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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 017 A IMINE WTR & MWTF <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM To NO DISCHARGE <br />NOTE: Read instructions before completing this form. <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & <br />Forms by WindowChem(707)864-0845;p/n11090;v5.0;1/1/96 <br />INSTRUCTIONS- I.C.11. OIL & GREASE -SEE 1.B.1.1'. <br />00129/980409-1716 PAGE 1 OF 1 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />>< <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 />EFFLUENT GROSS <br />RE v . EMENT : <br />.............. <br />SU <br />V�/E ELY <br />tNSETU <br />SOLIDS, TOTAL <br />SAMPLE <br />SUSPENDED <br />MEASUREMENT <br />(19) <br />00530 1 0 <br />PERMETONCE <br />/ <br />EFFLUENT GROSS <br />REQ .... NT <br />m /L <br />g <br />kV103VTFi..............:::....: <br />GRAB <br />SAMPLE <br />IRON, TOTAL RECOVERABLE <br />MEASUREMENT <br />(28) <br />00980 1 0 <br />..... . <br />QNC;n <br />EFFLUENT GROSS <br />RFQUIR{=MENT <br />N9 /L <br />IvIOfVTH . <br />�f2A6 <br />SAMPLE <br />OIL AND GREASE <br />MEASUREMENT <br />(19) <br />03582 1 0................NO <br />O DISCHARGEoNTliv;::::;; <br />PRNlllN <br />EFFLUENT GROSS <br />REQUIREMENT <br />m /L <br />9 <br />CEN"T' <br />IRAQ: : <br />:::::::::::::::::::: <br />FLOW, IN CONDUIT OR <br />SAMPLE <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />50050 1 0 <br />F'EEx1FT <br />EFFLUENT GROSS <br />R ctui� l [vT <br />..................... <br />.*, <br />..... <br />1f1 KLY <br />.......... <br />.INS.TAN <br />.......... <br />SOLIDS, TOTAL <br />SAMPLE <br />DISSOLVED <br />MEASUREMENT <br />(19) <br />70295 1 0 <br />l?ERMtT <br />EFFLUENT GROSS <br />:::RE t fit? i EiaT <br />.............................. <br />mg/L <br />............................ <br />QTiR�`F <br />�RAE3 <br />OIL AND GREASE <br />SAMPLE <br />VISUAL <br />MEASUREMENT <br />84066 1 0 <br />PEIIVIIT <br />RFQ4JIREMNT <br />.. .. .. Y' <br />. VISl1AL::. <br />EFFLUENT GROSS <br />11 <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER <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 QUALIFIED PERSONNEL <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 TH <br />INFORMAIN, TNFORMATION SUMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, 'IWeston <br />AND COMTPOLETE.HEI IAM AWARE T ATB HERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSEUINFORMATION: <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />TELEPHONE <br />SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 <br />OFFICER OR AUTHORIZED AGENT <br />DATE <br />Norris <br />1/17/2017 <br />TYPED OR PRINTED <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & <br />Forms by WindowChem(707)864-0845;p/n11090;v5.0;1/1/96 <br />INSTRUCTIONS- I.C.11. OIL & GREASE -SEE 1.B.1.1'. <br />00129/980409-1716 PAGE 1 OF 1 <br />