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I <br />PERMITTEE NAME/ADDRESS: <br />NAME: MOUNTAIN COAL COMPANY,L?C <br />ADDRESS: WEST ELK MINE <br />P.O. BOX 591 j <br />SOMERSET CO 81434 <br />FACILITY: WEST ELK MINE i <br />LOCATION: APPX 1 MI E OF TOWN ON HWY 133 <br />SOMERSET, CO 81434 <br />ATTN: EUGENE E. DICLAUDIO, PRESIDENT. <br />PARAMETER I <br />OIL AND GREASE SAMPLE 1 j <br />VISUAL MEASUREMENT 1 <br />84066 1 0 : F?ERIvIkI <br />EFFLUENT GROSS REQUIREMEi?T.`? <br />SAMPLE <br />NAME <br />SAMPLE <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />0038776 008 LOADOUT RUNOFF (MB-4) <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) MNTRS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROM 10/11/2009 _j TO 12/31/209 1 NO DISCHARGE FXJ <br />NOTE: Read instructions before completing this form. <br />QUALITY OR LOADING QUALITY OR CONCENTRATION <br />NO. FREQUENCY SAMPLE <br />EX OF TYPE <br />VALUE UNITS VALUE VALUE VALUE UNIT ANALYSIS <br />VALUE <br />QU..... ..... <br />SAMPLE i <br />PERlv11T::1?:::: <br />N1EI?iT <br />491R <br />SAMPLE <br />:RECtlJIREMEN : <br />SAMPLE 1 <br />MEASUREMENT <br />NO DISCHARGE <br />OFFICE. - I CFHTIFY UNDER PENALTY OF LAW THAT THIS DOCUFIENT AND ALL ATT ALHMENTS IVFHH PREPARED UNDER MY <br />0.C :- <br />*""'" .N10?3TH VISI <br />)NE DATE <br />rL - <br />I?IIt1:f:T10N OR SUPERVISION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNL'L I' " <br />1 V PERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS <br />?I'HO MAN OF THE SYSTEM. OR THOSE PERSONS DIRECTLY RESPONSIBLE FOR GATHERING THE INFORMATION, TIIE' <br />`A j i(JFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE, ACCURATE, AND COMPLETE. 1 AM: <br />Doug Nolte WVAKETHAT THEM AMSIGNIFIUANTPENALTIES FORSUBM1B'FPINGFALSE INFORMATION, INCLUDING THEPOSSIBILITY OF; SIGNATU PRINCIPAL EXECUTIVE 970 929-5015 1/8/2010 <br />NE AND IMPRISONMENT FOR KNOWING VIOLATIONS. <br />TYPED OR PRINTED tOOF <br />RAUTHORIZEDAGENT AREA CODE NUMBER MM/DD/YYYY <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) Forms by WindoWCbem(707)864-OW;p/nllOSO;VS.0;1nre6 <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, ANISETTLEABLE 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.1.F. <br />2