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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: APIPX 1 MI E OF TOWN ON HWY 133 <br />SOMERSET, CO 81434 <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NIODES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 018A SED. POND TO SYLVESTER GULCH <br />PERMIT NUMBER DISCHARGE NUMB (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD IMINOR <br />FROM I 1/1/ZU1 ( _j TO 1 3/31/2017 1 NO DISCHARGE FX <br />A I I IN: KtNNt I H UUUNKAN, <br />FKl=Z'jIUtN I NOTE: Read instructions before completing <br />this toren. <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />Ow <br />NO. <br />FREQUENCY <br />SAMPLE <br />EX <br />OF <br />TYPE <br />VALUE <br />VALUE <br />FUNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />MEASUREMENT <br />ANALYSIS <br />OIL AND GREASE <br />SAMPLE <br />VISUAL <br />MEASUREMENT <br />84066 1 0 <br />N O DISCHARGE <br />:::: <br />:: <br />::::::':: <br />EFFLUENT GROSS <br />SAMPLE <br />SAMPLE <br />MEASUREMENT <br />MEASUREMENT <br />� 1-11-11 .... ......... — "-. -, <br />TSS &TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR —10YR, 24HR PRECIP EVENT -SEE I.A.2, FIG 5, FOR REQUIREMENTS. 30DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING& REPORTING INSTRUCTIONS-I.C.111. OIL& GREASE- SEE I.B.I.F. <br />00202/980409-1716 PAGE 2 OF 2 <br />Ow <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />T. <br />SAMPLE <br />MEASUREMENT <br />`::iii::::'i:ii:iiiii�`i:`•i°iiiifii <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />NAME TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE <br />DATE <br />I CERTIFY LING PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMEWTS WERE PREPARED UNI <br />DIRECTION OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT PERSONNEL <br />PROPERLY GA FR AND EVALUATE THE INFORMATION SUBMITTED BASED ON MY MQUIRY OF THE PERSON OR <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR "THERMO THE <br />INFORMATION, INFORMATIONSUBMITTED IS. TO THE BUT OF MY KNOWLEDGE AND BELIEF. TRUE, ACC -1-1 <br />FOR SUBMITTING -no�: <br />Weston Norris AND COWLETETHF] AM AWARE TMT THERE ARE SIGNIFICANT PENALTIES FALSE INFoRw SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 <br />INCLUDING THE POSSIBILITY OF FIXE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />4/28/2017 <br />MMfDD1YYYY <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />nnwnRAM <br />F0ffn8 by Nnd.0-h8.(707)884-0645;9/n11080:v5.0;l/l= <br />� 1-11-11 .... ......... — "-. -, <br />TSS &TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR —10YR, 24HR PRECIP EVENT -SEE I.A.2, FIG 5, FOR REQUIREMENTS. 30DAY AVG IS HIGHEST <br />MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING& REPORTING INSTRUCTIONS-I.C.111. OIL& GREASE- SEE I.B.I.F. <br />00202/980409-1716 PAGE 2 OF 2 <br />