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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 />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />(-x'60 8776 17 MINE WTR & MWTF <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM 091 05 1 01 TO 09 1 06 1 30 NO DISCHARGE FX? <br />ATTN: EUGENE E. DICLAUDIO, PRESIDENT. NOTE: Read instructions before com pIs roan. <br /> QUALITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />PARAMETER <br /> EX OF TYPE <br /> \-/.A.1 ?IF VALUE UNITS VALUE VALUE VALUE UNIT ANALYSIS <br />OIL AND GREASE SAMPLE *******„ ,,, ,,, (9P) *****,,* *****+** ++****** VISUAL <br /> MEASUREMENT <br />VISUAL ..... ..... <br /> <br />84066 1 0 N1LlNi <br /> <br />S=1 <br />YE <br />. <br /> <br />WE?}??Y <br /> <br />5. <br />. <br />. <br />. <br />. <br />. <br />EFFLUENT GROSS <br />RI62t11,.M ..... <br />...... <br />......................:.:. <br />.:.:.:.:.: <br />INST <br /> <br />NO-0 ;.. . <br />. <br />, <br />;-„.. <br />. <br />. <br /> <br /> <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />................................... <br />SAMPLE <br />MEASUREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> . <br /> . <br />1.;... <br />EQt! iiEMEN <br /> <br />._•.. <br />7 7 <br /> PHONE <br />TELE DATE <br />AME / TITLE PRINCIPAL EXE CUTIV E OFFICER <br />UNDER MY' ' <br />N 1 CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED <br />DIRECTION OR SUPERVISION M ACCORDANCE WITH A SYSTEM DESIGNED M ASSURE THAT QUALIFIED PERSONNEL; / <br />1 <br />//`` <br />/? <br /> i PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. HA-SED ON MY INQUIRY OF THE PERSON OR PERSONS: ' <br />`/ <br /> :WHO MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE <br /> i INFORMATION SUBMITTED IS, M THE REST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE. 1 AM <br />SIGNATUR <br />F PRINCIPAL EXECUTIVE J <br />970 929-5015 <br />09107121 <br />DOU <br />Nolte AWARE T THEM ARE SIGNIFICANT PENALTIES MR SUBMITTING FALSE INFORMATION, INCLUDING ME PGSSIHILITV OF <br />9 :FINEANDIWMSONMWTFORKNOWIN.VIOLATIONS. I OFFIC OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY <br />TYPED OR PRINTED <br />- - __ ._. _ _ - - -. _ - . -- _ ..., . ,.... .T.... ... ir?_s_?.. _,. _D ..w...,h....,.s.. L.....T Forms by WindowChe m(707)864-0845;p/n11090;v5.0;1/1/96 <br />GUMIVItIV I MIVV CJIr LMIVMI IUll Ur my l vlvv?I rv •-•-•-••-- --- ----- <br />30 DAY AVG IS HIGHEST MONTHLY AVERAGE DURING REPORTING PERIOD. QUARTERLY SAMPLING & REPORTING INSTRUCTIONS-I.C.11. OIL & GREASE - SEE I.13.11. <br />0130/980409-1716 PAGE 2 OF 2