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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 009 A SUBSOIL STKPILE RUNOFF (MB -5) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR Xj <br />FROM To NO DISCHARGE <br />NOTE: Read instructions before completing this form. <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by VVindowChSm(707)884-0845;p/n11090;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.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 1.B.1.F. <br />00073/980409-1716 PAGE 1 OF 2 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />1>< <br />EX <br />OF <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />T VALUE <br />VALUE <br />UNIT <br />ANALYSIS <br />SAMPLE <br />PH <br />MEASUREMENT[ <br />(12) <br />00400 1 0 <br />PEF�MtT <br />ONCE / <br />EFFLUENT GROSS <br />RECIUIREMENT <br />.:.....::.....: <br />SAMPLE <br />S.U. <br />MONTH....._.. <br />IIV SITU <br />...:.:.: , <br />SOLIDS, TOTAL <br />SUSPENDED <br />MEASUREMENT'i <br />(19) <br />00530 1 0 <br />PERMET <br />aNCE / <br />REQUIF�EMENT: <br />GRAB <br />EFFLUENT GROSS <br />SAMPLE <br />mg/I <br />EVION7H . <br />SOLIDS, SETTLEABLE <br />MEASUREMENT <br />(25) <br />00545 1 0 <br />PFFtMC( <br />! <br />EFFLUENT GROSS <br />R..... MENT' <br />SAMPLE <br />ml/I <br />... <br />M(}NTH . <br />CRAB <br />...... .. . <br />IRON, TOTAL <br />(AS FE) <br />MEASUREMENT <br />(28) <br />.. QN�... <br />01045 1 0 <br />1� 1 NO DISCHARGE <br />EFFLUENT GROSS <br />REQUIREMENT' <br />SAMPLE ....... <br />Ng/I <br />........ <br />GRAB' ' <br />OIL AND GREASE <br />MEASUREMENT[ <br />(19) <br />03582 1 0...... <br />?J <br />. <br />EFFLUENT GROSS <br />REQUIREMENT:: <br />............. <br />SAMPLE <br />mg/I <br />G.EN r .: <br />. <br />FLOW, IN CONDUIT OR <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />**** <br />50050 1 0 <br />.......T:;;;; ;;; <br />EFFLUENT GROSS <br />REQUIREMENT:* <br />SAMPLE <br />*** <br />fvIONTH.......:..::::...:: <br />INSTANT: <br />SOLIDS, TOTAL <br />DISSOLVED <br />MEASUREMENT <br />70295 1 0 <br />a�Eou.......J " <br />Q RLT <br />: CFZA <br />EFFLUENT U NT GROSS <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DIRECTION OR SUPERVISION IN ACCOROANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL <br />TELEPHONE <br />DATE <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, <br />THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS.TYPED <br />SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 <br />1/17/2017 <br />F777INCLUDING <br />OR PRINTED <br />OFFICER OR AUTHORIZED AGENT <br />IMM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by VVindowChSm(707)884-0845;p/n11090;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.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 1.B.1.F. <br />00073/980409-1716 PAGE 1 OF 2 <br />