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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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />76 008 A LOADOUT RUNOFF (MB-4) <br />PERMIT NUMBER DISCHARGE NWABER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROM To NO DISCHARGE <br />NOTE: Read instructions before comple Ing this form. <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) F— by Wind onChem(707 >86/ -0645,pinI ID90y5.0;Iil/% <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 />00057/980409 -1716 PAGE 2 OF 2 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />EX <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />L <br />ANALYSIS <br />OIL AND GREASE <br />SAMPLE <br />1/30 <br />VISUAL <br />VISUAL <br />MEASUREMENT <br />PERMIT <br />ONCE/ <br />84066 1 0 <br />VISUAL <br />EFFLUENT GROSS <br />REQUIREMENT <br />" "' <br />MONTH <br />SAMPLE <br />MEASUREMENT <br />NO DISCHARGE <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 />D A T E <br />I IRE TIO UNDER PENALTY OF LAC THAT THIS DH A SYSTEM T AND ALI. EO TO ASSURE WERE PREPARED UNDER <br />OR SUPERVISION IN ACCORDANCE WA'Vi A SYSTEM DESIGNED TO ASSURE THAT PERSONNEL, <br />My Y OF THE PERSON OR <br />PROPERLY GATREA AND [VALUATE THE RIR H Y Of THE <br />PROPERLY T! THE F DI BASED <br />THOSE ESLINS RE JELE <br />PERSONS WHO MANAGE THE SYSTEM OR THOSE PERSONS DIRECTLY EE AND FOR RUE. CCU THE <br />INFD M.PLE E. INM MARE SUE THE ED IS, TO THE BEST PE NV TIES M SURUIT ING F SF IMF —ECIl, <br />AND COMPLETE. AM AWARE THERE ARE SIGNIFICANT PENALTIES FOR aUAYRTING FALSE INFOPLUITON, <br />Weston Norris <br />SIGNATURE OF PRINCIPAL EXECUTNE 970- 929 -5015 <br />1 /6/2015 <br />-- <br />INCLUDUlG THE POSSISLLRV OFPINc AND WPRISONNENT FOH KNOWING VpIATIONS. <br />MM/DD/YYYY <br />TYPED OR PRINTED <br />OFFICER OR AUTHORIZED AGENT <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) F— by Wind onChem(707 >86/ -0645,pinI ID90y5.0;Iil/% <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 />00057/980409 -1716 PAGE 2 OF 2 <br />