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PERMITTEE NAME/ADDRESS: <br />NAME: <br />MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: <br />WEST ELK MINE <br />MEASUREMENT <br />5174 HIGHWAY 133 <br />PERMIT <br />SOMERSET CO 81434 <br />FACILITY: <br />WEST ELK MINE <br />LOCATION: <br />APPX 1 MI E OF TOWN ON HWY 133 <br />010455 1 0 <br />010 <br />SOMERSET, CO 81434 <br />/A 1 1 IN. JIIVI L.J. IVIILLCIR, Ur_IVCr[/AL IVIt-UlJMVr_M <br />PARAMETER <br />PH I MEASUREMENT <br />00400 1 0 <br />EFFLUENT GROSS <br />PERMIT <br />REQUIREMENT <br />SOLIDS, TOTAL <br />SAMPLE <br />SUSPENDED <br />MEASUREMENT <br />00530 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />SOLIDS, SETTLEABLE I SAMPLE <br />MEASUREMENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 -POND MB -2R (BACKWASH & RUNOFF) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM TO NO DISCHARGE F <br />NV I t: Keaa InSTrUCTIonS DeTore <br />QUALITY OR LOADING QUALITY OR CONCENTRATION <br />VALUE VALUE UNITS VALUE VALUE VALUE UNIT <br />(12) <br />00545 1 0 <br />PERMIT <br />FREQUENCY <br />SAMPLE <br />EFFLUENT GROSS <br />REQUIREMENT <br />SAMPLE <br />03582 1 0 <br />PERMIT <br />IRON, TOTAL <br />(ASMEASUREMENT <br />FLOW, IN CONDUIT OR <br />SAMPLE <br />THRU TREATMENT PLANT <br />010455 1 0 <br />010 <br />PERMIT <br />REQUIREMENT <br />NO <br />D <br />EFFLUENT GROSS <br />NO. <br />FREQUENCY <br />SAMPLE <br />OIL AND GREASE <br />MEASUREMENT <br />03582 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />FLOW, IN CONDUIT OR <br />SAMPLE <br />THRU TREATMENT PLANT <br />MEASUREMENT <br />50050 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />CHLORINE, TOTAL <br />SAMPLE <br />RESIDUAL <br />MEASUREMENT <br />50060 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />GRAB <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 />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />Weston Norris <br />INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, <br />ICANT PENALTIES FOR EMITTING FALSE INFOR MTION, <br />I AM AOF <br />THAT THERE RE FFOR <br />FINE AND MPRSONMENTRE <br />NC�UD NGPTME POSSBILITYKNOWNGVIOLATIONS <br />TYPED OR PRINTED <br />pg/I <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />1pleung Tn1S Torm. <br />NO. <br />FREQUENCY <br />SAMPLE <br />EX <br />OF <br />TYPE <br />GRAB <br />ANALYSIS <br />ONCE/ <br />1/30 <br />INSITU <br />ONCE/ <br />GRAB <br />(25) <br />INSITU <br />S.U. <br />MONTH <br />(19) <br />1/30 <br />GRAB <br />ONCE/ <br />mg/I <br />MONTH <br />GRAB <br />(25) <br />1/30 <br />GRAB <br />ONCE/ <br />I ml/I <br />MONTH <br />GRAB <br />(28) <br />1/30 <br />GRAB <br />ONCE/ <br />pg/I <br />MONTH <br />GRAB <br />(19) <br />NA <br />NA <br />MY I IIV - <br />GRAB <br />GENT <br />1 /7 INSTANT <br />WEEKLY I INSTANT I <br />(28) 1 1 1/7 1 GRAB <br />pg/I I I WEEKLY I GRAB <br />TELEPHONE I DATE <br />970-929-5015 10/5/2017 <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WndowChem(707)884-0845;Wnl 1090;v5.g1/1/N <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 />00001/980409-1716 PAGE 1 OF 2 <br />