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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 />� C00038716- 005 A COAL CONVEYOR RUNOFF (MB -3)
<br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS
<br />EXTERNAL OUTFALL
<br />MONITORING PERIOD MINOR 7-1
<br />FROM TO ;::��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 />VALUE VALUE UNITS VALUE VALUE VALUE
<br />____
<br />UNIT
<br />EX
<br />OF
<br />ANALYSIS
<br />TYPE
<br />OIL AND GREASE
<br />SAMPLE
<br />VISUAL
<br />MEASUREMENT
<br />84066 1 0
<br />EFFLUENT GROSS
<br />,
<br />NO D
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<br />��"�
<br />„QNCE;/-�,
<br />SAMPLE
<br />MEASUREMENT
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<br />SAMPLE
<br />MEASUREMENT
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<br />,,,........
<br />,UIREMENr(i
<br />SAMPLE
<br />MEASUREMENT
<br />SAMPLE
<br />MEASUREMENT
<br />PE12M1 .0
<br />;� ,,, .,.,
<br />„
<br />411v
<br />SAMPLE
<br />MEASUREMENT
<br />„R.EGtUIRI+MEN
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<br />SAMPLE
<br />MEASUREMENT
<br />S 0t7llREMENT„
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<br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER
<br />TELEPHONE
<br />DATE
<br />1 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 A99UBE 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 />Weston Norris INFORMATION, THE INFORMATION SUBMITTED 19, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE,
<br />AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION,
<br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS
<br />SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015
<br />4/21/2016
<br />MM/DD/YYYY
<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/n1109O,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.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 />00026/980409-1716 PAGE 2 OF 2
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