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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: KENNETH COCHRAN, PRESIDENT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />76 014 A SURFACE RUNOFF TO SYLV. GULCH
<br />PERM T NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS
<br />EXTERNAL OUTFALL
<br />MONITORING PERIOD IMINOR 771
<br />FROM To NO DISCHARGE
<br />NOTE: Read instructions before com le ing this form.
<br />PARAMETER
<br />QUALITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />FREQUENCY
<br />SAMPLE
<br />I><
<br />EX
<br />L
<br />ANALYSIS
<br />TYPE
<br />VALUE VALUE UNITS VALUE VALUE VALUE
<br />_
<br />(
<br />UNIT
<br />OIL AND GREASE
<br />VISUAL
<br />SAMPLE
<br />MEASUREMENT
<br />....
<br />1/30
<br />VISUAL
<br />84066 1 0
<br />EFFLUENT GROSS
<br />..... ,.PERMIT,iI;,,,l'
<br />;;;R> C;U1F'EMJT;;
<br />NO DISCHARGE
<br />*..
<br />",,..ONCE/"
<br />,
<br />,,,"•,,..1,,,,,,,,,,
<br />MONTH,,,
<br />"VISUAL„
<br />SAMPLE I
<br />MEASUREMENT!
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<br />QUIIiEMENT
<br />SAMPLE
<br />MEASUREMENT
<br />QUIREMENT„
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<br />SAMPLE
<br />MEASUREMENT
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<br />SAMPLE
<br />MEASUREMENT
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<br />SAMPLE
<br />MEASUREMENT
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<br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER,,,,,,,,,,,,,,,�,,,,,,�,,,,,,., TELEPHONE„
<br />DATE
<br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY
<br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL
<br />BASED ON MY INQUIRY OF THE PERSON OR
<br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED
<br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE
<br />INFORMATION,Al
<br />THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE„
<br />Weston Norris AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMRTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015
<br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS.
<br />4/21/2016
<br />MM/DD/YYYY
<br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference aH attachments here) Forms by WmdowChem(707)664-UB45,plrI I U90,vb.0,VlIUS
<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.1.1'.
<br />00154/980409-1716 PAGE 2 OF 2
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