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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• FI IrFNF F rnrl Al Inln ?Q?cInGnl? <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />003877 0 SURFACE RUNOFF TO SYLV. GULCH <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR MH) GUNIS <br />EXTERNAL OUTFALL <br />MONITORING PERIOD MINOR <br />FROMI 1/11/2010 _j To NO DISCHARGE <br /> - -- . - INV I c: r<eaa instructions Detore c omple tIng tnls tor m. <br />PARAMETER QUALITY OR LOADING QUALITY OR CONCENTRATION <br /> <br />1 NO. FREQUENCY SAMPLE <br /> 2 <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNIT <br />EX <br />QF <br />TYPE <br /> <br />OIL AN --- ANALYSIS <br />D GREASE SAMPLE <br />VISUAL MEASUREMENT <br />84066 1 <br />0 ...... .....: f)IVC£[ '''.". [ <br />EFFLUENT GROSS RE!li?EM11 ** * <br />;It VIEUf4L: <br /> SAMPLE NO DISCHARGE <br /> MEASUREMENT <br /> <br /> <br /> `REQlJIREME T.: <br /> SAMPLE <br /> MEASUREMENT <br /> .. <br /> F <br />ERdAtI <br />.: <br />.:.: ::::::::::::::: <br /> <br />:. <br />:00 <br />E7 : <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> <br /> RE <br />IREM <br />QU ENT:: <br /> <br />:::::: <br /> SAMPLE <br /> MEASUREMENT <br /> R.. <br /> <br /> <br />F+; <br />QUI . EM <br />1 7: <br /> SAMPLE <br /> MEASUREMENT <br /> (aEfiM <br />7 <br /> l <br />:.: <br />:. <br /> ; <br />RE IEM <br />Q*1 <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> .:::::::FERMET <br /> <br />NAME If TITLE PRINCIPAL EXECUTIV E <br />OFFICER <br /> CERTIFY UNDER PENALTY OF LAW THAT THIS DOCUMENT AND ALL ATTACHMENTS WERE PREPARED UNDER MY' TELEPHONE D A T E <br /> !DIRECTION OR SUPERWION IN ACCORDANCE WITH A SYSTEM DESIGNED TO ASSURE THAT QUALIFIED PERSONNEL; <br /> 1 PROPERLY GATHER AND EVALUATE THE INFORMATION SUBMITTED. BASED ON MY INQUIRY OF THE PERSON OR PERSONS j <br />i WHO MANAGE THE SYSTEM <br />OR THOSE PERSONS <br /> <br />Nolte <br />Doug NOIte , <br />DIRECTLY RESPONSIBLE FOR GATHERING THE NFORMATION, THE <br />I INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOIVIEDGE AND BELIEF, TRUE, ACMMTE, AND COMPLETE I AM <br />AWARE THAT THERE ARE SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, NCLUDING THE POSSIBILITY 'OF; SIGNATr <br />F PRINCIPAL EXECUTIVE <br />FINE AND IMPRISONMENT FOR KNOWING VIOLATIONS <br /> <br />970 929-5015 <br /> <br />4/16/2010 <br />TYPED OR PRINTED . <br />R <br />OFFI R A UTHORIZED AGENT <br /> <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS <br />(Reference all attachments here) AREA CODE NUMBER MM/DD/YYYY <br />Forms by windowChem(707)864-084$:Dtnl 109o-VS D v, NAR <br />TSS & TOTAL IRON LIMITS WILL BE WAIVED, AND SETTLEABLE SOLIDS LIMIT APPLIED FOR <=10YR, 24HR PRECIP EVENT-SEE I.A.3, 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 LBA.F. <br />00154/980409-1716 PAGE 2 OF 2