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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 017A MINE 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 />INSTRUCTIONS- I.C.11. OIL & GREASE -SEE 1.B.1.F. <br />Forms by WmdowChem(707)884-0845;p/n11090y5.0;1/1M <br />00129/980409-1716 PAGE 1 OF 1 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />>< <br />NO. <br />FREQUENCY <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />EX <br />OF <br />TYPE <br />ANALYSIS <br />SAMPLE <br />PH <br />MEASUREMENT <br />(12) <br />00400 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENTSU <br />WEEKLY <br />INSITU <br />SOLIDS, TOTAL <br />SAMPLE <br />SUSPENDED <br />MEASUREMENT <br />(19) <br />00530 1 0 <br />PERMIT <br />ONCE / <br />EFFLUENT GROSS <br />REQUIREMENT <br />mg/L <br />MONTH <br />GRAB <br />SAMPLE <br />IRON, TOTAL RECOVERABLE <br />MEASUREMENT <br />(28) <br />00980 1 0 <br />PERMIT <br />-ONCE/ <br />EFFLUENT GROSS <br />REQUIREMENT <br />Ng/L <br />MONTH <br />GRAB <br />SAMPLE <br />OIL AND GREASE <br />MEASUREMENT <br />(19) <br />03582 1 0 <br />NO DISCHARGE <br />PERMIT <br />CONTIN <br />EFFLUENT GROSS <br />REQUIREMENT <br />mg/L <br />GENT <br />GRAB <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 />WEEKLY <br />INSTAN <br />SOLIDS, TOTAL <br />SAMPLE <br />DISSOLVED <br />MEASUREMENT <br />(19) <br />70295 1 0 <br />PERMIT <br />EFFLUENT GROSS <br />REQUIREMENT <br />mg/L <br />QTRLY <br />GRAB <br />OIL AND GREASE <br />SAMPLE <br />VISUAL <br />MEASUREMENT <br />84066 1 0 <br />PERMIT <br />REQUIREMENT <br />WEEKLY <br />VISUAL <br />EFFLUENT GROSS <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY TELEPHONE <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 INQUIRY THE <br />DATE <br />MY OF 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 orris AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION SIGNATURE OF PRINCIPAL EXECUTIVE 970-929-5015 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />10/5/2017 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />MM/DD/YYYv <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 />INSTRUCTIONS- I.C.11. OIL & GREASE -SEE 1.B.1.F. <br />Forms by WmdowChem(707)884-0845;p/n11090y5.0;1/1M <br />00129/980409-1716 PAGE 1 OF 1 <br />