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PERMITTEE NAME/ADDRESS <br />NAME: MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: WEST ELK MINE <br />5174 HIGHWAY 133 <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 COAL CONVEYOR RUNOFF (MB -3) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM TO NO DISCHARGE <br />NOTE. Read instructions before c mpleting this form <br />PARAMETER <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />[>< <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />SAMPLE <br />PH MEASUREMENT <br />(12) <br />00400 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMICNF <br />s.0 <br />ONCE / <br />MONTH <br />INSITU <br />SOLIDS, TOTAL SAMPLE <br />SUSPENDED MEASUREMENT <br />(19) <br />00530 1 0 P wrr <br />EFFLUENT GROSS REQUIREMENT <br />mg/I <br />ONCE / <br />MONTH <br />GRAB <br />SOLIDS, SETTLEABLE SAMPLE <br />MEASUREMENT <br />(25) <br />00545 1 0 PERIOIT <br />ONCE / <br />EFFLUENT GROSS REQUIR15MENT <br />mg/I <br />MONTH <br />GRAB <br />(28) <br />IRON, TOTAL SAMPLE <br />(AS FE) MEASUREMENT <br />01045 1 0RITNO DISCHARGE <br />EFFLUENT GROSS REQUIREMENT <br />Ng/I <br />ONCIE-/ <br />MONTH <br />GRAB <br />SAMPLE <br />OIL AND GREASE MEASUREMENT <br />(19) <br />03582 1 0 PERMIT <br />EFFLUENT GROSS REQU112EMENT <br />mg/I <br />CONTIN - <br />GENT <br />ARAB <br />FLOW, IN CONDUIT OR SAMPLE <br />THRU TREATMENT PLANT MEASUREMENT <br />50050 1 0 PERwr <br />EFFLUENT GROSS REQUIREMENT <br />ONCE/ <br />MONTH <br />INSTANT <br />SOLIDS, TOTAL SAMPLE <br />DISSOLVED MEASUREMENT <br />(19) <br />70295 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />mg/I <br />QTRLY <br />GRAB <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />TELEPHONE <br />DATE <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 INQUIRY OF TIED PERSONNEL <br />THE PERSON OR <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED BASED ON MVSIBLE <br />R <br />RESPONSIBLE FOR GATHERING THE <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY KNOWLEDGE <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 />970-929-501510/14/2016 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />I MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WlndowChem(707)864-0845,p/n11090,v50,1/1/96 <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR < 10YR, 24HR PRECIP EVENT -SEE LA 3, PG 5, FOR REQUIREMENTS, 30 DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD QUARTERLY SAMPLING & REPORTING INSTRUCTIONS -I.13.11. OIL & GREASE -SEE 1.B.1.F. <br />00025/980409-1716 PAGE 1 OF 2 <br />