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PERMITTEE NAMElADDRESS: <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 completing this form. <br />PARAMETER <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />SAMPLE <br />>< <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />F VALUE <br />UNIT <br />SAMPLE <br />PH MEASUREMENT <br />(12) <br />00400 1 0 <br />EFFLUENT GROSS i iRE UIREIYJFtbll <br />....... <br />S.U. <br />SOLIDS, TOTAL SAMPLE <br />SUSPENDED MEASUREMENT <br />(19) <br />00530 1 0 <br />EFFLUENT GROSS •:FtEIjFlv1l?l T ;? <br />mg/I <br />::` <br />lviTFd::::::::s:::::::: <br />SOLIDS, SETTLEABLE SAMPLE <br />MEASUREMENT <br />(25) <br />00545 1 0 ¢::'; P►Aillii:::ii <br />EFFLUENT GROSS <br />mg/I <br />' <br />:Q1?1:E.i:::::':::: <br />ON -T, <br />(28) <br />IRON, TOTAL SAMPLE <br />(AS FE)MEASUREMENT <br />01045 1 0 :::::I?III NO DISCHARGE <br />EFFLUENT GROSS `f? �c?11fEINENT: <br />::::It::::: <br />':::. <br />E'RAB. <br />SAMPLE <br />OIL AND GREASE MEASUREMENT <br />(19) <br />03582 1 0 <br />EFFLUENT GROSS ;Ri3EliiElvfFiTs <br />m /l <br />FLOW, IN CONDUIT OR SAMPLE <br />THRU TREATMENT PLANT MEASUREMENT <br />50050 1 0 <br />EFFLUENT GROSS .'•REt11(fiM?: <br />:tt�E$rAN <br />(19) <br />SOLIDS, TOTAL SAMPLE <br />DISSOLVED MEASUREMENT <br />70295 1 0 <br />EFFLUENT GROSS €'81r(ljlNllvt I <br />mg/I <br />:iiR131: <br />TELEPHONE <br />DATE <br />- – - <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 OR <br />PERSONSWHOYSTF_ OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />MANAGE THE SYSTEM <br />INFORMATION, THE INFORMATION SUBMITTED M, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE. <br />Weston Norris AND COMPLETE IAM AWARE THAT TIERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATION& <br />970-929-5015 <br />4/28/2017 <br />MMlDD/YYYY <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Fo=3 by WindDw0hem(7OT)854.0545:pin110BOv5.0;IIIM <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR —I OYR, 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 />00025/980409-1716 PAGE 1 OF 2 <br />