970- 929 -5015 <br />1/6/2015 <br />MM/DD/YYYY <br />TYPED OR PRINTED <br />OFFICER OR AUTHORIZED AGENT <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference a// attachments here) r«mB by wlnaDM. nemLlwww uo.o;wnn&W,15.0JAiD. <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 LB.1.F. <br />00026/980409 -1716 PAGE 2 OF 2 <br />