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PERMITTEE NAME/ADDRESS: <br />NAME: MOUNTAIN COAL COMPANY, LLC <br />ADDRESS: WEST ELK MINE <br />P.O. BOX 591 <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: EUGENE E. DICLAUDIO, PRESIDENT. <br />PARAMETER <br />OIL AND GREASE <br />VISUAL <br />84066 1 0 <br />EFFLUENT GROSS <br />MEASUREMENT <br />RERIuIIT <br />VALVE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />SUBSOIL STKPILE RUNOFF (MB-5) <br />C0003'8776 p g <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br /> EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM 091 04 101 TO 09 1 04 1 30 NO DISCHARGE <br /> NOTE: Read instructions before completin this form. <br />1ITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />I/AIIIIE I: I tlTc VALUE VALUE EX OF TYPE <br />VALUE UNIT ANALYSIS <br /> <br />(9p) *a•?tea•,F*t +****x•,E* *****ttt <br /> 77777 1 <br /> <br /> - VISU!??L <br />aNSFMlK <br />=0 <br />NO <br />M. <br />.......................................... . <br />/? ?/ /? --- -------- - - --- - --- -- -- - TELEPHONE DATE <br />NAME TITLE PRINCIPAL EXECUTIVE OFFICER l-CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY <br />iDIRECTION OR SUPERVISION M ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL; /A <br />PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS <br />WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE: <br />Nolte INFORMATION SUBMTTED IS, TO THE BEST OF MY RNOWLEDOE AND BELIEF, TRUE, ACCURATE, AND COMPLETE 1 AMi' SIGNA OF PRINCIPAL EXECUTIVE g70 929-5015 09 107 121 <br />Doug Nolte AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE POSSIBILITY OF <br />J' FINE AND IMPRISON ENT FOR MOWING VIOLATIONSOF fRE <br />ER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY <br />TYPED OR PRINTED Forms by windowChemQU1)864-084s;Wm ioso;Ys.o;1111Bs <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <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 161 F PAGE 2 OF 2