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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 />(;00038776- 008 A LOADOUT RUNOFF (MB -4) <br />PERMIT NUMBER DISCHARGE NUMBER (SUER MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROM To NO DISCHARGE 0 <br />NOTE: Read instructions before c mpleting this form. <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) F°""s ° <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 />00057/980409-1716 PAGE 2 OF 2 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />I <br />NO. <br />FREQUENCY <br />SAMPLE <br />[>< <br />EX <br />TYPE <br />VALUE VALUE UNITS VALUE VALUE VALUE <br />UNIT <br />ANAOLF <br />OIL AND GREASE <br />SAMPLE <br />MEASUREMENT ! <br />*,*, <br />1/30 <br />VISUAL <br />VISUAL <br />84066 1 0 <br />EFFLUENT GROSS <br />,,,M C7IrITH,,, <br />SAMPLE <br />MEASUREMENT <br />NO D <br />SAMPLE <br />MEASUREMENT( <br />PERMIT' ,,,,. <br />SAMPLE <br />MEASUREMENT <br />PERMIT,,: <br />,,,, <br />REQUIREMENT <br />SAMPLE <br />MEASUREMENT <br />:.....,.I.. , <br />.. <br />SAMPLE <br />MEASUREMENT <br />,;REGIUIF�EMENT„ <br />,,,,,,,,, ,,,,, <br />,,,..,,,,,,.,,,,,,,,,,,.,, <br />,,,, <br />,,,,,,,,,,, , <br />,.,., <br />SAMPLE <br />MEASUREMENT <br />I, <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DATE <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 />j ND COMPLE'FFO EH IINFORMAT AM IE( THAT THERE ASUBMITTED RE TOPENALTITHE BEST OF MY ES FORSUSMRTN IFALSEUkFORMATION: SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 <br />Weston Norris INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS <br />4/21/2016 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />I MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) F°""s ° <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 />00057/980409-1716 PAGE 2 OF 2 <br />