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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 011 A MINE WTR TO SYLVESTER GULCH <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE FWJ <br />NOTE: Read instructions before completing this form. <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by W1ndowChem(707)864-0845;p/n11090;v5.0;1/1/96 <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING <br />INSTRUCTIONS- I.C.11. OIL & GREASE- SEE 1.13A.F. <br />00089/980409-1716 PAGE 1 OF 1 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />L� <br />EX <br />OF <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />ANALYSIS <br />SAMPLE <br />PH <br />MEASUREMENT <br />(12) <br />00400 1 0 <br />P.ERNEI7 <br />EFFLUENT GROSS <br />Rcitilt2Nli f,', <br />................... <br />SAMPLE <br />S.U. <br />Wa KAY:. <br />IN -$IT -U*: <br />SOLIDS, TOTAL <br />SUSPENDED <br />MEASUREMENT', <br />(19) <br />00530 1 0 <br />PEFZMI7 <br />ONCE <br />EFFLUENT GROSS <br />REQUIREMEN F <br />SAMPLE <br />mg/I <br />MONTH <br />GRAB <br />IRON, TOTAL <br />(AS FE) <br />MEASUREMENT' <br />(28) <br />01045 1 0P <br />FWT <br />ONCE!: <br />EFFLUENT GROSS <br />REQ111fiFMFN F <br />SAMPLE <br />ug/I <br />MONTH <br />GRAB <br />OIL AND GREASE <br />MEASUREMENT <br />(19) <br />03582 1 0 <br />p..... NO DISCHARGE <br />CONTI(y; <br />EFFLUENT GROSSREQUIREMENT <br />SAMPLE <br />mg/I <br />GENT,:; <br />GRAB <br />FLOW, IN CONDUIT OR <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />50050 1 0.....PERMIT <br />EFFLUENT GROSS <br />REQUIRFM�iF <br />SAMPLE <br />**** <br />...WEEKLY: <br />INSTA�JT <br />SOLIDS, TOTAL <br />DISSOLVED <br />MEASUREMENT, <br />(19) <br />70295 1 0 <br />P'ERM17 <br />EFFLUENT GROSS <br />REQt1iREMENT <br />SAMPLE <br />mg/1 <br />QTRLY <br />GRP.B <br />OIL AND GREASE VISUAL <br />MEASUREMENT <br />84066 1 0 <br />PRMIT :: <br />EFFLUENT GROSS <br />R 21111tEM NT. ", <br />................................:.,, _ �__ ..-. <br />................................................... <br />........... <br />.. . <br />NAME ! TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDERMY� <br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />DATE <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED, BASED ON MY INQUIRY OF THE PERSON Oft <br />WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE; <br />Weston Norris <br />!PERSONS <br />INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 <br />NCLUDINGTHE POSSIBILITY OF INEANDMPRSONMENTFORKNOWINGVIOLATAND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES TIIONSBMITINGFALSEINFORMATION,i <br />OFFICER OR AUTHORIZED AGENT <br />7/6/2016 <br />TYPED OR PRINTED <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by W1ndowChem(707)864-0845;p/n11090;v5.0;1/1/96 <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING <br />INSTRUCTIONS- I.C.11. OIL & GREASE- SEE 1.13A.F. <br />00089/980409-1716 PAGE 1 OF 1 <br />