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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 />C00038776 005 A <br />COAL CONVEYOR RUNOFF (MB -3) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROM To NO DISCHARGE <br />NOTE: Read instructions before completing this form <br />PARAMETER <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />>< <br />EX <br />of <br />ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />SAMPLE <br />PH MEASUREMENT <br />(12) <br />00400 1 0 „ ,,,;:.PERMIT„ „ ,,, <br />EFFLUENT GROSS "RE UIFtEMENT,, <br />S.U.INSl1 <br />„ ,,,,,,. <br />,,,(]NCB, <br />U, <br />(19) <br />SOLIDS, TOTAL SAMPLE <br />SUSPENDED MEASUREMENT <br />;,;;;;;;;; <br />;;QNC�,/;:; <br />MONTH <br />... „.„,,,,„ <br />,GRAS„., <br />„ , .. <br />00530 1 0 .,, ,,,,F+E,RMIT "'' <br />EFFLUENT GROSS ...�EQUIRFMEN,T, <br />mg/I <br />(25) <br />SOLIDS, SETTLEABLE SAMPLE <br />MEASUREMENT <br />00545 1 0 FERMI).,,,,,„, <br />EFFLUENT GROSS ,,RQUIRI~MENT;; <br />mg/I <br />:::;,, <br />;;;k;9B;;;;, <br />`28' <br />IRON, TOTAL SAMPLE <br />(AS FE) MEASUREMENT <br />MCINFH,11 <br />;,,,,,,, ,,,,; „„ <br />01045 1 0 ..,,.��'ERMIT,.•.•,••, <br />#�i QUIREMENT” NO DISCHARGE <br />EFFLUENT GROSS •., •,,,,,,",•,,,,,,,,,•••�• „ <br />Ng/I <br />(19) <br />OIL AND GREASE SAMPLE <br />MEASUREMENT <br />03582 1 0 <br />EFFLUENT GROSS ;;'REQUItiEINENT;; <br />mg/I <br />"" . <br />GENT ,; <br />.,,,,Q,” <br />I- <br />FLOW, IN CONDUIT OR SAMPLE <br />THRU TREATMENT PLANT MEASUREMENT <br />;;.;;;.:,; <br />;;” <br />;;�,,, <br />''MONT i"' <br />,,,,,,,,,,,,,, ,,,,,, <br />50050 1 0 PEwRMIT,,,.,.,., <br />EFFLUENT GROSS RECtUiRI MEN7 <br />(19) <br />SOLIDS, TOTAL SAMPLE <br />DISSOLVED MEASUREMENT <br />... <br />” " <br />QT tLY• <br />••••(siRAB• <br />70295 1 0„•.•.PERMIT„ ,,,,,, <br />EFFLUENT GROSS ,'REQ U(NEMENT^ <br />mg/I <br />TELEPHONE <br />DATE <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER I <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 />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 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 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />970-929-5015 <br />4/21/2016 <br />MM/DDNYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WmdowChem(707)B64-0845,p/n 11090,v5,0,111/96 <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 LBA.F. <br />00025/980409-1716 PAGE 1 OF 2 <br />