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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) 005 A <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 completing this form <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WindmChem(707 )864- 0845;p /nl 1090;v5.0;1/1/96 <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 />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />I <br />VALUE <br />I <br />UNIT <br />::�:< <br />EX <br />OF <br />TYPE <br />ANALYSIS <br />SAMPLE <br />PH <br />MEASUREMENT <br />(12) <br />00400 1 0 <br />PERiiI[IT I <br />C?iC:;f::::::::::::'::: <br />EFFLUENT GROSS <br />ftQUli?EMNT:: <br />s.u. <br />[VIONI H <br />::::::::::::: <br />SOLIDS, TOTAL <br />SAMPLE <br />SUSPENDED <br />MEASUREMENT <br />(19) <br />00530 1 0 <br />:ONCE I <br />EFFLUENT GROSS <br />Rll 2UIREMENT. <br />mg /I <br />NjOJ*37F :: <br />g:: : <br />SOLIDS, SETTLEABLE <br />SAMPLE <br />MEASUREMENT <br />(25) <br />1 0 <br />P EIRf �IIT ; : : ; <br />O00545 <br />EFFLUENT GROSS <br />J; <br />R Q IR Ni T <br />mg /I <br />lO1V fh <br />.. G <br />. ii _.:_.... i I:::: : <br />IRON, TOTAL <br />SAMPLE <br />(AS FE) <br />MEASUREMENT <br />(2$) <br />01045 1 0 <br />NO D <br />p..t......... <br />oN: <br />EFFLUENT GROSS <br />REQ... . ENT''. <br />. ............................... <br />1�9 /I <br />Ev101!i tF :::::::::::::::::: <br />SAMPLE <br />OIL AND GREASE <br />MEASUREMENT <br />(19) <br />03582 1 0 <br />::::PERMIT <br />GQtVTIN = <br />::: : <br />EFFLUENT GROSS <br />RcliliYEtv1ENT <br />........ ........ <br />mg /I <br />"`GE:NT:I <br />Gf <br />FLOW, IN CONDUIT OR <br />SAMPLE <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />50050 1 0 <br />EFFLUENT GROSS <br />`REQUIREMENT:: <br />...... <br />€NSTAI?1T: <br />SOLIDS, TOTAL <br />SAMPLE <br />DISSOLVED <br />MEASUREMENT <br />(19) <br />70295 1 0 <br />F EFttllT::: <br />E NT GROSS <br />J <br />_ _ _ <br />UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MV' <br />OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR <br />WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />mg /I <br />.:. <br />i:{27RL3:REFFL <br />NAME / TITLE PRINCIPAL EXECUTIVE <br />OFFICER <br />TELEPHONE <br />DATE <br />:I CERTIFY <br />DIRECTION <br />P ROPERLY <br />PERSONS <br />INFORMATION, <br />AND <br />Weston Norris AND COMPLETE <br />THE INFORMATION SUBMITTED IS, TO THE BEST OF MV KNOWLEDGE AND BELIEF, TRUE, ACCURATE. <br />I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION.; SIGNATURE OF PRINCIPAL EXECUTIVE <br />THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />OFFICER OR AUTHORIZED AGENT <br />970 - 929 -5015 <br />4/21/2015 <br />TYPED OR PRINTED <br />MM /DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WindmChem(707 )864- 0845;p /nl 1090;v5.0;1/1/96 <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 />