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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: JIM D. MILLER, GENERAL MANAGER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 015A SURFACE RUNOFF TO N FK GUNNISON R <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM 4/1/2017 To 6/30/2017 NO DISCHARGE 0 <br />NOTE: Read instructions before completing this form. <br />MEASUREMENT <br />................................................... ........ ....... ..... .................. ........................... <br />SAMPLE <br />MEASUREMENT <br />ER <br />P .. MtT::[:::::::::::::::::'::::::::::'::::::::::::::::::::::::::::::::::::: <br />......................... <br />................................................... <br />Q RE E T.::::::::::::::::::::::::::::::::::::::::::::::............................................. . <br />................................................ .............................. ................... ........................................................................................................................ <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE DATE <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DIRECTION OR ­ <br />IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALI FIEO PERSONNEL - <br />I 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. 1 AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 7/6/2017 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT MM/DD/YYYY <br />(`(111ARAC AIT AAIFI CYDI AAIATVIAI r)C AKIV X/InI A-rlr%AIC Forms by WindowChem(707)864-0845;D/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.15. <br />00170/980409-1716 PAGE 2 OF 2 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />[�<VALUE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />UNIT <br />EX <br />OF TYPE <br />AN <br />OIL AND GREASE <br />SAMPLE <br />—-- — <br />VISUAL <br />MEASUREMENT <br />NO <br />DISCHARGE <br />**** <br />2/30 <br />VISUAL <br />84066 1 0 <br />p M�, <br />R Q(JIREfv1ENT <br />„*** <br />. <br />I <br />........L::: <br />EFFLUENT GROSS <br />---- <br />1Vj47i�3TFj <br />....:::::::::::::: <br />SAMPLE <br />MEASUREMENT <br />RM....................................................................................... <br />:::::::::::::::: <br />i'.iiiiiiiiiiiiiiiii`i <br />isi i .isisisi:i:i:ii <br />REQFJIREMENT. <br />MEASUREMENT <br />................................................... ........ ....... ..... .................. ........................... <br />SAMPLE <br />MEASUREMENT <br />ER <br />P .. MtT::[:::::::::::::::::'::::::::::'::::::::::::::::::::::::::::::::::::: <br />......................... <br />................................................... <br />Q RE E T.::::::::::::::::::::::::::::::::::::::::::::::............................................. . <br />................................................ .............................. ................... ........................................................................................................................ <br />NAME / TITLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE DATE <br />I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />DIRECTION OR ­ <br />IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALI FIEO PERSONNEL - <br />I 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. 1 AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 7/6/2017 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT MM/DD/YYYY <br />(`(111ARAC AIT AAIFI CYDI AAIATVIAI r)C AKIV X/InI A-rlr%AIC Forms by WindowChem(707)864-0845;D/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.15. <br />00170/980409-1716 PAGE 2 OF 2 <br />