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PERMITTEE NAME/ADDRESS: <br />NAME: MOUNTAIN COAL COMPANY, <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 <br />SOMERSET, CO 81434 <br />ATTN: EUGENE E. DICLAUDIO, PRESIE <br />PARAMETER 1 -1 <br />AND GREASE I SAMPLE <br />84066 1 0 P::EFIvttT: <br />EFFLUENT GROSS :R> WOEW <br />SAMPLE <br />PI-RMkT: <br />REQlJIREME <br />SAMPLE <br />PERMIT:: <br />SAMPLE <br />>: PEI?IVIIT: <br />REQUIREME. <br />SAMPLE <br />SAMPLE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />0038776-? 018 SED. POND TO SYLVESTER GULCH <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />133 FROMI 10/1/2009_j To NO DISCHARGE <br />NOTE: Read instructions before completing this form. <br />QUALITY OR LOADING QUALITY OR CONCENTRATION <br />NO. FREQUENCY SAMPLE <br />VALUE VALUE UNITS VALUE VALUE VALUE UNIT EX OF TYPE <br />ANALYSIS <br />NO DISCHARGE <br />MIT... :::::.::::::::: <br />:::::PER ...................... <br />.............. <br />. . . . . . . . . .............. <br />E2 I ::::::::::::::::::::::::::::::::::: <br />EirtU Ei M T....-....-... .......................................................... <br />:........... ....................................................:.:. <br />/TITLE PRINCIPAL EXECUTIVE OFFICER CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUNIENT AND ALL ATTACHMENTS HERE PRE-PARED UNDER MYI <br />IRECTION OR SUPERVISION M ACCORDANCE WITH A SYSTEM DESIGNER 'FO ASSURE THAT QUALIFIED PERSONNEL; <br />ROP - Y GATHER AND EVALUATE THE INFORMATION SURMITTFD. BASED ON MY INQUIRY OF THE PERSON OR PMONS : <br />VIE) MANAGE THE SYSTEM, OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, THE <br />THE BEST OF MY KNO%YLEDGE AND BELIEF TRUE ACCURAFE AND CONMLETE 1 AM I <br /> <br /> <br />DATE <br />`A NFORMA DON SUBSBTTED IS, TO <br />Doug Nolte \VAHETHAT THERE A"SIGNIFICANT' PENALTIES FOR SUBMITTINGFAIMINFORMATION,INCLUDING THE POSSIBILITYOF I SIGNATU F PRINCIPAL EXECUTIVE 970929-5015 1/8/2010 <br />INE AND IMPRISONMENT FOR KNOMNO VIOLATIONS. <br />TYPED OR PRINTED OFFI R OR AUTHORIZED AGENT AREA CODE NUMBER MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIO S (Reference all attachments here) Forms bywindowCnem(7o7)864-oa45;plnllogo;V5.o;inigs <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.13.1.F. <br />2