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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 />C00038776 005 A 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 completinq this form <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Fo"s by WindowChem(707)864-0845;p/n11080;v5.0;l/l/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 1.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 />VALUE <br />UNIT <br />EX <br />OF <br />TYPE <br />ANALYSIS <br />SAMPLE <br />PH <br />MEASUREMENT <br />(12) <br />00400 1 0 <br />P...... . <br />EFFLUENT GROSS <br />RFQiJF2f MBiVT:: <br />S.U.MONTH..........'. <br />ENSITII <br />. <br />SOLIDS, TOTAL <br />SAMPLE <br />SUSPENDED <br />MEASUREMENT <br />(19) <br />00530 1 0 <br />I�ERILiI7 <br />c3NC / <br />EFFLUENT GROSS <br />REQUIREMEN F <br />mg/I <br />(viONT... <br />I GRAB <br />SOLIDS, SETTLEABLE <br />SAMPLE <br />MEASUREMENT <br />(25) <br />00545 1 0 <br />F ER{uilT : <br />ONCE <br />EFFLUENT GROSS <br />QJiEMNT..........GRAB;:;:: <br />mg/I <br />Iv10ITFI <br />IRON, TOTAL <br />SAMPLE <br />(AS FE) <br />MEApSURElM*ENT <br />(28) <br />1 0 <br />DISCHARGE <br />EFFLUENT GROSS <br />FEQ .NO <br />....... <br />N9/I <br />Mo <br />ONTH <br />:(aR:A:::6:::::;:::;: <br />SAMPLE <br />OIL AND GREASE <br />MEASUREMENT <br />(19) <br />03582 1 0PERNEIT <br />; ; <br />CONTIN <br />EFFLUENT GROSS <br />Rl Q .... t.... <br />................ <br />mg/I <br />'..........:.....' <br />GENT:' <br />F2 CB: : <br />FLOW, IN CONDUIT OR <br />SAMPLE <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />50050 1 0 <br />.......... <br />UNC C <br />EFFLUENT GROSS <br />REGiUIREMENT, <br />MONTH..:... <br />[NSTANT: <br />SOLIDS, TOTAL <br />SAMPLE <br />DISSOLVED <br />MEASUREMENT <br />(19) <br />70295 1 0 <br />PERMIT::; '' <br />EFFLUENT GROSS <br />REQUII EMFN7.; <br />UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />mg/I <br />:QTRlrY:: <br />...... ... <br />.... � B <br />.. ..... <br />NAME / TITLE PRINCIPAL EXECUTIVE <br />OFFICER <br />TELEPHONE <br />DATE <br />I CERTIFY <br />DIRECTION <br />PROPERLY <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 />PERSONS <br />INFORMATION, <br />AND <br />NOCCIS AND COMPLETE. <br />Weston Norris <br />WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING TME <br />THE INFORMATION SUBMITTED 15, TO THE BEST OF KNOWLEDGE AND BELIEF, TRUE, ACCURATE, I <br />IAM THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION,! SIGNATURE OF PRINCIPAL EXECUTIVE <br />THE POSSIBITTHERE <br />OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />OFFICER OR AUTHORIZED AGENT <br />970-929-5015 <br />7/9/2015 <br />TYPED OR PRINTED <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Fo"s by WindowChem(707)864-0845;p/n11080;v5.0;l/l/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 1.B.1.F. <br />00025/980409-1716 PAGE 1 OF 2 <br />