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PERMITTEE NAME/ADDRESS. <br />NAME: <br />MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: <br />WEST ELK MINE <br />SAMPLE <br />5174 HIGHWAY 133 <br />MEASUREMENT <br />SOMERSET CO 81434 <br />FACILITY: <br />WEST ELK MINE <br />LOCATION: <br />APPX 1 MI E OF TOWN ON HWY 133 <br />SAMPLE <br />SOMERSET, CO 81434 <br />/'l I I IV. VVLV 1 MY J. IVVI\1 \IJ, VLIYLI\rlL IVIr11VnV Lf\ <br />PARAMETER <br />VALUE <br />PH I MEASUREMENT <br />00400 1 0 <br />PERMIT <br />EFFLUENT GROSS <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 <br />SAMPLE <br />REQUIREMENT <br />MEASUREMENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />C00038776 4 A OND MB -2R (BACKWASH & RUNOFF) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM TO NO DISCHARGE C X] <br />IVU 1 C: meaD IDSIfUGUDDS D6TOfS completing [x115 TORTI. <br />UALITY OR LOADING QUALITY OR CONCENTRATION <br />NO. FREQUENCY SAMPLE <br />VALUE UNITS VALUE VALUE VALUE UNIT EX OF TYPE <br />ANALYSIS <br />(12) 1/30 INSITU <br />S. U. <br />(19) <br />00545 1 0 <br />GRAB <br />PERMIT <br />INSITU <br />MONTH <br />EFFLUENT GROSS <br />OIL AND GREASE <br />REQUIREMENT <br />MEASUREMENT <br />03582 1 0 <br />IRON, TOTAL <br />PERMIT <br />SAMPLE <br />GRAB <br />REQUIREMENT <br />(ASMEASUREMENT <br />ONCE/ <br />SAMPLE <br />THRU TREATMENT PLANT <br />GRAB <br />010 <br />010455 1 0 <br />50050 1 0 <br />PERMIT <br />REQUIREMENT <br />NO <br />D <br />EFFLUENT GROSS <br />GRAB <br />NA <br />INSITU <br />MONTH <br />SAMPLE <br />OIL AND GREASE <br />GRAB <br />MEASUREMENT <br />03582 1 0 <br />1/7 <br />PERMIT <br />EFFLUENT GROSS <br />GRAB <br />REQUIREMENT <br />FLOW, IN CONDUIT OR <br />ONCE/ <br />SAMPLE <br />THRU TREATMENT PLANT <br />GRAB <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 />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 />'., <br />PERSONS WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE <br />INFORMATION, THE INFORMATION SUBMITTED IS, TO THE REST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE. <br />h <br />AND COMPLETE IAM AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, <br />DU 05 <br />INCLUDING THE POSSIBILITY OF FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />TYPED OR PRINTED <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />OFFICER OR AUTHORIZED AGENT <br />(25) <br />MI/I <br />(28) <br />(28) <br />p9/I <br />TELEPHONE <br />970-929-5015 <br />ONCE/ <br />GRAB <br />NA <br />INSITU <br />MONTH <br />GRAB <br />1/30 <br />GRAB <br />ONCE/ <br />INSTANT <br />1/7 <br />GRAB <br />MONTH <br />GRAB <br />1/30 <br />GRAB <br />ONCE/ <br />GRAB <br />1/30 1 GRAB <br />ONCE/ <br />MONTH <br />GRAB <br />NA <br />NA <br />CONTIN - <br />GENT <br />GRAB <br />1/7 <br />INSTANT <br />WEEKLY <br />INSTANT <br />1/7 <br />GRAB <br />WEEKLY <br />GRAB <br />DATE <br />10/5/2018 <br />MM/DD/YYYY <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 I.B.15. <br />00001/980409-1716 PAGE 1 OF 2 <br />