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PERMITTEE NAME/ADDRESS
<br />NAME.
<br />MOUNTAIN COAL COMPANY, LLC
<br />ADDRESS
<br />WEST ELK MINE
<br />FREQUENCY
<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 />VALUE
<br />SOMERSET, CO 81434
<br />ATTN• KFNNFTH CnCHRAN PRFSIDF_NT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />C00038776 016 A Pond MB -1 & N. FORK GUNNISON
<br />PERM T NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS
<br />EXTERNAL OUTFALL
<br />MONITORING PERIOD MINOR
<br />FROM 1/l/2016 TO 1 3/3112016 NO DISCHARGE
<br />NOTE: Read instructions before completinq this form
<br />PARAMETER
<br />QUALITY OR LOADING
<br />QUALITY OR CONCENTRATION
<br />NO.
<br />FREQUENCY
<br />SAMPLE
<br />EX
<br />OF
<br />ANAL YSIS
<br />TYPE
<br />VALUE
<br />VALUE
<br />UNITS
<br />VALUE
<br />VALUE
<br />VALUE
<br />UNIT
<br />OIL AND GREASE
<br />VISUAL
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<br />WEEKLY
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<br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE
<br />DATE
<br />/�
<br />4/21/2016
<br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPAREDUNDER MY,
<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 4z&�
<br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE
<br />INFORMATION, 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 SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015
<br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWINGVIOLATIONS
<br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT
<br />MM/DD/YYYY
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference aff attachments here) Forms by WmdowChem(707)864-0845,p/nI I090,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.1.1'.
<br />00186/98049-1716 PAGE 2 OF 2
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