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PERMITTEE NAME /ADDRESS: <br />NAME: <br />MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: <br />WEST ELK MINE <br />QUALITY OR CONCENTRATION <br />P.O. BOX 591 <br />SOMERSET CO 81434 <br />FACILITY: <br />WEST ELK MINE <br />LOCATION: <br />APPX 1 MI E OF TOWN ON HWY 133 <br />SOMERSET, CO 81434 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 008 A LOADOUT RUNOFF (MB -4) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE FX <br />H 1 1 IV: Ktl 1 N K. VVILLIHIVIJ, I-'KtJIUCIV I NOTE: Read instructions before c mpleting this form. <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 />VALUE <br />UNIT <br />EX <br />OF <br />TYPE <br />_ <br />_ ______ <br />_ <br />ANALYSIS <br />OIL AND GREASE <br />SAMPLE <br />MEASUREMENT! <br />* * ** <br />1130 <br />VISUAL <br />VISUAL <br />84066 1 0 <br />PERNEIT I <br />ONCE % <br />:: : <br />REQ JIFtEME 1F i' <br />* * ** <br />VI UAL i I <br />EFFLUENT GROSS <br />1V10NTF <br />SAMPLE <br />MEApSEURlE�lM7 ENT I <br />NO DISCHARGE <br />R E Q JIREMEVT <br />.......... <br />... <br />.......... <br />........ .......... <br />SAMPLE <br />MEASUREMENT <br />PERIUEI 1::: <br />r�EQiJIFNIEIJT: ;i <br />................ <br />............................... <br />SAMPLE <br />MEASUREMENT <br />.. .: <br />... ... <br />.... <br />........ ..... <br />................ ... <br />........ .... <br />.. . ...... <br />....... <br />..... <br />..... <br />.. . <br />........ <br />.......... <br />.......... <br />..................... <br />.......... <br />....... <br />.......... <br />.. ....... <br />...... ... <br />RE{3�11REM�N:F. <br />SAMPLE <br />MEASUREMENT <br />F?ERNEIT <br />.:.. .;.. . <br />R R iVT <br />EQUI . EME ...........:::::..:..... <br />... ............................... <br />...................................... <br />.:.:.:.:.:.:.:.:.:.:.:.. .......... <br />............................ ............................... <br />......... <br />SAMPLE <br />.................... <br />.......................... <br />. <br />MEASUREMENT <br />........ .:.:... <br />..: <br />:;:::;:;: <br />:RE 11REMENT: <br />Q <br />:.....: r .:.::::.. <br />:::': " . ......:.... <br />::::: .:..:.:. <br />.: .: <br />.. <br />SAMPLE <br />MEASUREMENT <br />. <br />R. EQU f EME I <br />.... . <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />DATE <br />CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER <br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF KNOWLEDGE AND BELIEF, TRUE, ACCURATE. <br />Weston Norris <br />A SIGNATURE OF PRINCIPAL EXECUTIVE <br />POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATTIIONS SUBMITTING FALSE INFORMATION, <br />INCLUDING THE POSSIBILITY MS T <br />970 - 929 -5015 <br />4/21 /2015 <br />TYPED OR PRINTED <br />OFFICER OR AUTHORIZED AGENT <br />MM /DD /YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WindowChem( 707 )864- 0845;p/n11090;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.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.F. <br />00057/980409 -1716 PAGE 2 OF 2 <br />