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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- KFNNFTH CnCHRAN PRFSII)F_NT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 014 A SURFACE RUNOFF TO SYLV. GULCH <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM TO NO DISCHARGE FX <br />NOTE: Read instructions before completing this form. <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WIndowChem(707)864-0845;p/n 11090;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 I.B.1.F. <br />00153/980409-1716 PAGE 1 OF 2 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />EX <br />OF <br />TYPE <br />ANALYSIS <br />SAMPLE <br />PH <br />MEASUREMENT <br />(12) <br />1/30 <br />IN-SITU <br />00400 1 0 <br />PEMET <br />OfvCi <br />.:.:.:.:.:.:.:..:IN=MITI <br />EFFLUENT GROSS <br />R) QUIREMENT ; <br />S. U. <br />MC)i�l7H <br />; ; ; ;;;;;;;;; <br />1/30 <br />GRAB <br />SOLIDS, TOTAL SAMPLE <br />(19) <br />SUSPENDED <br />MEASUREMENT <br />CSNCt f <br />GfAB. <br />00530 1 0 PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />mg/I <br />::MONTH : <br />SOLIDS, SETTLEABLE SAMPLE <br />(25) <br />1/30 <br />GRAB <br />MEASUREMENT <br />ONCE: <br />00545 1 0 PERINET <br />C"�g <br />EFFLUENT GROSS <br />RE QUIREMENT: ! <br />ml/I <br />MONTH .::.:.:.:.:..:.::.:::: <br />1/30 <br />GRAB <br />IRON, TOTAL <br />(AS FE) <br />SAMPLE <br />MEASUREMENT <br />(28) <br />ONC1= f .: <br />GRARGEB <br />01045 1 0 EfiM <br />NODISCHA <br />EFFLUENT GROSS <br />RI :..... <br />QUIREMENT, <br />N9/IMONTH <br />. <br />:.:.. <br />........................ <br />SAMPLE <br />OIL AND GREASE <br />MEASUREMENT ! <br />ME <br />(19) <br />NA <br />NA <br />03582 1 0 <br />PRM Cfi',,C3NTli*3:';';; <br />CE2A B <br />EFFLUENT GROSS <br />REQUIREMENT:: <br />mg <br />CCEN1... <br />.......:...:.::..: <br />1/30 <br />INSTANT <br />FLOW, IN CONDUIT OR SAMPLE <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />.' <br />**** <br />;ON 'Ef <br />: <br />50050 1 0 PERMrr. . <br />EFFLUENT GROSS <br />R8QUJREMENT <br />MdN7H <br />1/90 <br />GRAB <br />SOLIDS, TOTAL SAMPLE <br />(19) <br />DISSOLVED <br />MEASUREMENT <br />QTRLY. <br />GRA -B: <br />70295 1 0 PER. <br />EFFLUENT GROSS <br />REQUIREMENT .'; <br />mg/I <br />............... <br />DATE <br />NAME / TITLE PRINCIPAL EXECUTIVE <br />- - <br />OFFICER <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 ASSURE THAT QUALIFIED PERSONNEL <br />TELEPHONE <br />Weston Norris <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON O <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION, THE INFORMATION SUBMITTED IS,WARE THAT THERE RTO THE BEST OF PENALTIES KNOWLEDGE ANO BELIEF, TRUE, ACAND COMPLETE. I AM CURATE, SIGNATURE OF PRINCIPAL EXECUTIVE <br />NCLUDINGTHEPOSSIBILITYOF INEAND M RISONMENTFFORN NOWINGVIOLATONS.BMI TING FALBE INFORMATION <br />970-929-5015 <br />1/17/2017 <br />TYPED OR PRINTED <br />OFFICER OR AUTHORIZED AGENT <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WIndowChem(707)864-0845;p/n 11090;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 I.B.1.F. <br />00153/980409-1716 PAGE 1 OF 2 <br />