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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 />0038776 012 A MINE WTR TO MINNESOTA CREEK <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 />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING <br />INSTRUCTIONS - I.C.11. OIL & GREASE - SEE 1.B.11. <br />Forms by WindowChem(707)884-0845;p/n11090;v5.0;1/1/88 <br />00113/980409-1716 PAGE 1 OF 1 <br />QUALITY OR LOADING <br />QUALITY OR CONCENTRATION <br />PARAMETER <br />NO. <br />FREQUENCY <br />SAMPLE <br />EX <br />OF <br />ANALYSIS <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />SAMPLE <br />PH MEASUREMENT <br />(12) <br />00400 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />S.U.WEEKLY <br />INSITU <br />SOLIDS, TOTAL SAMPLE <br />SUSPENDED MEASUREMENT <br />(19) <br />00530 1 0 PERMIT <br />ONCE/ <br />EFFLUENT GROSS REQUIREMENT <br />mg/I <br />MONTH <br />GRAB <br />IRON, TOTAL SAMPLE <br />(AS FE) MEASUREMENT <br />(28) <br />ONCE / <br />01045 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />N9/1 <br />MONTH <br />GRAB <br />SAMPLE <br />OIL AND GREASE MEASUREMENT <br />`19' <br />03582 1 0 PERMIT <br />NO DISCHARGE <br />CONTIN <br />EFFLUENT GROSS REQUIREMENT <br />mg/I <br />GENT <br />GRAB <br />*�** <br />FLOW, IN CONDUIT OR SAMPLE <br />THRU TREATMENT PLANT MEASUREMENT <br />50050 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />WEEKLY <br />INSTANT <br />SOLIDS, TOTAL SAMPLE <br />DISSOLVED MEASUREMENT <br />(19) <br />70295 1 0 PERMIT <br />EFFLUENT GROSS REQUIREMENT <br />mg/I <br />QTRLY <br />GRAB <br />OIL AND GREASE SAMPLE <br />VISUAL MEASUREMENT <br />84066 1 0 PERMIT <br />REQUIREMENT <br />WEEKLY <br />VISUAL <br />EFFLUENT GROSS <br />TELEPHONE <br />DATE <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 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 DN MY INQUIRY OF THE PERSON <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION, THE INFORMATION SUBMITTED IS, TO THE BEST OF MV KNOWLEDGE AND RELIEF, -RUE, ACCURATE, SIGNATURE OF PRINCIPAL EXECUTIVE <br />Weston Norris AND COMPLETE I AM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />970-929-5015 <br />7/12/2018 <br />TYPED OR PRINTED OFFICER OR AUTHORIZED AGENT <br />MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING <br />INSTRUCTIONS - I.C.11. OIL & GREASE - SEE 1.B.11. <br />Forms by WindowChem(707)884-0845;p/n11090;v5.0;1/1/88 <br />00113/980409-1716 PAGE 1 OF 1 <br />