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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 (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />SED. POND TO SYLVESTER GULCH
<br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS
<br />EXTERNAL OUTFALL
<br />MONITORING PERIOD IMINOR
<br />FROM To NO DISCHARGE FWJ
<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 />VALUE t VALUE UNITS VALUE VALUE VALUE
<br />UNIT
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<br />ANAOLYSIS
<br />TYPE
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<br />VISUAL
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<br />MEASUREMENT
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<br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER
<br />TELEPHONE
<br />DATE
<br />II CERTIFY UNDER PENALTY OF lAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MV
<br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL
<br />I PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED BASED ON MV 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 MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE,
<br />Weston Norris ANDCOMPLETE AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION,
<br />SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015
<br />4/21/2016
<br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS
<br />MM/DDNYYY
<br />TYPED OR PRINTED
<br />OFFICER OR AUTHORIZED AGENT
<br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WlndowChem(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 I.B.1.F.
<br />00202/980409-1716 PAGE 2 OF 2
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